Evidence map›Paper›PMID 42057145›Full record

ArticleOrphanet journal of rare diseases2026

Prevalence of depressive and anxiety symptoms among patients consulting a rare disease outpatient clinic for rare and undiagnosed diseases in China.

Xin Huang, Xin Liu, Xuelin Yang, Rong Chen, Chenyang Pei, Jingyuan Zhang, Min Shen, Shuyang Zhang

Abstract read
In one paragraph

Article in Orphanet journal of rare diseases, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Xin Huang *Department of Rare Diseases, Peking Union Medical College Hospital (PUMCH), Chinese Academy of Medical Sciences & Peking Union Medical College; State Key Laboratory of Complex Severe and Rare Diseases, PUMCH; Department of Rheumatology and Clinical Immunology, PUMCH; National Clinical Research Center for Dermatologic and Immunologic Diseases (NCRC-DID), Ministry of Science & Technology; Key Laboratory of Rheumatology and Clinical Immunology, Ministry of Education, Beijing, China.
Xin Liu *School of Population Medicine and Public Health, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China.
Xuelin YangSchool of Population Medicine and Public Health, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China.
Rong ChenInstitute of Medical Information and Library, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China.
Chenyang PeiSchool of Health Policy and Management, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China.
Jingyuan ZhangDepartment of Rare Diseases, Peking Union Medical College Hospital (PUMCH), Chinese Academy of Medical Sciences & Peking Union Medical College; State Key Laboratory of Complex Severe and Rare Diseases, PUMCH; Department of Rheumatology and Clinical Immunology, PUMCH; National Clinical Research Center for Dermatologic and Immunologic Diseases (NCRC-DID), Ministry of Science & Technology; Key Laboratory of Rheumatology and Clinical Immunology, Ministry of Education, Beijing, China.
Min ShenDepartment of Rare Diseases, Peking Union Medical College Hospital (PUMCH), Chinese Academy of Medical Sciences & Peking Union Medical College; State Key Laboratory of Complex Severe and Rare Diseases, PUMCH; Department of Rheumatology and Clinical Immunology, PUMCH; National Clinical Research Center for Dermatologic and Immunologic Diseases (NCRC-DID), Ministry of Science & Technology; Key Laboratory of Rheumatology and Clinical Immunology, Ministry of Education, Beijing, China. shenmpumch@163.com.ORCID http://orcid.org/0000-0003-1912-126X
Shuyang ZhangDepartment of Rare Diseases, Peking Union Medical College Hospital (PUMCH), State Key Laboratory of Complex Severe and Rare Diseases, Chinese Academy of Medical Sciences & Peking Union Medical College, PUMCH, Beijing, China. shuyangzhang103@163.com.

Funding

Clinical and Translational Medicine Research Special Project of CAMS and the CAMS Innovation Fund for Medical Sciences 2024-I2M-C&T-B-014Education Innovation and Reform Program CMB-JYCXGG02National High Level Hospital Clinical Research Funding 2022-PUMCH-D-002 and 2025-PUMCH-D-006Open Research Fund of the State Key Laboratory of Complex, Severe, and Rare Diseases 2025-O-ZD-005
6 · The paper itself

Abstract

backgroundPatients with rare diseases often experience significant psychological distress. This study aims to assess the prevalence of depressive and anxiety symptoms and identify associated factors among patients consulting a rare disease outpatient clinic for rare and undiagnosed diseases in China.

methodsA clinic-based cross-sectional study was conducted from February to June 2024, with 201 participants recruited. Sociodemographic, health-related characteristics, and psychological symptoms were assessed using validated instruments. Multivariable logistic regression was performed to identify factors associated with depressive and anxiety symptoms.

resultsOverall, 68.2% of participants reported depressive symptoms, and 41.3% reported anxiety symptoms. Poor sleep quality (OR = 10.298, 95%CI: 1.915–55.367) and pain or discomfort (OR = 2.292, 95% CI: 1.143–4.596) were associated with a higher likelihood of depressive symptoms. For anxiety symptoms, confrontation (OR = 1.143, 95% CI: 1.042–1.253) and acceptance-resignation (aOR = 1.166, 95% CI: 1.051–1.294) were positively associated with anxiety symptoms. Higher social support was a protective factor of both depressive symptoms (aOR = 0.893, 95%CI: 0.813–0.98) and anxiety symptoms (aOR = 0.885, 95%CI: 0.817–0.959).

conclusionsThese findings highlight the substantial psychological burden faced by patients consulting a rare disease outpatient clinic in China and underscore the importance of integrating mental health support into the multidisciplinary care. Routine psychological screening and timely support can improve patients’ overall well-being and quality of life.

Indexed as

AnxietyDepressionRare DiseasesUndiagnosed DiseasesAdolescentAdultChinaCross-Sectional StudiesFemaleHumansMaleMiddle AgedPrevalenceYoung Adult

Identifiers

PMID42057145
PMCPMC13277023

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.