Health, Psychological and Demographic Predictors of Depression in People with Fibromyalgia and Osteoarthritis

Abstract

Depression is common in people with fibromyalgia (FM) and osteoarthritis (OA) and has been linked to adverse health outcomes in these conditions. The purpose of this study was to examine differences in predictors of depression among individuals with FM and OA using a range of health, demographic, and psychological variables. Of the total 963 participants, 600 were diagnosed with FM, and 363 with OA. The Quality of Well-Being Scale (QWB) was used to assess health status. The Fibromyalgia Impact Questionnaire (FIQ) and the Arthritis Impact Measurement Scale (AIMS) were used to measure disease-specific impact. Additionally, participants completed self-efficacy and helplessness assessments. Depression was measured using the Center for Epidemiological Studies Scale (CES-D). The results of a moderated linear regression showed that higher depression scores were associated with lower health status and a greater condition impact, especially in the FM group. Self-efficacy and helplessness predicted depression in both groups, but more strongly in FM. White participants with OA were more depressed than their non-White counterparts, while the opposite was true for FM. These findings indicate that improving health status and psychological well-being might alleviate depression in both FM and OA.

Osteoarthritis Depression Impacts and Possible Solutions Among Older Adults: Year 2021-2022 in Review

“…Barowsky et al [11] show that osteoarthritis and major depression appear to share common genetic risk mechanisms, one of which centers on the neural response to the sensation of mechanical stimulus that should be explored further. As well, this research points to the strong impact of depression on the health status and general condition of the adult with osteoarthritis, that occurs more often in the case where the adult feels helpless and unconfident [12], and may induce a deleterious impact on management in general, as well as on surgery outcomes where this is needed [3,13].…”

“…At the same time, those experiencing psychological distress may be less motivated towards self-care, as well as less optimistic about engaging in treatments deemed crucial for minimizing their disability such as exercise [53,54], and may yet have a lower life quality, higher pain and body mass scores plus more stiffness than desirable in spite of receiving a surgical joint replacement to counter this [13,54]. those with no depression [56].…”

The Effect of Reiki on Pain, Functional Status, and Holistic Well-Being in Patients With Knee Osteoarthritis

“…According to the study, the LooH with a spiritual component improved the patients' functional status and reduced anxiety. Knee OA is associated with both physical and psychological problems (Van Dyne et al, 2022). Reiki opens and balances the energy flow path and centers in individuals and heals physical, psychological, and emotional problems (Midilli & Eser, 2015), thereby providing relaxation and a sense of well-being.…”

Psychiatric disorders comorbid with general medical illnesses and functional somatic disorders: The Lifelines cohort study

“…Thus, for example, in rheumatoid arthritis it has been reported that the dominant predictors of self-reported depression are pain and fatigue and it is considered that these may be the main cause of the depression [41,42]. Depression in fibromyalgia is also associated with severity of pain and degree of impairment but, in addition, depression in fibromyalgia is closely associated with psychological variables such as neuroticism, learned helplessness, low self-efficacy and with psychosocial problems [43][44][45][46]. These psychological variables are associated also with depression in the absence of physical illness [47][48][49][50].…”