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Depression: a common comorbidity in women with rheumatoid arthritis—results from an Austrian cross-sectional study
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    Depression in women with rheumatoid arthritis: prevalence and risk factors

    Sautner et al. investigated the proportion of depressive symptoms in Austrian female patients with rheumatoid arthritis (RA) (1). Prevalence of depression was 29.6% in patients with RA, and it was 12.4% in patients with healthy controls. In addition, depressive symptoms were strongly associated with disease activity and disability. The authors mentioned that the prevalence should be evaluated in male patients. Biological mechanism and causal direction should be specified by further study.

    Englbrecht et al. conducted a cross-sectional study to investigate the prevalence of depressive symptoms in RA patients (2). Patient Health Questionnaire and Beck-Depression Inventory II were used for the analysis, and the prevalence of mild (moderate) or worse depressive symptoms was 55.4 (22.8) %. In addition, they made a caution that the mere assessment of clinical disease activity does not sufficiently reflect the prevalence of depressive symptoms. I agree that many factors might be related to depressive symptoms, and disease activity might be one of the significant contributors on depressive symptoms. In addition, tools for measuring depressive symptoms should be paid attention for estimating the prevalence.

    Regarding the mechanism of the association, Cheon et al. determined the prevalence of depression and risk factors for depression and deterioration of depressive symptoms in RA patients (3). The prevalence of depression was 32.4% in patients with RA. In addition, the...

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    Conflict of Interest:
    None declared.