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Published: 2025-06-16
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DOI: https://doi.org/10.52852/tcncyh.v191i6.3625
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Vol. 191 No. 6 (2025)
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Hà, T. T. T., Hùng, N. V., Vinh, T. H., Dương, L. T., & Tâm, D. M. (2025). Assessment of depression in patients with rheumatoid arthritis using the Montgomery-Åsberg scale. Journal of Medical Research, 191(6), 546-556. https://doi.org/10.52852/tcncyh.v191i6.3625

Assessment of depression in patients with rheumatoid arthritis using the Montgomery-Åsberg scale

Tran Thi Thu Ha, Nguyen Van Hung, Truong Hong Vinh, Lai Thuy Duong, Duong Minh Tam

Main Article Content

Abstract

To describe the prevalence of depressive disorders in patients with rheumatoid arthritis (RA) and identify associated factors, a cross-sectional study was conducted on 187 RA patients. Demographic data and clinical characteristics related to RA were collected. Depression was assessed using the Montgomery-Åsberg Depression Rating Scale (MADRS). The prevalence of depression in this study was 54%, with approximately 25% of patients reporting suicidal ideation. Compared to the non-depressed group, patients with depression had a higher proportion of females and individuals who were single, divorced, or widowed. They also had lower educational attainment and lower income. The depressed group exhibited longer morning stiffness duration, a higher prevalence of joint deformities, and greater disease activity. In logistic regression analysis, female gender was identified as an independent risk factor for depression (OR = 4.84; 95% CI: 1.66 – 16.1; p = 0.006). This study highlights a high prevalence of depression and its association with specific demographic and clinical factors in RA patients. Notably, the 25% prevalence of suicidal ideation underscores the critical need for routine depression and suicide risk screening in clinical practice. Further research with larger sample sizes and a broader assessment of mental health outcomes is warranted to develop appropriate intervention strategies aimed at improving comprehensive care for RA patients.

Article Details

Keywords

Rheumatoid arthritis, depression, MADRS, disease activity

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