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Rheumatology Advance Access originally published online on August 14, 2006
Rheumatology 2006 45(11):1325-1327; doi:10.1093/rheumatology/kel231
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© The Author 2006. Published by Oxford University Press on behalf of the British Society for Rheumatology. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org


EDITORIALS

Depression in rheumatoid arthritis—underscoring the problem

C. Sheehy, E. Murphy and M. Barry

Department of Rheumatology, Connolly Hospital, Blanchardstown, Dublin 15, Ireland

Correspondence to: M. Barry, Department of Rheumatology, Connolly Hospital, Blanchardstown, Dublin 15, Ireland. E-mail: mbarry@ireland.com

The first 150 words of the full text of this article appear below.

The greatest mistake in the treatment of diseases is that there are physicians for the body and physicians for the soul, although the two cannot be separated.

        Plato (427–347 BC)

The management of chronic disease is a major challenge for global health care in the 21st century. The World Health Organization estimates that by the year 2020, depressive disorders will be second only to ischaemic heart disease in the worldwide burden of disease [1]. Rheumatoid arthritis (RA) is the most common chronic inflammatory joint disease, affecting 0.5–1% of the population. It has long been recognized that the two conditions are associated, with conservative estimates of the prevalence of depressive disorder in patients with RA ranging between 13 and 20% [2–4]. These estimates control for the overlap between the symptomatology of RA and depression. This is a higher prevalence than might be expected from clinical practice. However, . . . [Full Text of this Article]

Influences on the development of depression

Depression and inflammation

Is depression in RA under-recognized?

Management of depression in RA

Psychological interventions in RA

Improving awareness of depression in RA

Conclusion


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