Associations between DSM-IV mental disorders and subsequent onset of arthritis

Sergio Aguilar-Gaxiola*, Gustavo Loera, Estella M. Geraghty, Hendry Ton, Carmen C. W. Lim, Peter de Jonge, Ronald C. Kessler, Jose Posada-Villa, Maria Elena Medina-Mora, Chiyi Hu, Fabian Fiestas, Ronny Bruffaerts, Viviane Kovess-Masfety, Ali Obaid Al-Hamzawi, Daphna Levinson, Giovanni de Girolamoi, Yoshibumi Nakane, Margreet ten Have, Siobhan O'Neill, Bogdan WojtyniakJose Miguel Caldas de Almeida, Silvia Florescu, Josep Maria Haro, Kate M. Scott

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

7 Citations (Scopus)


Objective: We investigated the associations between DSM-IV mental disorders and subsequent arthritis onset, with and without mental disorder comorbidity adjustment. We aimed to determine whether specific types of mental disorders and increasing numbers of mental disorders were associated with the onset of arthritis later in life.

Method: Data were collected using face-to-face household surveys, conducted in 19 countries from different regions of the world (n = 52,095). Lifetime prevalence and age at onset of 16 DSM-lV mental disorders were assessed retrospectively with the World Health Organization (WHO) Composite International Diagnostic Interview (WHO-CIDI). Arthritis was assessed by self-report of lifetime history of arthritis and age at onset. Survival analyses estimated the association of initial onset of mental disorders with subsequent onset of arthritis.

Results: After adjusting for comorbidity, the number of mood, anxiety, impulse-control, and substance disorders remained significantly associated with arthritis onset showing odds ratios (ORs) ranging from 1.2 to 1.4. Additionally, the risk of developing arthritis increased as the number of mental disorders increased from one to five or more disorders.

Conclusion: This study suggests links between mental disorders and subsequent arthritis onset using a large, multi-country dataset. These associations lend support to the idea that it may be possible to reduce the severity of mental disorder-arthritis comorbidity through early identification and effective treatment of mental disorders. (C) 2016 Elsevier Inc. All rights reserved.

Original languageEnglish
Pages (from-to)11-16
Number of pages6
JournalJournal of Psychosomatic Research
Publication statusPublished - Mar-2016
Externally publishedYes


  • Arthritis
  • Comorbidity
  • Mental disorders
  • Substance abuse

Cite this