PMID- 36882533 OWN - NLM STAT- MEDLINE DCOM- 20230616 LR - 20230616 IS - 1434-9949 (Electronic) IS - 0770-3198 (Print) IS - 0770-3198 (Linking) VI - 42 IP - 7 DP - 2023 Jul TI - Exploring the longer-term impact of the COVID-19 pandemic on physical and mental health of people with inflammatory rheumatic diseases: a cross-sectional survey. PG - 1903-1909 LID - 10.1007/s10067-023-06565-0 [doi] AB - OBJECTIVE: To assess the longer term impact of the COVID-19 pandemic on the self-reported physical and mental health of people with inflammatory rheumatic diseases (IRDs). METHODS: Two thousand twenty-four patients with IRDs were randomly selected from electronic health records. Survey invitations were sent (August 2021 coinciding with relaxation of UK COVID-19 restrictions) using SMS and postal approaches. Self-reported data included demographics, shielding status and physical (MSK-HQ) and mental health (PHQ8 and GAD7). RESULTS: Six hundred thirty-nine people completed the survey (mean (SD) age 64.5 (13.1) years, 384 (60%) female). Moderate/severe impact of the pandemic on physical and mental health was reported by 250 (41%) and 241 (39%) respectively. One hundred seventy-two (29%) reported moderate/severe depression (PHQ8 >/= 10) and 135 (22%) moderate/severe anxiety (GAD7 >/= 10). Females reported greater impacts of the pandemic on physical health (44% vs 34%), mental health (44% vs 34%), arthritis symptoms (49% vs 36%) and lifestyle factors (weight gain and reduced exercise and physical activity) than males. The physical and mental impacts were less in people with RA compared with other IRDs. Physical health impacts did not differ between age groups, but younger patients reported greater impacts on mental health. CONCLUSION: The COVID-19 pandemic has had a significant impact on the physical and mental health of people with IRDs. These effects were greatest in females. Recovery needs to address the negative impact of the pandemic on lifestyle factors to minimise the long-term impacts for people with IRDs. Key Points * The pandemic had a significant impact on long term physical and mental health in almost 40% of people with IRDs. * The impact of the pandemic was greater in women for physical health, mental health and arthritis symptoms. * Many people reported negative pandemic impacts on lifestyle factors including weight and physical activity. CI - (c) 2023. The Author(s). FAU - Hider, Samantha AU - Hider S AUID- ORCID: 0000-0002-9958-3909 AD - Haywood Academic Rheumatology Centre, Midlands Partnership NHS Foundation Trust, Stoke-On-Trent, UK. s.hider@keele.ac.uk. AD - School of Medicine, Keele University, Keele, UK. s.hider@keele.ac.uk. FAU - Muller, Sara AU - Muller S AD - School of Medicine, Keele University, Keele, UK. FAU - Gray, Lauren AU - Gray L AD - Haywood Academic Rheumatology Centre, Midlands Partnership NHS Foundation Trust, Stoke-On-Trent, UK. FAU - Manning, Fay AU - Manning F AD - School of Medicine, Keele University, Keele, UK. AD - School of Medicine, University of Exeter, Exeter, UK. FAU - Brooks, Mike AU - Brooks M AD - Haywood Academic Rheumatology Centre, Midlands Partnership NHS Foundation Trust, Stoke-On-Trent, UK. FAU - Heining, Dominic AU - Heining D AD - Haywood Academic Rheumatology Centre, Midlands Partnership NHS Foundation Trust, Stoke-On-Trent, UK. FAU - Menon, Ajit AU - Menon A AD - Haywood Academic Rheumatology Centre, Midlands Partnership NHS Foundation Trust, Stoke-On-Trent, UK. FAU - Packham, Jonathan AU - Packham J AD - Haywood Academic Rheumatology Centre, Midlands Partnership NHS Foundation Trust, Stoke-On-Trent, UK. AD - Academic Unit of Population and Lifespan Sciences, University of Nottingham, Nottingham, UK. FAU - Roddy, Edward AU - Roddy E AD - Haywood Academic Rheumatology Centre, Midlands Partnership NHS Foundation Trust, Stoke-On-Trent, UK. AD - School of Medicine, Keele University, Keele, UK. FAU - Ryan, Sarah AU - Ryan S AD - Haywood Academic Rheumatology Centre, Midlands Partnership NHS Foundation Trust, Stoke-On-Trent, UK. FAU - Scott, Ian C AU - Scott IC AD - Haywood Academic Rheumatology Centre, Midlands Partnership NHS Foundation Trust, Stoke-On-Trent, UK. AD - School of Medicine, Keele University, Keele, UK. FAU - Paskins, Zoe AU - Paskins Z AD - Haywood Academic Rheumatology Centre, Midlands Partnership NHS Foundation Trust, Stoke-On-Trent, UK. AD - School of Medicine, Keele University, Keele, UK. LA - eng PT - Journal Article DEP - 20230307 PL - Germany TA - Clin Rheumatol JT - Clinical rheumatology JID - 8211469 SB - IM MH - Male MH - Humans MH - Female MH - Middle Aged MH - Mental Health MH - *COVID-19/epidemiology MH - Cross-Sectional Studies MH - Pandemics MH - *Rheumatic Fever MH - Depression/epidemiology MH - Anxiety/epidemiology PMC - PMC9990972 OTO - NOTNLM OT - Anxiety OT - COVID-19 OT - Depression OT - Gender OT - Mental health OT - Physical health EDAT- 2023/03/08 06:00 MHDA- 2023/06/16 06:42 PMCR- 2023/03/07 CRDT- 2023/03/07 23:21 PHST- 2022/11/07 00:00 [received] PHST- 2023/02/24 00:00 [accepted] PHST- 2023/02/23 00:00 [revised] PHST- 2023/06/16 06:42 [medline] PHST- 2023/03/08 06:00 [pubmed] PHST- 2023/03/07 23:21 [entrez] PHST- 2023/03/07 00:00 [pmc-release] AID - 10.1007/s10067-023-06565-0 [pii] AID - 6565 [pii] AID - 10.1007/s10067-023-06565-0 [doi] PST - ppublish SO - Clin Rheumatol. 2023 Jul;42(7):1903-1909. doi: 10.1007/s10067-023-06565-0. Epub 2023 Mar 7.