PMID- 37916198 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20231103 IS - 1745-0179 (Print) IS - 1745-0179 (Electronic) IS - 1745-0179 (Linking) VI - 19 DP - 2023 TI - Association between Proinflammatory Cytokines and Anxiety and Depression Symptoms in Rheumatoid Arthritis Patients: A Cross-sectional Study. PG - e174501792304261 LID - 10.2174/17450179-v19-e230510-2022-34 [doi] LID - e174501792304261 AB - BACKGROUND: Rheumatoid arthritis (RA) patients have a greater prevalence of anxiety and depression. Proinflammatory cytokines are elevated in RA. We aim to evaluate the association between systemic inflammation in RA and anxiety and depression. METHODS: There were 31 RA patients, 16 with active disease activity and 15 in remission state; they were assessed using the Hospital Anxiety and Depression Scale and for RA disease activity using Disease Activity Score of 28 joints (DAS28) - CRP (C-reactive protein). Serum proinflammatory cytokines were measured, including interleukin (IL)-6, IL-17, and Tumour Necrosis Factor-alpha (TNF-alpha). RESULTS: Among 31 patients, ten patients showed anxiety symptoms, 19 patients showed depression symptoms, and two displayed mixed symptoms. Serum TNF-alpha levels were significantly higher in active disease than in the remission group (p-value 0.006). There was no association or correlation between proinflammatory cytokines to anxiety and depression symptoms in the active disease and remission groups. CONCLUSION: This suggests that other factors besides disease activity and state of systemic inflammation may cause anxiety and depression in RA patients. CI - (c) 2023 Parlindungan et al. FAU - Parlindungan, Faisal AU - Parlindungan F AD - Department of Internal Medicine, Division of Rheumatology, Faculty of Medicine, Universitas Indonesia, Dr. Cipto Mangunkusumo National General Hospital, Jakarta, Indonesia. FAU - Hidayat, Rudy AU - Hidayat R AD - Department of Internal Medicine, Division of Rheumatology, Faculty of Medicine, Universitas Indonesia, Dr. Cipto Mangunkusumo National General Hospital, Jakarta, Indonesia. FAU - Ariane, Anna AU - Ariane A AD - Department of Internal Medicine, Division of Rheumatology, Faculty of Medicine, Universitas Indonesia, Dr. Cipto Mangunkusumo National General Hospital, Jakarta, Indonesia. FAU - Shatri, Hamzah AU - Shatri H AD - Department of Internal Medicine, Division of Psychosomatic and Palliative, Faculty of Medicine, Universitas Indonesia, Dr. Cipto Mangunkusumo National General Hospital, Jakarta, Indonesia. LA - eng PT - Journal Article DEP - 20230622 PL - United Arab Emirates TA - Clin Pract Epidemiol Ment Health JT - Clinical practice and epidemiology in mental health : CP & EMH JID - 101245735 PMC - PMC10351345 OTO - NOTNLM OT - Anxiety OT - Arthritis rheumatoid OT - Depression OT - Inflammation OT - Interleukin-17 OT - Interleukin-6 OT - Tumor necrosis factor-alpha COIS- All authors have no conflict of interest to declare. EDAT- 2023/11/02 06:42 MHDA- 2023/11/02 06:43 PMCR- 2023/06/22 CRDT- 2023/11/02 04:15 PHST- 2022/08/25 00:00 [received] PHST- 2023/03/20 00:00 [revised] PHST- 2023/03/28 00:00 [accepted] PHST- 2023/11/02 06:43 [medline] PHST- 2023/11/02 06:42 [pubmed] PHST- 2023/11/02 04:15 [entrez] PHST- 2023/06/22 00:00 [pmc-release] AID - CPEMH-19-E174501792304261 [pii] AID - 10.2174/17450179-v19-e230510-2022-34 [doi] PST - epublish SO - Clin Pract Epidemiol Ment Health. 2023 Jun 22;19:e174501792304261. doi: 10.2174/17450179-v19-e230510-2022-34. eCollection 2023.