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, José Posada-Villa, María Elena Medina-Mora, Chiyi Hu, Fabian Fiestas, Ronny Bruffaerts, Viviane Kovess-Masféty, Ali Obaid Al-Hamzawi, Daphna Levinson, Giovanni de Girolamo, Yoshibumi Nakane, Margreet ten Have, Siobhan O'Neill, Bogdan WojtyniakJosé Miguel Caldas de Almeida, Silvia Florescu, Josep Maria Haro, Kate M. Scott

Research output: Contribution to journalArticlepeer-review

6 Scopus citations


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-IV 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.

Original languageEnglish (US)
Pages (from-to)11-16
Number of pages6
JournalJournal of Psychosomatic Research
StatePublished - Mar 1 2016


  • Arthritis
  • Comorbidity
  • Mental disorders
  • Substance abuse

ASJC Scopus subject areas

  • Medicine(all)
  • Clinical Psychology
  • Psychiatry and Mental health


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