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Table 4 Association between anti-rheumatic and psychotropic therapy and depression (n = 490)

From: Depression is associated with increased disease activity and higher disability in a large Italian cohort of patients with rheumatoid arthritis

Therapy

Total sample (n = 490)

Depression according to HADS-D (cut-off ≥ 11)

p-value (Chi-square or t test)

Not depressed (n = 420)

Depressed (n = 70)

RA therapy

Corticosteroids, n (%)

242 (49.4%)

200 (47.6%)

42 (60.0%)

0.050

NSAIDs (> 10 per month), n (%)

104 (21.2%)

81 (19.3%)

23 (32.9%)

0.010

Vitamin D, n (%)

388 (79.2%)

328 (78.1%)

60 (85.7%)

0.146

Anti-rheumatic drugs

Only cDMARDS, n (%)

199 (40.6%)

170 (40.5%)

29 (41.4%)

0.937

Only anti-TNFα, n (%)

67 (13.7%)

57 (13.6%)

10 (14.3%)

cDMARDS plus anti-TNFα, n (%)

105 (21.4%)

92 (21.9%)

13 (18.6%)

No cDMARDS, no anti-TNFα, n (%)

119 (24.3%)

101 (24.0%)

18 (25.7%)

Psychotropic therapy

Antidepressants, n (%)

30 (35.9%)

19 (4.5%)

11 (15.7%)

 < 0.001

Total number of drugs, mean (sd)

5.2 (2.5)

5.0 (2.4)

6.4 (2.8)

 < 0.001

  1. cDMARDS: conventional disease-modifying antirheumatic drugs; anti-TNFα: anti-tumor necrosis factors drugs; Total number of drugs: anti-rheumatic drugs plus psychotropic therapy