Depression is one of the more overlooked symptoms of arthritis

While we tend to think of arthritis symptoms in a physical sense, the truth is that for some patients this condition can affect more than just pain in joints and muscles. Depression is another reported trait associated with rheumatoid arthritis, and sometimes mental instability may prove to be more crippling than the condition itself. According to The Rheumatologist, the prevalence of depression in those living with rheumatoid arthritis is found to be almost three times higher than the general population. Understanding the origins of negative emotions with rheumatoid arthritis, as well as implementing suitable coping techniques, are the best steps toward treatment of both ailments.

Depression with severe RA

Rheumatoid arthritis is among the most severe forms of the disorder and also linked to depression. Researchers from the University of Manchester in England explored this dynamic by observing 322 patients with severe rheumatoid arthritis while also measuring their emotions. The professors looked into how psychological factors affected patient’ RA symptoms using what's called a DAS28 score. A DAS28 score is determined by tallying the number of tender and swollen joints and the level of inflammation in the body, along with measuring how a person is feeling at the time of testing.

The results made the researchers conclude that levels of depression and anxiety in people with severe rheumatoid arthritis were higher than previously reported, suggesting that those who have been diagnosed with arthritis should also be screened for depression.

Dr. Anne Barton, a professor from the University of Manchester and lead contributor to the study, said that this research was the first of its kind and could lead to better treatments for undiagnosed depression in rheumatoid arthritis patients.

"This is the first study of its kind in patients with high levels of active disease, and suggests that routinely assessing a patient's moods and beliefs – separate to their physical state – would be useful in guiding patient management," Barton said in a statement. "As rheumatologists we need to be aware that depression may occur more commonly in patients with severe rheumatoid arthritis than we had realized."

Treating depression

One of the most common ways to determine whether you're experiencing episodes of depression is by knowing the symptoms. The primary indications of the disorder include:

• Feelings of hopelessness
• Constant anger or irritability
• Loss of interest in activities you once enjoyed
• Frequent fatigue
• Changes in sleep patterns

It's important to note that a few lifestyle changes may help diminish depressive emotions. Receiving regular exercise is a great way to help suppress negative moods and strengthen joints and muscles. Proper nutrition is also an essential component of your mental health, as well as receiving at least eight hours of sleep every night.

If you fear that your depressive episodes are getting worse, discuss your emotions with your physician immediately. As with arthritis, the sooner you start treating depression, the more effective your treatment may be.

To learn more about living with arthritis:

Arthritis & Depression: Recognize the Signs
My Story: Waging a War Against Self-Pity
10 Tips to Fight Arthritis Burnout