title: [Psychiatric aspects of rheumatoid arthritis: Review of literature].
abstract: BACKGROUND
  Rheumatoid arthritis (RA) is a chronic inflammatory degenerative disease whose symptoms are mainly joint with significant functional impact, resulting in a restriction of the activities of the patient and increasing the impact on mental well-being. Several studies have been conducted to explore psychiatric disorders comorbid with RA.
  
  
  OBJECTIVE
  The objective of this review is to present the various psychiatric manifestations of RA reported in the medical literature.
  
  
  METHODS
  A literature review was conducted using the Pubmed search with the following keywords: psychiatry, psychiatric manifestations, rheumatoid arthritis. Three hundred and sixty-one articles were reviewed for relevance and 47 references were selected.
  
  
  RESULTS
  Among the major psychiatric disorders found in RA, the anxiety and depressive disorders are prevalent (13 to 48% of patients), as well as suicide, insomnia and tiredness. The impairment of quality of life is markedly after age 65. The association between RA and schizophrenia seems negative so that factors predisposing one is protective for the other.
  
  
  CONCLUSIONS
  Comorbid psychiatric disorders with RA are prevalent and may increase the impairment of quality of life for patients. The detection and treatment of psychiatric disorders improve the care of patients with RA.
authors: Département de psychiatrie, Hôtel-Dieu de France, Beyrouth, Liban.
authors: P
authors: P
authors: Abdel-Ahad
authors: Département de psychiatrie, Hôtel-Dieu de France, Beyrouth, Liban.
authors: M
authors: M
authors: El Chammai
authors: Département de psychiatrie, Hôtel-Dieu de France, Beyrouth, Liban.
authors: A
authors: A
authors: Fneich
authors: Département de psychiatrie, Hôtel-Dieu de France, Beyrouth, Liban.
authors: R
authors: R
authors: Issa
authors: Département de psychiatrie, Hôtel-Dieu de France, Beyrouth, Liban.
authors: W
authors: W
authors: Kabbara
authors: Département de psychiatrie, Hôtel-Dieu de France, Beyrouth, Liban. Electronic address: samiric@idm.net.lb.
authors: S
authors: S
authors: Richa
mesh_terms: D001007:Anxiety / Q000453:epidemiology / Q000209:etiology / Q000523:psychology; D001172:Arthritis, Rheumatoid / Q000150:complications* / Q000523:psychology*; D015897:Comorbidity; D003866:Depressive Disorder / Q000453:epidemiology / Q000209:etiology / Q000523:psychology; D006801:Humans; D001523:Mental Disorders / Q000209:etiology* / Q000523:psychology*
keywords: Anxio-depression state; Fatigue; Manifestations psychiatriques; Polyarthrite rhumatoïde; Psychiatric aspects; Review of literature; Revue de la littérature; Rheumatoid arthritis; Troubles anxio-dépressifs