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Published on: May 16, 2025
Bipolar disorder associated with rheumatoid arthritis: A case-control study
Adir Farhi1, Arnon D Cohen2, Ora Shovman1
1Department of Medicine 'B', Zabludowicz center for Autoimmune Diseases, Sheba Medical Center, Tel-Hashomer, Israel; Sackler Faculty of Medicine, Tel-Aviv University, Israel.
Patients with rheumatoid arthritis (RA) showed a higher prevalence of bipolar disorder in initial analysis. However, this association was not significant after accounting for confounding factors like smoking.
Area of Science:
- Rheumatology
- Psychiatry
- Epidemiology
Background:
- Rheumatoid arthritis (RA) is a chronic inflammatory condition linked to systemic comorbidities.
- Emerging data indicates a potential increased prevalence of bipolar disorder among RA patients.
- This study aimed to investigate the association between RA and bipolar disorder.
Purpose of the Study:
- To examine the relationship between rheumatoid arthritis and bipolar disorder.
- To compare the prevalence of bipolar disorder in RA patients versus controls.
- To identify potential confounding factors influencing this association.
Main Methods:
- A case-control study design was employed.
- Utilized Clalit Health Services medical database for patient data.
- Compared RA patients (n=11,782) with age- and gender-matched controls (n=57,973).
- Statistical analyses included Pearson chi-squared test and logistic regression.
Main Results:
- Univariate analysis revealed a higher prevalence of bipolar disorder in RA patients (0.6%) compared to controls (0.4%, p=0.036).
- Multivariate analysis indicated no significant association between RA and bipolar disorder.
- Smoking status was significantly correlated with bipolar disorder (p<0.001).
Conclusions:
- Initial findings suggest a higher prevalence of bipolar disorder in RA patients.
- The observed association may be confounded by smoking status.
- Further research is necessary to clarify the clinical implications of this association.
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