Table 5.

Relationship between immunologic variables, medication use, and incident episodes of depression in the Hopkins Lupus Cohort.

SubgroupIncident Episodes of DepressionPerson-yrs of FollowupRate of Events Per 1000 Person-yrsRR, 95% CIp
Current low C3
  No196647130.31.0 (Ref. group)
  Yes74190238.91.3 (1.0, 1.7)0.066
Ever low C3
  No103342530.11.0 (Ref. group)
  Yes179606229.51.0 (0.8, 1.3)0.88
Current low C4
  No221689632.01.0 (Ref. group)
  Yes49147533.21.0 (0.8, 1.4)0.82
Ever low C4
  No124437427.41.0 (Ref group)
  Yes158511230.91.1 (0.9, 1.4)0.47
Current anti-dsDNA
  No191608931.41.0 (Ref. group)
  Yes80226135.41.1 (0.9, 1.5)0.36
Ever anti-dsDNA
  No93266934.81.0 (Ref. group)
  Yes189226127.70.8 (0.6, 1.0)0.071
Anti-Sm
  No221770428.71.0 (Ref. group)
  Yes57169933.61.2 (0.9, 1.6)0.29
Anti-RNP
  No201701728.61.0 (Ref. group)
  Yes77238732.31.1 (0.9, 1.5)0.38
Anti-Ro
  No196659429.71 0 (Ref. group)
  Yes81280028.91.0 (0.8, 1.3)0.84
Anti-La
  No240822729.21.0 (Ref. group)
  Yes37116431.81.1 (0.8, 1.5)0.63
Anticardiolipin
  No118375131.51.0 (Ref. group)
  Yes157556628.20.9 (0.7, 1.1)0.37
Lupus anticoagulant
  No183633028.91.0 (Ref. group)
  Yes92306330.01.0 (0.8, 1.3)0.76
Current prednisone dose
  None124437328.41.0 (Ref. group)
  1–966228228.91.0 (0.8, 1.4)0.90
  10–1945121836.91.3 (0.9, 1.8)0.13
  20–392437464.32.3 (1.5, 3.5)0.0002
  40+1315086.53.1 (1.7, 5.4)0.0001
Mean prednisone dose last 12 mos1
  None74306224.21.0 (Ref group)
  1–965239927.11. 1 (0. 8, 1.6)0.50
  10–193790440.91.7 (1.1, 2. 5)0.0089
  20+1222054.62.5 (1.3, 4.5)0.0038
Current hydroxychloroquine
  No102300131.41.0 (Ref. group)
  Yes170541530.20.9 (0.7, 1.2)0.53
Hydroxychloroquine over last 12 mos1
  None56185730.21.0 (Ref. group)
  Some2991731.61.0 (0.7, 1.6)0.84
  Always103382626.90.9 (0.6, 1.2)0.49
Current immunosuppressant use
  No195598032.61.0 (Ref. group)
  Yes77243531.61.0 (0.7, 1.3)0.82
Mean immunosuppressant use last 12 mos1
  None116428127.11.0 (Ref. group)
  Some2573234.21.3 (0.8, 1.9)0.29
  • 1 Unknown and not included in the analysis for followup that occurred within the first year of cohort participation. C3: complement factor 3; C4: complement factor 4; RR: rate ratio.