Table 4.

Association between CDAI change over time and self-reported depression over 2 years of followup using general estimating equation.

VariablesUnadjusted OR (95% CI)Adjusted OR (95% CI), Model 1*Adjusted OR (95% CI), Model 2**
CDAI over time1.01 (1.00–1.01)1.01 (1.00–1.01)
CDAI category over time
  Remission or LDARefRef
  MDA1.14 (1.06–1.22)1.14 (1.04–1.26)
  HDA1.26 (1.13–1.41)1.26 (1.12–1.42)
CDAI binary over time
  Remission or LDARefRef
  MDA or HDA1.18 (1.10–1.27)1.22 (1.10–1.35)
Covariates
  Female sex1.88 (1.15–3.08)1.93 (1.15–3.25)
  No. comorbidities1.53 (1.39–1.70)1.32 (1.19–1.47)
  Positive RF0.60 (0.39–0.92)0.79 (0.50–1.26)
  Fatigue score (0–10)1.19 (1.11–1.28)1.14 (1.05–1.24)
  Prior use of csDMARD0.52 (0.34–0.80)0.74 (0.46–1.19)
  Prior use of bDMARD0.43 (0.19–0.95)0.53 (0.19–1.49)
Current use and route of bDMARD
  Infusion1.01 (1.00–1.03)0.95 (0.76–1.19)
  Subcutaneous1.10 (0.97–1.25)1.31 (1.06–1.63)
  • Values in bold face are statistically significant.

  • * Model 1: adjusted for sex, positive RF, prior use of csDMARD and bDMARD, current bDMARD administration route, total number of bDMARD, number of comorbidities, and fatigue score.

  • ** Model 2: CDAI category and binary variables adjusted for the relevant covariates (OR for these covariates are not shown in the table). CDAI: clinical disease activity index; LDA: low disease activity; MDA: medium disease activity; HDA: high disease activity; RF: rheumatoid factor; csDMARD: conventional synthetic disease-modifying antirheumatic drug; bDMARD: biologic DMARD.