{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,12]],"date-time":"2026-08-12T19:30:05Z","timestamp":1786563005964,"version":"build-2736575974"},"reference-count":18,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2023,11,20]],"date-time":"2023-11-20T00:00:00Z","timestamp":1700438400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2023,11,20]],"date-time":"2023-11-20T00:00:00Z","timestamp":1700438400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J of Rheum Dis"],"published-print":{"date-parts":[[2024,1]]},"abstract":"Abstract<\/jats:title>\n \n Background<\/jats:title>\n The co\u2010disease of depression and gout is becoming more common in the modern era. However, the relationship between the severity of depressive symptoms and gout prevalence and treatment rate was still unclear.<\/jats:p>\n <\/jats:sec>\n \n Objective<\/jats:title>\n This study aimed to determine the relationship between the prevalence, treatment rate of gout, and the severity of depression in the United States.<\/jats:p>\n <\/jats:sec>\n \n Method<\/jats:title>\n The cross\u2010sectional analysis of the 2007\u20132018 National Health and Nutrition Examination Survey (NHANES) for participants with depression was performed. According to their Patient Health Questionnaire\u20109 (PHQ\u20109) scores, participants were categorized as none, mild, moderate, moderately severe, and severe. To learn the correlation between the severity of depressive symptoms and the prevalence and treatment rate of gout using multivariate logistic regression to control for confounder interference.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n A total of 25\u2009022 patients were included in this study. As the severity of the depressive symptoms worsened (Mild, Moderate and Moderately severe), the risk of gout increased in non\u2010adjusted model and model 1,2,3 (\n p<\/jats:italic>\n \u2010value for trend =.01 in non\u2010adjusted model, <.0001 in model 1, <.01 in models 2 and 3; prevalence group in Model 1, aOR1.71, 95% CI (1.40, 2.08) in the mild group, aOR1.68, 95% CI (1.19, 2.39) in the moderate group, aOR1.31,95% CI (0.82, 2.11) in the moderately severe group, aOR1.21, 95% CI (0.62, 2.38) in the severe group). However, the lower gout prevalence trend has no statistical significance after adjusting all factors in Model 4(\n p<\/jats:italic>\n \u2010value for trend =.98). Compared with patients without depression, only a few patients received treatment, especially patients with severe depression (none, 80.1%; severe, 0.2%). The more severe the depression, the lower the treatment rate (\n p<\/jats:italic>\n \u2010value for trend: non\u2010adjusted model,\n p<\/jats:italic>\n \u2009<\u2009.001; model 1,\n p<\/jats:italic>\n \u2009=\u2009.05; model 2,\n p<\/jats:italic>\n \u2009=\u2009.02; model 3,\n p<\/jats:italic>\n \u2009=\u2009.03).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n Compared with patients without depression, the patients with depression had a higher risk of gout. With the aggravation of depression, the prevalence of gout and the rate of treatment both were decreased. Patients with gout and depression need to receive multidisciplinary care after diagnosis. However, currently, treatment cannot meet the needs of the current patients.<\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/1756-185x.14959","type":"journal-article","created":{"date-parts":[[2023,11,21]],"date-time":"2023-11-21T17:05:37Z","timestamp":1700586337000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Prevalence and treatment rate of gout by depressive symptom severity: A cross\u2010sectional analysis of NHANES 2007\u20132018"],"prefix":"10.1111","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-2725-7279","authenticated-orcid":false,"given":"Siyi","family":"Lu","sequence":"first","affiliation":[{"name":"Department of Rheumatology Dongfang Hospital Beijing University of Chinese Medicine Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tangliang","family":"Qian","sequence":"additional","affiliation":[{"name":"Department of Rheumatology Dongfang Hospital Beijing University of Chinese Medicine Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fengjiao","family":"Cao","sequence":"additional","affiliation":[{"name":"Department of Rheumatology Dongfang Hospital Beijing University of Chinese Medicine Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2264-4897","authenticated-orcid":false,"given":"Tianlun","family":"Kang","sequence":"additional","affiliation":[{"name":"Department of Rheumatology Dongfang Hospital Beijing University of Chinese Medicine Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaoping","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Rheumatology Dongfang Hospital Beijing University of Chinese Medicine Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chaoxin","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Functional Test Dongfang Hospital Beijing University of Chinese Medicine Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yun","family":"Xia","sequence":"additional","affiliation":[{"name":"IRB (Institutional Review Board) Office, Dongfang Hospital Beijing University of Chinese Medicine Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1236-6849","authenticated-orcid":false,"given":"Xiujuan","family":"Hou","sequence":"additional","affiliation":[{"name":"Department of Rheumatology Dongfang Hospital Beijing University of Chinese Medicine Beijing China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,11,20]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1038\/nrrheum.2015.91"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/art.41404"},{"key":"e_1_2_12_4_1","volume-title":"National Institute of Mental 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