Document Type : Original Article


1 Department of Family Medicine, School of Medicine; Clinical Research Development Unit, Ali-Ibn Abi-Talib Hospital, Rafsanjan University of Medical Sciences, Rafsanjan, Iran. 0000-0001-6670-1828 Department

2 Department of Psychiatry, School of Medicine,Moradi Educational and Treatment Hospital, Rafsanjan University of Medical Sciences, Rafsanjan, Iran.

3 Clinical Research Development Unit, Ali Ibn Abi Talib Hospital, Rafsanjan University of Medical Sciences, Rafsanjan, Iran.

4 Non-Communicable Diseases Research Center, Rafsanjan University of Medical Sciences, Rafsanjan, Iran; Department of Internal Medicine, Ali-Ibn Abi-Talib Hospital, School of Medicine, Rafsanjan University of Medical Sciences, Rafsanjan, Iran.



Rheumatoid arthritis (RA) is one of the most common autoimmune diseases causing many physical and mental complications, and disorders in patients. This study aimed to evaluate the mental health and sleep quality of RA patients referred to the Rafsanjan Rhematology Clinic. This descriptive-analytical study was conducted on 35 patients and 35 healthy people referring to Rheumatology Clinic of Rafsanjan. Data collection tools included demographic information, Depression, Anxiety and Stress Scale 21 (DASS21), and Pittsburgh Sleep Quality Index. Then, the data were analyzed by SPSS 20 and using independent t-test, Chi-square, and multivariate analysis of covariance. The total score of DASS21 indicated that stress, anxiety, and depression in the patient was significantly higher than the healthy group. In comparison to the healthy group, patients' mean total scores for sleep and all of its subscales (apart from subjective sleep quality) were considerably higher (P = 0.001). The mean total score of sleep, and all its subscales (except the subjective sleep quality) in the patients was significantly higher than the healthy group, indicating that they had a lower sleep quality. Based on the results of our study, mental health, and sleep quality are common problems in RA patients. Therefore, along with standard treatments for the disease, attention should be paid to mental health, and sleep status of 
affected patients.


Main Subjects

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