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Mental Health

Antoni Chan MD (Prof)
@synovialjoints
Swiss SCQM registry: 63.6% of 2,087 PsA patients had overweight or obesity, against 31% overweight and 12% obese in the general population. Key finding: higher BMI was associated with higher disease activity, cardiometabolic comorbidity and depression. @rheumnow #ACR26
Antoni Chan MD (Prof)
@synovialjoints
Nociplastic pain in axSpA (OHSU): 32.5% of 83 patients had FSQ of 13 or more. FSQ correlated with ASDAS CRP (r 0.53) and lower pressure pain thresholds. Key finding: nociplastic features were common and associated with higher disease activity scores and female sex. Watch my video
Dr. John Cush
@RheumNow
UK survey study of 6607 autoimmune dz pts (91% female) saw females had longer Dx delays, more HCP visits, & signif more often told their Dz attributed to psychiatric (43% vs 33%: OR 1.56) or psychosomatic causes (34% vs 21%; OR 1.87). Females had slightly more misdiagnoses (48% https://t.co/tGhiWCSPy9
Dr. John Cush
@RheumNow
"No person has the right to rain on your dreams." - Martin Luther King, Jr.
Dr. John Cush
@RheumNow
Southern Israel study (2009-24) shows fibromyalgia prevalence Incr from 1.04% to 3.88%, esp 30-59 yrs; more males, w/ more Psych comorbidities; fewer hospitalizations & specialist visits but increased imaging. More use of pregabalin, duloxetine, & gabapentin. https://t.co/kgmvdZF9HQ
Dr. John Cush
@RheumNow
Observational study of 63,215 neuropsychiatric (NP) pts showed semaglutide signif lowered NP events over 2yrs (vs metformin, SGLT2 inhibitors, DPP-4 inhib);unrelaed to wt loss. Less substance, mood anxiety, CNS atrophies, neuromuscular, eating/sleep & personality/impulse-control https://t.co/tbuvLRK3QE

Music and Pain Relief

Jack Cush, MD

If laughter is the best medicine, then music has to be second best. A new scoping review in Pain Reports by Bradt et al., examines the effect of music-based interventions (MBIs) on pain management. While its efficacy is well established, how or why music relieves pain has never been fully

Dr. John Cush
@RheumNow
2026 Medscape report on Nurse practitioners shows nearly half of NPs are burned out, and for 1 in 6, that exhaustion has curdled into something heavier: both burnout and depression. Worse, 63% of NPs don't believe relief is in sight https://t.co/G8N5YgOKyA
Dr. John Cush
@RheumNow
UK Clinical Practice Research Database study RA pts 3134 on glucocorticoids (vs not 4142 matched controls). were identified. GC use assoc w/ signif risk of SSRI initiation risk - recent GC (adj OR 1.53) & past GC (aOR 1.40). GC effect or confounding dz activity? Think depression! https://t.co/WZLkQWlURC
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