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Peer-reviewedCC BY 4.0Frontiers in Public Health

Knowledge, attitude and practice of patients with immune-mediated and inflammatory rheumatic diseases towards mental health and psychological interventions

  • Shanshan Li1
  • Xue Wang2
  • Hong Liu2
  • Minghuan Liu2
  • Ying Liu3
  • Yanan Sun4
  • Dongxia Tao5
  • Bailing Tian2
  • Fang Wang2
5 affiliations
  1. 1Department of Otolaryngology, The First Hospital of China Medical University
  2. 2Department of Rheumatology and Immunology, The First Hospital of China Medical University
  3. 3Department of Day surgery Ward, The First Hospital of China Medical University
  4. 4Department of Nephrology, The First Hospital of China Medical University
  5. 5Department of Nursing, The First Hospital of China Medical University
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Abstract

Introduction: Autoimmune rheumatologic diseases are chronic, recurrent conditions that often cause pain, disability, and high treatment costs. These disease burdens increase the risk of anxiety, depression, and sleep problems, yet many patients do not receive timely psychological support. Understanding how patients perceive mental health and psychological interventions, and how they act on these perceptions, is important for designing effective education and support strategies.

Methods: This multicenter cross-sectional study was conducted in six hospitals in China between July and December 2023 and patients with immune-mediated and inflammatory rheumatic diseases were included. Demographic information and KAP scores were obtained using a self-designed questionnaire.

Results: A total of 672 valid questionnaires were collected, with 499 female respondents and a mean age of 44.86 ± 15.54 years. The mean KAP scores were 5.65 ± 4.812 (range: 0–18), 23.03 ± 4.125 (range: 6–30), and 18.41 ± 4.179 (range: 6–30). Multivariable logistic regression with an a priori confounder selection strategy showed that knowledge (OR = 1.133, 95% CI: 1.086–1.182, p < 0.001), attitude (OR = 1.115, 95% CI: 1.059–1.173, p < 0.001), and age (OR = 1.023, 95% CI: 1.008–1.037, p = 0.002) were independently associated with practice. Patients with immune-mediated and inflammatory rheumatic diseases demonstrated inadequate knowledge, positive attitudes, and inactive practice towards mental health and psychological interventions. Structural equation modeling indicated that knowledge was directly associated with attitude ( β = 0.369, p = 0.001) and practice ( β = 0.518, p = 0.001), with attitude also showing a direct path to practice ( β = 0.202, p = 0.001).

Conclusion: Patients with immune-mediated and inflammatory rheumatic diseases exhibit notable gaps in mental health knowledge, attitudes, and practices. These findings provide valuable empirical targets for future prospective research and highlight the potential need for tailored educational programs to support patient wellbeing.

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Cite

BibTeXRIS
BibTeX
@article{li2026knowledge,
  title = {{Knowledge, attitude and practice of patients with immune-mediated and inflammatory rheumatic diseases towards mental health and psychological interventions}},
  author = {Shanshan Li and Xue Wang and Hong Liu and Minghuan Liu and Ying Liu and Yanan Sun and Dongxia Tao and Bailing Tian and Fang Wang},
  journal = {Frontiers in Public Health},
  year = {2026},
  month = oct,
  doi = {10.3389/fpubh.2026.1959054},
  url = {https://www.frontiersin.org/articles/10.3389/fpubh.2026.1959054/full},
  note = {CC BY 4.0},
}
RIS
TY  - JOUR
TI  - Knowledge, attitude and practice of patients with immune-mediated and inflammatory rheumatic diseases towards mental health and psychological interventions
AU  - Shanshan Li
AU  - Xue Wang
AU  - Hong Liu
AU  - Minghuan Liu
AU  - Ying Liu
AU  - Yanan Sun
AU  - Dongxia Tao
AU  - Bailing Tian
AU  - Fang Wang
PY  - 2026
DA  - 2026/10/21
JO  - Frontiers in Public Health
DO  - 10.3389/fpubh.2026.1959054
UR  - https://www.frontiersin.org/articles/10.3389/fpubh.2026.1959054/full
AB  - Introduction: Autoimmune rheumatologic diseases are chronic, recurrent conditions that often cause pain, disability, and high treatment costs. These disease burdens increase the risk of anxiety, depression, and sleep problems, yet many patients do not receive timely psychological support. Understanding how patients perceive mental health and psychological interventions, and how they act on these perceptions, is important for designing effective education and support strategies.  Methods: This multicenter cross-sectional study was conducted in six hospitals in China between July and December 2023 and patients with immune-mediated and inflammatory rheumatic diseases were included. Demographic information and KAP scores were obtained using a self-designed questionnaire.  Results: A total of 672 valid questionnaires were collected, with 499 female respondents and a mean age of 44.86 ± 15.54 years. The mean KAP scores were 5.65 ± 4.812 (range: 0–18), 23.03 ± 4.125 (range: 6–30), and 18.41 ± 4.179 (range: 6–30). Multivariable logistic regression with an a priori confounder selection strategy showed that knowledge (OR = 1.133, 95% CI: 1.086–1.182, p < 0.001), attitude (OR = 1.115, 95% CI: 1.059–1.173, p < 0.001), and age (OR = 1.023, 95% CI: 1.008–1.037, p = 0.002) were independently associated with practice. Patients with immune-mediated and inflammatory rheumatic diseases demonstrated inadequate knowledge, positive attitudes, and inactive practice towards mental health and psychological interventions. Structural equation modeling indicated that knowledge was directly associated with attitude ( β = 0.369, p = 0.001) and practice ( β = 0.518, p = 0.001), with attitude also showing a direct path to practice ( β = 0.202, p = 0.001).  Conclusion: Patients with immune-mediated and inflammatory rheumatic diseases exhibit notable gaps in mental health knowledge, attitudes, and practices. These findings provide valuable empirical targets for future prospective research and highlight the potential need for tailored educational programs to support patient wellbeing.
SN  - 2296-2565
ER  -