慢性関節リウマチにおける心理的因子
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概要
- 論文の詳細を見る
In order to investigate psychological factors in chronic rheumatoid arthritis (RA), 49 RA patients And 58 controls were given the Cornell Medical Index (CMI) revised by Fukamachi. The results of the tests showed that 28 out of the 49 RA patients (57.1%) fell into the neurotic area, while 12 out of the 58 controls (20. 6%) fell into the neurotic area. The difference h these neurotic traits between the two groups was statistically significant. In RA cases with the onset in old age, 7 out of 10 patients (70%) fell into the neurotic area, whereas in Malignant Rheumatoid Arthritis (MRA), all 6 patients (100%) belonged to the neurotic group. In order to determine whether psychological factors in RA were primary or secondary in origin, the correhtion between the stages of RA and the neurotic area indicated by the CMI was investigated, but no correlation was found. The profiles of the CMI were reviewed and were grossly classified into 5 types. Types 1 and 2 were considered as psychologically normal, Types 3 and 4 as sub-neurotic, and Type 5 as neurotic. Furthermore, 17 RA patients were interviewed in order to determine precipitating factors. Seven out 17 (41%) showed Buck factors. Two revealed psychic stress, 2 infection, 1 physical trauma, 1 exposure, and 1 over work. Thus, 2 RA patients in whom psychic stress worked as a precipitating factor were interviewed intensively, and case reports were presented. These patients showed introvert characters along with anger and irritability. When one's so-called rheumatic disposition is connected with a personality which is specific for RA, the so-called psychosomatic unit is formed. Under these circumstances, it is asumed that if psychic Stress works as A precipitating factor, apossility of the said person getting RA arises.
- 日本心身医学会の論文
- 1979-12-01