慢性関節リウマチ患者における心身医学的検討(第3報) : RA患者におけるストレスとストレスコーピング(心理テストからみた心身症)(第34回日本心身医学会総会)

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Rheumatoid arthritis (RA) is an intractable disease with continuous severe pain and functional disturbance in the advanced stages. The RA patients have many types of stress, such as pain, limitation of activities of daily living (ADL) , and anxiety about joint deformity in the future. The purpose of this study is to grasp the concepts of stress and stress-coping, factors which may influence the behavior pattern of RA patients. The subjects were 19 RA patients (5 males, 14 females) who were receiving regular outpatient treatment at our department. The controls were 17 patients with somatoform pain disorder but with no organic lesion (P group) (4 males, 13 females) . 111 normals (N group) (63 males, 48 females). For the study, we used Stress and Stress Coping Questionnaire (SSCQ) including character, factors as well as other variables. We administered Cornell Medical Index (CMI), Self-rating Depression Scale (SDS) and Self Grow-up Egogram (SGE) to the RA patients and P group as well. The results of the SSCQ were as follows : In life events and daily hassles, stress factors, the RA patients showed a lower total of points than the P group. In uplifts, of all the stress-coping factors, the RA patients showed higher points than the P group, but lower points than the normals. In hardiness, another stress-coping factor, both the RA patients and the P group showed lower points than the N group. The results of the CMI and SDS of both the RA patients and the P group showed neurotic tendencies and mild depressive states. The average egogram pattern of the SGE of the RA patients also resembled that of the P group. The behavior pattern of the RA patients, however, was greatly influenced by the depressive state. The practical conclusion is that the RA patients have difficulty coping with stress, and they are aware to a minimal degree that they suffer from stress. Furthermore, great care should be directed to the evaluation of quality of life (QOL) of the RA patients because their behavior pattern influences their depressive state. Therefore, it seems to be important for us to understand the characteristics of stress-coping of RA patients in our medical treatment.
日本心身医学会の論文
1994-02-01

慢性関節リウマチ患者における心身医学的検討(第3報) : RA患者におけるストレスとストレスコーピング(心理テストからみた心身症)(第34回日本心身医学会総会)

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