Rheumatoid Arthritis: Phenomenology, Personality Profile, Stress and their Inter-Relationship.
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Date
2008-10
Journal Title
Journal ISSN
Volume Title
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Abstract
The purpose of this study was to study the psychiatric morbidity of Rheumatoid
Arthritis and to look for an association between disease parameters and personality
dimensions of Rheumatoid Arthritis patients. Methods: 40 patients were selected from
Rheumatoid Clinic of P.B.M.Hospital,Bikaner as per Association of Rheumatoid Arthritis
(A.R.A.) revised criteria. The ICD-10 Module of International Personality Disorder
Examination (IPDE),Social And Occupational Functioning Assessment Scale
(SOFAS),Hamilton’s Rating Scale for depression(HAM-D),Presumptive Stressful Life Events
Scale(PSLE) were administered to these patients .Bivariate statistical methods were used
to find association between illness variables and psychological dimensions. Group
differences were analyzed by students T-test and ANOVA. Results: Rheumatoid Arthritis
patients with psychiatric morbidity showed higher R.A. severity (p<0.02), swan neck and
valgus deformity (p< 0.05), more number of joints involved (p<0.01), smaller joints
(metacarpo-phalangeal and inter-phalangeal) involvement (p<0.05), presence of C -
reactive protein in blood samples (p<0.01). Majority of patients who had personality
psychopathology also reported stress in preceding one year period. Personality level
psychopathology either alone or in combination is present in 17 patients that is 42.5 % of
the sample. Patients with single personality trait psychopathology were better in comparison
to severe personality psychopathology in terms of number of joints involved, joint
deformities, social and occupational functioning and psychiatric morbidity. Conclusion:
Preliminary findings suggest that the severity of Rheumatoid Articles correlates with
psychiatric morbidity.
Description
Keywords
Rheumatoid Arthritis, C-Reactive Protein
Citation
Gupta L N, Prasad Shiv, Gauri L A, Gupta Prerana. Rheumatoid Arthritis: Phenomenology, Personality Profile, Stress and their Inter-Relationship. Delhi Psychiatry journal. 2008 Oct ; 11 (2): 211-220.