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Stress and rheumatic diseases.

M Herrmann1, J Schölmerich, R H Straub

  • 1Department of Internal Medicine, University Medical Center, Regensburg, Bavaria, Germany.

Rheumatic Diseases Clinics of North America
|November 21, 2000
PubMed
Summary

Stress significantly impacts autoimmune diseases like rheumatoid arthritis (RA) and juvenile chronic arthritis (JCA). While stress may provoke RA and fibromyalgia syndrome (FS), it consistently worsens SLE, FS, JCA, and RA during disease progression.

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Area of Science:

  • Rheumatology
  • Psychoneuroimmunology
  • Clinical Psychology

Background:

  • Stress is a known factor influencing health outcomes.
  • The specific roles of minor and major stressors in autoimmune and chronic pain conditions require clarification.

Purpose of the Study:

  • To review existing literature on the influence of stress on the onset and course of rheumatoid arthritis (RA), juvenile chronic arthritis (JCA), systemic lupus erythematosus (SLE), and fibromyalgia syndrome (FS).
  • To identify effective coping strategies and the impact of social support on these conditions.

Main Methods:

  • Literature review of studies examining stress factors (minor and major) and their association with specific rheumatic and autoimmune diseases.
  • Analysis of data regarding disease onset, progression, and patient-reported outcomes.

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Main Results:

  • Major life events and chronic minor stress are significantly associated with the onset of JCA.
  • Stress may provoke RA and FS, though evidence is equivocal.
  • Minor stress exacerbates SLE, FS, JCA, and RA during disease course.
  • Psychological therapies, particularly those focusing on optimistic and confrontational coping, may benefit patients with FS and RA.
  • Family functioning is crucial for the clinical and psychological outcomes of patients.

Conclusions:

  • Stress plays a significant role in the onset and exacerbation of JCA, SLE, FS, and RA.
  • Psychological interventions and effective coping mechanisms are important for managing these conditions.
  • Social support systems, especially family, are critical for patient well-being and recovery.