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Rheumatoid arthritis, hypochondriasis, depression and sewing.

A Raps1, M Assael

  • 1Department of Psychiatric Services, Kaplan Hospital, Rehovot.

The Israel Journal of Psychiatry and Related Sciences
|January 1, 1990
PubMed
Summary
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This study examined six postmenopausal women with rheumatoid arthritis (RA) and psychiatric conditions. Antidepressant treatment was ineffective, suggesting psychological factors significantly impact RA management.

Area of Science:

  • Psychiatry
  • Rheumatology
  • Psychosomatic Medicine

Background:

  • Rheumatoid arthritis (RA) is a chronic autoimmune disease with complex etiology.
  • Psychiatric comorbidities are frequently observed in RA patients.
  • The interplay between psychological stress and RA pathogenesis is an area of ongoing research.

Observation:

  • The study presents six female, postmenopausal psychiatric inpatients diagnosed with rheumatoid arthritis.
  • These patients exhibited specific personality traits including domineering tendencies, hypochondriasis, alexithymia, and perfectionism.
  • A significant proportion (five out of six) were professionally engaged in sewing, a potentially mechanically stressful occupation.

Findings:

  • None of the six patients achieved full remission with standard antidepressant pharmacotherapy.

Related Experiment Videos

  • The findings suggest that psychological factors and personality traits may influence treatment response in RA patients.
  • Occupational mechanical stress, such as from sewing, is hypothesized as a potential contributing risk factor for RA development or exacerbation.

    • Implications:

    • These observations highlight the need for integrated, multidisciplinary approaches to managing RA, addressing both physical and psychological aspects.
    • Further research is warranted to explore the concept of an "arthritic personality" and its clinical relevance.
    • Understanding the influence of psychological stress and occupational factors may lead to improved therapeutic strategies for rheumatoid arthritis.