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MR Vol.12 No.1 indexに戻る
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MODERN RHEUMATOLOGY
Vol.12 No.1 |
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Relationship between psychological factors
and arthralgia in patients with rheumatoid arthritis |
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| Y. Miwa1, N. Yajima1, F. Shiozawa1, Y.
Yoda1, R. Hanaoka1, M. Hanyuda1, M. Hosaka2, T. Kasama1,
M. Negishi1, H. Ide1, M. Adachi1 |
(1)The First Department of Internal Medicine,
Showa University School of Medicine, 1-5-8 Hatanodai, Shinagawa-ku,
Tokyo 142-8555, Japan
(2)Yamanashi Red Cross Hospital, Minamitsuru, Yamanashi, Japan |
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| Abstract |
| Abstract Various factors were assessed in terms
of their contribution to arthralgia in a rheumatoid arthritis patient.
Eighty-two outpatients (62 women and 20 men) with rheumatoid arthritis
(RA) were examined with respect to the subjective degree of arthralgia,
age, disease duration, dysfunction, steroid dose, steroid period,
depression, anxiety, extroversion, neurotic disorder, and number
of caretakers. The results were explained on the basis of stepwise
regression analysis and psychological and clinical data. We analyzed
results of a correlation coefficient test on the mutual relationship
between variables. Stepwise regression analysis was performed to
assess factors of arthralgia in terms of "depression," "mean
activity," "morning stiffness," and "steroid
dose." Depression is a factor of arthralgia as shown in this
study, but it is clear that other factors are also involved. Anxiety
was a factor distinct from the activity of RA. The factor contributing
most to arthralgia was found to be depression, whereas anxiety had
no effect. |
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| Key words |
| Key words Anxiety ・ Arthralgia ・ Depression
・ Rheumatoid arthritis (RA) |
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