CHRONIC STRESS AND DEPRESSION IN PATIENTS RHEUMATOID ARTHRITIS

Аннотация

Rheumatoid arthritis (RA) is an autoimmune rheumatic disease of unknown etiology that affects 0.5–2% of the adult population at the most working age of 35-55 years and is characterized by chronic erosive arthritis and systemic damage to internal organs. The chronic progressive course of the disease and the accompanying lifelong therapy are accompanied by the development of often irreversible complications and side effects, manifested in changes in appearance, sleep disorders, emotional lability, physical discomfort and significant limitation of functionality. Back in 1961, P.Kielholz He noted the importance of physical and psychological maladaptation and amarked decrease in activity in RAin the development of chronic depression, as well as inthe formation of a "vicious circle" of mental and somatic sufferin. Characterological features allow some patients to calmly adapt to new living conditions, while others develop psychopathological conditions that require psychological and medical correction. Key words:autoimmunerheumatic disease, systemic damage, physical discomfort