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Aktuelle Rheumatologie 2015; 40(01): 58-61
DOI: 10.1055/s-0034-1384573
Original Article
© Georg Thieme Verlag KG Stuttgart · New York

Assessment of Temperament and Character of Rheumatoid Arthritis Patients

Bewertung von Temperament und Charakter Eigenschaften von Patienten mit rheumatoider Arthritis
F. Gökmen
1   Department of Physical Medicine and Rehabilitation, Medical School, Canakkale Onsekiz Mart University, Canakkale, Turkey
,
K. Altınbaş
2   Department of Psychiatry, Medical School, Canakkale Onsekiz Mart University, Canakkale, Turkey
,
A. Akbal
1   Department of Physical Medicine and Rehabilitation, Medical School, Canakkale Onsekiz Mart University, Canakkale, Turkey
,
M. Çelik
3   Department of Psychiatry, Adıyaman University Faculty of Medicine, Medical School, Adıyaman, Turkey
,
H. Reşorlu
1   Department of Physical Medicine and Rehabilitation, Medical School, Canakkale Onsekiz Mart University, Canakkale, Turkey
,
E. Gökmen
4   Department of Internal Medicine, Canakkale State Hospital, Canakkale, Turkey
,
Y. Savaş
1   Department of Physical Medicine and Rehabilitation, Medical School, Canakkale Onsekiz Mart University, Canakkale, Turkey
,
B. S. Budak
5   Department of Physical Medicine and Rehabilitation, Korkuteli State Hospital, Antalya, Turkey
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Publikationsverlauf

Publikationsdatum:
12. Januar 2015 (online)

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Abstract

Objective: It is widely known that perception of disease affects clinical course and treatment response in patients with rheumatoid arthritis (RA). In this study we aim to define temperament and character properties of RA patients and to discuss the relation between these specific temperament and character properties and clinic variables.

Methods: Study involved 93 RA patients. Temperament and character properties of patients were evaluated using Temperament and Character Inventory. Associations of clinical variables and specific temperament characteristics were evaluated using correlation and association analyses. Approval was obtained from institutional ethical commitee.

Results: 74 (79.6%) of study subjects were females and 19 (20.4%) were males. Mean age of the patients was 53.3±11.5 years. There wasn’t any difference between sociodemographic and clinical variables and temperament scores of patients according to gender (p>0.05). Comparison of temperament features and clinical variables showed that there was a weak correlation between harm avoidance and Anticitrullinated Peptide Antibodies (p=0.04, r=0.22) and between reward dependance and Disease Activity Score (DAS 28). Regression analysis showed an association between reward dependance and DAS-28.

Conclusion: Our findings indicated that there is an association between harm avoidance and reward dependance temperament properties of RA patients and disease activation, and disease course is more severe in patients who have high scores in these temperament dimensions. Therefore, adding assessment of temperament and character properties will help clinicians while evaluating treatment compliance and motivation of patients at initial and later stages of disease.

Zusammenfassung

Ziel: Es ist bekannt, dass die Krankheitswahrnehmung von Patienten mit rheumatoider Arthritis (RA) deren klinischen Verlauf und das Ansprechen auf Therapien beeinflusst. Ziel dieser Studie war die Bestimmung von Temperament und Charaktereigenschaften von RA Patienten und die Diskussion über deren Beziehung zu klinischen Parametern.

Methoden: Die Studie inkludierte 93 RA Patienten. Temperament und Charaktereigenschaften wurden anhand des Temperament-und-Charakter-Inventars bewertet. Assoziationen zwischen klinischen Variablen und spezifischen Charaktereigenschaften wurden mittels Korrelations- und Assoziationsanalysen evaluiert. Die Zustimmung der zuständigen Ethikkommission wurde eingeholt.

Ergebnisse: Von den Studienteilnehmern waren 74 (79,6%) Frauen und 19 (20,4%) Männer. Das mittlere Alter lag bei 53,3±11,5 Jahren. Es bestand kein Unterschied zwischen soziodemografischen und klinischen Variablen und Temperament Punktwerten der Geschlechtergruppen (p>0,05). Der Vergleich von Temperamentmerkmalen und klinischen Variablen ergab eine schwache Korrelation zwischen „Schadensvermeidung“ und Anticitrullinierten Peptid Anti­körpern (p=0,04, r=0,22) und zwischen „Beloh­nungsabhängigkeit“ und dem Krankheitsaktivitätsscore (DAS 28). Die Regressionsanalyse zeigte eine Assoziation zwischen „Belohnungsabhängigkeit“ und DAS-28.

Schlussfolgerung: Unsere Ergebnisse legen nahe, dass es bei RA Patienten eine Assoziation zwischen den Charaktereigenschaften „Schadensvermeidung“ und „Belohnungsabhängigkeit“ und der Krankheitsaktivität gibt. Der Krankheitsverlauf ist bei Patienten mit höheren Punktwerten in diesen Charaktereigenschaften schwerer. Daher kann die zusätzliche Beurteilung von Temperament und Charaktereigenschaften Klinikern bei der Einschätzung von Compliance und Behandlungsmotivation zu Beginn und im Krankheitsverlauf der RA helfen.

Key words

rheumatoid arthritis - disease activity - temperament - character

Schlüsselwörter

rheumatoide Arthritis - Krankheitsaktivität - Temperament - Charakter
 

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