Arab rheumatoid patients were assessed for their previous mental adjustment, present mental disorders and social attitudes. Subjects with organic pain and peptic ulcer were used as controls.
used American DSM-III-R criteria, Eysenck Personality Questionnaire, General Health Questionnaire, Taylor-Manifest Anxiety and Beck Depression State Scales for evaluation. Prevalence of psychiatric illness in Arab rheumatoid patients was high [69.6%] compared with Western studies. This may have been due to social stress and lack of social support. The detected disorders included anxiety [17.4%] , depression [50%] , factitious disorders [2.2%] and schizophrenia [2.2%] . These findings were not statistically significant compared with control groups. The diagnosis of a typical RA personality could be very deleterious. No prominent personality features were outlined for rheumatoid patients except for a more significant incidence of extraversion. Psychiatric morbidity was related to the duration and degree of arthritis disability but not to the severity. We found no relation between the presence of rheumatoid factor and the development of psychiatric morbidity. A liaison psychiatrist interested in rheumatology as well as frequent psychiatric consultation proved to be extremely useful
M. K. Abdel Nabi ,
Psychiatric aspects of rheumatoid patients, an Arab study,
Saudi Med. J. 1993;
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