PROBLEMS, MENTAL-DISORDERS AND LIFE QUALITY IN PATIENTS WITH RHEUMATOID-ARTHRITIS

There were 157 patients with rheumatoid arthritis. Of these, only 65 patients (41.4 %) failed to show any factor at the disease onset, which could be estimated as provoking. Psychoemotional factor was most common (in 47.7 % of cases). Later the indicated factor played a more important part: only 5.1 % of the patients denied or doubted it. In most cases, the distress was caused by family relations. There was an appreciable difference in the intensity of the problems in family and single patients. Affective disorders (neurotic and hypopsychotic depressions) were mostly recorded among mental disorders. The life quality determined in accordance with the self-estimation of the <<health>> and happiness>> noticeably depended both on biological factors (pain intensity, the degree of damage to the bones and joints, and the disease stage) and on social factors - the educational level and social position. The degree of personality merits defined according to the self-estimation of the <<mentality>> and <<character>> appeared higher in persons with higher education and in patients suffering from erosive arthritis. The data obtained provide evidence for the necessity of psychosomatic orientation of practicing physicians.