Comparison Of The Perception Of Pain and Alexithymia In Patients With Rheumatoid Arthritis, Familial Mediterranean Fever And Healthy People

Author
Department of Psychology, Ardabil Branch, Islamic Azad University, Ardabil, Iran
Abstract
The present study aimed at comparing pain perception and alexithymia between patients suffering from rheumatoid arthritis, familial Mediterranean fever, and healthy people. The research method was casual-comparative and the sample was drawn from all patients afflicted with rheumatoid arthritis, familial Mediterranean fever, and healthy people in Ardabil city in 2017. The sampling procedure was Convenient. This way, 40 rheumatoid arthritis patients, familial Mediterranean fever patients and healthy people, collectively amounting to 120 subjects, were selected. The data collection procedure involved using McGill pain questionnaire and Toronto alexithymia scale as the instruments. To analyze the data, Manova and Post hoc tests were conducted. The results indicated that there is a meaningful difference in the perception of pain and alexithymia between people with rheumatoid arthritis, familial Mediterranean fever and healthy people. The intensity of pain perception among patients with alexithymia was more than its intensity among patients with familial Mediterranean fever. It can be concluded, therefore, that the disorder of pain perception and alexithymia in patients with rheumatoid arthritis and familial Mediterranean fever can worsen these diseases and affect their treatment process.
Keywords

3. Löwe B, Willand L, Eich W, Zipfel S, Ho AD, Herzog W, Fiehn C. Psychiatric comorbidity and work disability in patients with inflammatory rheumatic diseases. Psychosomatic Medicine. 2004; 66(3):395-402.
4. Jameson J L , Fauci A S , Kasper D L, Hauser S L , Longo Dan L, Loscalzo J. Harrison´s Principles of Internal Medicine. 20th Ed, New York: Mac Graw Hill; 2015
5. Cane D., Nielson WR, McCarthy M & Mazmanian D. Pain-related activity patterns: measurement, interrelationships, and associations with psychosocial functioning. Clinical Journal of Pain. 2013; 29(5): 42-435.
7. Affleck G, Tennen H, Keefe F J, Lefebvre J C. Kashikar-Zuck S, Wright K, Starr K & SCaldwell D. Everyday lifewithosteoarthritisor rheumatoid arthritis:independent effects of disease and gender on daily pain, mood, and coping. Pain. 2015;83(3): 601-609.
8. Rezaei F, Neshat Doost H T , Molavi H, RezaAbedi M & Karimifar M. Depression and pain in patients with rheumatoid arthritis: Mediating role of illness perception, The Egyptian Rheumatologist.2014; 36(2): 57-64
11. Zarei J, Besharat MA. Alexithymia and interpersonal problems. Procedia Social and Behavioral Sciences .2010; 5(1): 619- 622.
12. Guttman H & Laporte L. Alexithymia, empathy, and psychological symptoms in a family context. Comp Psychiatry.2002; 43: 448-55.
13. Saariaho A S, Saariaho T H, Mattila A K, Karukivi M R & Joukamaa M I. Alexithymia and depression in a chronic pain patient sample, General Hospital Psychiatry.2013; 35(3): 239-245.
14. GulerT, Garip Y, Dortbas F, Dogan Y P. Quality of life in Turkish patients with Familial Mediterranean Fever: Association with fatigue, psychological status, disease severity and other clinical parameters, The Egyptian Rheumatologist.2017; 40(2):117-121.
15. Karahan A Y, Kucuk A, Balkarli F, Kayhan O, Nas N, Ozhan A Y. Karahan T, Gungor S, Kucuksen M . Alexithymia, depression, anxiety levels and quality of life in patients with rheumatoid arthritis, Acta Medica Mediterranea. 2016; 32(2): 1675-1682.
16. Krol B, Sanderman R, Suurmeijer TP. Social support, rheumatoid arthritis and quality of life: Concepts, measurement and research. Patient Educ Couns.1993; 20 (2-3): 101-20.
18. Parker DA, Taylor G, Bagby RM. The relationship between emotional intelligence and alexithymia. Pers Individ Differ 2001; 30: 107- 115.
21. Luminet O , Vermeulen N , Demaret C , Taylor G J , & Bagby R M. Alexithymia and levels of processing: Evidence for an overall deficit in remembering emotion words. Journal of Research in Personality.2006; 40(5): 713- 733.
22. Haviland M G, Warren W L, Rigss M L. An observer scale to measure alexithymia. Psychosomatics.2000; 41(5): 385-392.