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Identifier 000445586
Title Οι ψυχολογικές διαστάσεις των αυτοάνοσων νοσημάτων : η περίπτωση των ασθενών με ρευματοειδή αρθρίτιδα, σκλήρυνση κατά πλάκας και σακχαρώδη διαβήτη τύπου 1 / Χρυσούλα Μπάκα.
Alternative Title The psychological dimensions of autoimmune disorders : patients with rheumatoid arthritis, multiple sclerosis and type 1 diabetes
Author Μπάκα, Χρυσούλα
Thesis advisor Χατήρα Καλλιόπη
Reviewer Καραδήμας Ευάγγελος
Καφέτσιος Κωνσταντίνος
Αναγνωστόπουλος Φώτιος
Λουμάκου Μαρία
Τριλίβα Σοφία
Κούτρα Αικατερίνη
Abstract The main aim of this mixed methods study was to explore the psychological dimen-sions of three autoimmune disorders: rheumatoid arthritis (RA), multiple sclerosis (MS) and type 1 diabetes (T1D). Quantitative study aimed to investigate whether some psychological factors are associated with the under study autoimmune disorders and whether demographic or disease-related data are linked with the under study psychological factors in the three auto-immune disorders. In the quantitative study, 153 patients participated (52 patients with RA, 46 patients with MS and 55 patients with T1D) and a control group consisting of healthy sub-jects (N=55). The questionnaires administered in the quantitative part were TAS-20, Spiel-berg's State-Trait Anxiety Inventory (STAI-GR. X-1 & X-2), the Wong & Law Emotional Intelligence Scale, the self-efficacy scale (GSE) and the Courtauld Emotional Control Scale (CECS). Qualitative study aimed to investigate patients’ subjective perceptions about their life before and after the onset of their autoimmune disorder. In the qualitative study, 90 inter-views were conducted and analyzed using Grounded Theory Methods. Findings showed that patients’ life after the onset of the autoimmune disorder is con-nected to their life experiences before the onset of the disorder. Several similarities were found among the stressful life events that patients with RA, MS and T1D had experienced be-fore the onset of the disorder. Most of the patients were struggling to cope with these stress-ful life events, resulting mainly in using defensive mechanisms. Not only was the autoim-mune disorder experienced as a stressful event with negative impact on patients’ daily life, but also had positive effect on their life, by placing emphasis on self-care. The quantitative analyses showed increased levels of anxiety, emotional suppression and alexithymia in RA patients, while increased levels of alexithymia were present in MS patients. Only T1D pa-tients’ relapses were related to emotional intelligence and anxiety, while their accompanying health issues were related to alexithymia. Most of the findings of the quantitative research confirmed the findings of the qualitative research. The common findings of quantitative and qualitative study were that: a) RA patients significantly suppress their emotions and they feel anxiety, b) many patients with T1D feel anxious in case of relapse and c) MS patients’ scores in psychometric scales as well as their subjective perceptions about their life before and after the onset of the disorder are very close to those of RA’s patients. Through this study, a multi-faceted and integrated approach of the patient suffering from an autoimmune disease was atThe main aim of this mixed methods study was to explore the psychological dimen-sions of three autoimmune disorders: rheumatoid arthritis (RA), multiple sclerosis (MS) and type 1 diabetes (T1D). Quantitative study aimed to investigate whether some psychological factors are associated with the under study autoimmune disorders and whether demographic or disease-related data are linked with the under study psychological factors in the three auto-immune disorders. In the quantitative study, 153 patients participated (52 patients with RA, 46 patients with MS and 55 patients with T1D) and a control group consisting of healthy sub-jects (N=55). The questionnaires administered in the quantitative part were TAS-20, Spiel-berg's State-Trait Anxiety Inventory (STAI-GR. X-1 & X-2), the Wong & Law Emotional Intelligence Scale, the self-efficacy scale (GSE) and the Courtauld Emotional Control Scale (CECS). Qualitative study aimed to investigate patients’ subjective perceptions about their life before and after the onset of their autoimmune disorder. In the qualitative study, 90 inter-views were conducted and analyzed using Grounded Theory Methods. Findings showed that patients’ life after the onset of the autoimmune disorder is con-nected to their life experiences before the onset of the disorder. Several similarities were found among the stressful life events that patients with RA, MS and T1D had experienced be-fore the onset of the disorder. Most of the patients were struggling to cope with these stress-ful life events, resulting mainly in using defensive mechanisms. Not only was the autoim-mune disorder experienced as a stressful event with negative impact on patients’ daily life, but also had positive effect on their life, by placing emphasis on self-care. The quantitative analyses showed increased levels of anxiety, emotional suppression and alexithymia in RA patients, while increased levels of alexithymia were present in MS patients. Only T1D pa-tients’ relapses were related to emotional intelligence and anxiety, while their accompanying health issues were related to alexithymia. Most of the findings of the quantitative research confirmed the findings of the qualitative research. The common findings of quantitative and qualitative study were that: a) RA patients significantly suppress their emotions and they feel anxiety, b) many patients with T1D feel anxious in case of relapse and c) MS patients’ scores in psychometric scales as well as their subjective perceptions about their life before and after the onset of the disorder are very close to those of RA’s patients. Through this study, a multi-faceted and integrated approach of the patient suffering from an autoimmune disease was atThe main aim of this mixed methods study was to explore the psychological dimen-sions of three autoimmune disorders: rheumatoid arthritis (RA), multiple sclerosis (MS) and type 1 diabetes (T1D). Quantitative study aimed to investigate whether some psychological factors are associated with the under study autoimmune disorders and whether demographic or disease-related data are linked with the under study psychological factors in the three auto-immune disorders. In the quantitative study, 153 patients participated (52 patients with RA, 46 patients with MS and 55 patients with T1D) and a control group consisting of healthy sub-jects (N=55). The questionnaires administered in the quantitative part were TAS-20, Spiel-berg's State-Trait Anxiety Inventory (STAI-GR. X-1 & X-2), the Wong & Law Emotional Intelligence Scale, the self-efficacy scale (GSE) and the Courtauld Emotional Control Scale (CECS). Qualitative study aimed to investigate patients’ subjective perceptions about their life before and after the onset of their autoimmune disorder. In the qualitative study, 90 inter-views were conducted and analyzed using Grounded Theory Methods. Findings showed that patients’ life after the onset of the autoimmune disorder is con-nected to their life experiences before the onset of the disorder. Several similarities were found among the stressful life events that patients with RA, MS and T1D had experienced be-fore the onset of the disorder. Most of the patients were struggling to cope with these stress-ful life events, resulting mainly in using defensive mechanisms. Not only was the autoim-mune disorder experienced as a stressful event with negative impact on patients’ daily life, but also had positive effect on their life, by placing emphasis on self-care. The quantitative analyses showed increased levels of anxiety, emotional suppression and alexithymia in RA patients, while increased levels of alexithymia were present in MS patients. Only T1D pa-tients’ relapses were related to emotional intelligence and anxiety, while their accompanying health issues were related to alexithymia. Most of the findings of the quantitative research confirmed the findings of the qualitative research. The common findings of quantitative and qualitative study were that: a) RA patients significantly suppress their emotions and they feel anxiety, b) many patients with T1D feel anxious in case of relapse and c) MS patients’ scores in psychometric scales as well as their subjective perceptions about their life before and after the onset of the disorder are very close to those of RA’s patients. Through this study, a multi-faceted and integrated approach of the patient suffering from an autoimmune disease was attempted, contributing to a better understanding of the psychological dimensions of autoim-mune diseases.
Language Greek
Subject Autoimmune disorders
Grounded theory
Psychological dimensions
Stressful life events
Αυτοάνοσα νοσήματα
Θεμελιωμένη θεωρία
Στρεσογόνα γεγονότα ζωής
Ψυχολογικές διαστάσεις
Issue date 2021.
Collection   School/Department--School of Social Sciences--Department of Psychology--Doctoral theses
  Type of Work--Doctoral theses
Permanent Link https://elocus.lib.uoc.gr//dlib/8/e/0/metadata-dlib-1643626147-964050-16521.tkl Bookmark and Share
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