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Inflammation & Psych Issues: A Look at Potential Co-Morbidity

Mike Fillon  |  March 30, 2020

Resilient people also have good communication skills. “They talk to others when bad things happen,” said Dr. Hassett, and keep things in perspective. “They do downward social comparisons, including gratitude for what’s not wrong or bad in their lives.”

Besides a tendency to be optimistic, Dr. Hassett said resilient people never stray too far from what they see as their sense of purpose. “They tend to understand who they are and where they’re going; things are meaningful to them.”

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Dr. Hassett said her clinic uses positive activity interventions to help patients overcome anxiety and depression and other negative patterns. These include asking patients to keep a gratitude diary and to recognize and list their character strengths. Each day, patients are asked to write down their top seven strengths.

“Everyone has strengths,” said Dr. Hassett. “People may need to be reminded what their strengths are.”

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Along with keeping the diary, patients must use one of their strengths in a way they have not done before every day for a week. “Each night they write down how they used one of their strengths that day, including how they felt before, during and after the activity, and whether they planned to repeat it in the future,” said Dr. Hassett.

Another exercise she recommends: Patients should send texts to people they haven’t been in touch with for quite a while. “If, out of the blue, you tell someone you’re thinking about them, you’ll be surprised by what happens afterward.”


Mike Fillon is a healthcare writer living in the Atlanta area.

 References

  1. Euesden J, Matcham F, Hotopf M, et al. The relationship between mental health, disease severity, and genetic risk for depression in early rheumatoid arthritis. Psychosom Med. 2017 Jul/Aug;79(6):638–645.
  2. Major depression. National Institute of Mental Health, National Institutes of Health. 2019 Feb.
  3. Matcham F, Rayner L, Steer S, Hotopf M. The prevalence of depression in rheumatoid arthritis: A systematic review and meta-analysis. Rheumatology (Oxford). 2013 Dec;52(12):2136–2148.
  4. Demmelmaier I, Pettersson S, Nordgren B, et al. Associations between fatigue and physical capacity in people moderately affected by rheumatoid arthritis. Rheumatol Int. 2018 Nov;38(11):2147–2155.
  5. Matcham F, Ali S, Irving K, et al. Are depression and anxiety associated with disease activity in rheumatoid arthritis? A prospective study. BMC Musculoskelet Disord. 2016 Apr 11;17:155.
  6. Roberts AL, Kubzansky LD, Malspeis S, et al. Association of depression with risk of incident systemic lupus erythematosus in women assessed across 2 decades. JAMA Psychiatry. 2018 Dec 1;75(12):1225–1233.
  7. Raison CL, Rutherford RE, Woolwine BJ, et al. A randomized controlled trial of the tumor necrosis factor antagonist infliximab for treatment-resistant depression: The role of baseline inflammatory biomarkers. JAMA Psychiatry. 2013 Jan;70(1):31–41.
  8. Miller AH, Raison CL. The role of inflammation in depression: From evolutionary imperative to modern treatment target. Nat Rev Immunol. 2016 Jan;16(1):22–34.
  9. Seligman MEP, Rashid T, Parks AC. Positive psychotherapy. Am Psychol. 2006 Nov;61(8):774–788.
  10. Hassett AL, Goesling J, Mathur SN, et al. Affect and low back pain: More to consider than the influence of negative affect alone. Clin J Pain. 2016 Oct;32(10):907–914.
  11. Hassett AL, Fisher JA, Vie LL, et al. Association between predeployment optimism and onset of postdeployment pain in U.S. Army soldiers. JAMA Netw Open. 2019 Feb 1;2(2):e188076.
  12. Bolier L, Haverman M, Westerhof GJ, et al. Positive psychology interventions: A meta-analysis of randomized controlled studies. BMC Public Health. 2013;13:119.

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Filed under:Conditions Tagged with:comorbiditiesinflammationmindpsychiatric

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