Sjogren's Syndrome: Inability to Cry
Ian C. Langtree - Writer/Editor for Disabled World (DW)
Published: 2011/05/26 - Updated: 2023/09/15
Publication Type: Study
Topic: Autoimmune Diseases - Publications List
Page Content: Synopsis - Introduction - Main
Synopsis: Patients with Sjogren's syndrome experience dryness of the eyes and mouth as well as other parts of the body including the inability to cry. This may affect their ability to express their emotions and they often have to rely on words and facial expressions instead of tears as a result.
Introduction
The results of a Dutch study of 300 patients demonstrated that 22% of patients with Sjogren's syndrome were classified as clinically 'alexithymic' (experiencing difficulty identifying and describing emotions) compared to 12% of healthy controls.
Main Item
Subsequent results of the study showed that higher levels of alexithymia were moderately correlated with worse mental wellbeing in both groups (Pearson's correlation(r) 0.32, p< 0.001), showing that there is a proven link between the two.
Interestingly, in patients with Sjogren's syndrome, levels of emotion suppression also correlated with worse mental wellbeing in patients (r=-0.13, p=0.03), an effect that was seen less in the control group.
"Patients with Sjogren's syndrome experience chronic dryness of the eyes and mouth as well as other parts of the body, and thus have a hampered ability to cry. This may affect their ability to express their emotions and they often have to rely on words and facial expressions instead of tears as a result" said Ms. Ninke Van Leeuwen from Utrecht University.
"We hope that the results of our study will drive further research to examine different psychological interventions that can benefit patients with Sjogren's syndrome who have emotional processing problems."
Validated questionnaires were used to assess the emotional processing, regulation and mental well-being of 300 patients with primary Sjogren's syndrome in the Netherlands area and 100 demographically matched healthy controls (mean age 56.8 years, 93% female).
The questionnaires evaluated responses on the emotional processing styles including affect intensity (the strength of the emotions with which individuals respond to certain stimulus), alexithymia, cognitive reappraisal (the use of coping strategies for dealing with negative thoughts and feelings), expression and suppression of emotions and mental wellbeing.
Author Credentials: Ian was born and grew up in Australia. Since then, he has traveled and lived in numerous locations and currently resides in Montreal, Canada. Ian is the founder, a writer, and editor in chief for Disabled World. Ian believes in the Social Model of Disability, a belief developed by disabled people in the 1970s. The social model changes the focus away from people's impairments and towards removing barriers that disabled people face daily. To learn more about Ian's background, expertise, and achievements, check out his bio.