Fibromiyalji Sendromu Olan Kadınlarda Ağrı, Okupasyonel Denge ve Yaşam Kalitesi Arasındaki İlişkinin İncelenmesi

Abstract

Amaç: Bu çalışma, fibromiyalji sendromu (FMS) olan kadınlarda ağrı, okupasyonel denge ve yaşam kalitesi arasındaki ilişkinin incelenmesi amacıyla yapılmıştır. Gereç ve Yöntem: Çalışmaya Görsel Analog Skala’ya göre 5 ve üzeri ağrı şiddetine sahip 52 FMS'li kadın dahil edilmiştir. Sosyodemografik veriler kaydedilmiş; Okupasyonel Denge Anketi ve Nottingham Sağlık Profili (NSP) kullanılmıştır. Sonuçlar: Sonuçlara göre, ağrı şiddeti ile yaşam kalitesinin alt parametreleri (enerji, ağrı, emosyonel reaksiyonlar ve fiziksel aktivite) arasında korelasyonlar bulunmuştur (sırasıyla r=.428 p=.002; r=.339 p=.014; r=.451 p=.001; r=.277 p=.046 ve r=.399 p=.003). Ayrıca, okupasyonel denge ile NSP-enerji, emosyonel reaksiyon ve toplam puan arasında ilişkiler belirlenmiştir (sırasıyla r=.365 p=.008; r=.320 p=.021, r=0.301 p=.030). Tartışma: Ağrının ön planda olduğu bu sendromda özellikle ağrı şiddetinin bireyin yaşam kalitesini olumsuz etkilediği görülmüştür. Bireyin sağlık ve iyilik halinin bir göstergesi olan yaşam kalitesi aynı zamanda okupasyonel denge ile de ilişkili bulunmuştur. Fibromiyaji gibi yaşamı olumsuz etkileyen durumlarda bütüncül bir bakış açısıyla değerlendirmeler yapılıp müdahale planlamaları sırasında okupasyonel denge ve yaşam kalitesi gibi göstergelerden yararlanmak faydalı olacaktır.

Keywords

• ağrı
• fibromiyalji
• kadın
• okupasyon
• yaşam kalitesi

Relationships among Pain, Occupational Balance and Quality of Life in Women with Fibromyalgia Syndrome

Abstract

Purpose: This study was conducted to investigate the relationships among pain, occupational balance and quality of life in women with fibromyalgia syndrome (FMS). Material and methods: The study included 52 women with FMS with pain severity of 5 or more according to the Visual Analog Scale. Sociodemographic data were recoded; Occupational Balance Questionnaire and Nottingham Health Profile (NHP) were used. Results: According to the results, correlations were found between pain intensity and sub-parameters of quality of life (energy, pain, emotional reactions and physical mobility) (r=.428 p=.002; r=.339 p=.014; r=.451 p=.001; r=.277 p=.046 and r=.399 p=.003, respectively). In addition, significant relationships were detected between occupational balance and NHP-energy; emotional reaction; and total score (r=.365 p=.008; r=.320 p=.021, r=0.301 p=.030, respectively). Discussion: In this syndrome, where the most prominent symptom is pain, it has been particularly observed that the intensity of pain adversely affects an individual's quality of life. Quality of life, which is an indicator of an individual's health and well-being, has also been found to be associated with occupational balance. In conditions such as fibromyalgia, which negatively impact various aspects of life, it would be beneficial to utilize indicators such as occupational balance and quality of life during intervention planning with a holistic approach.

Keywords

• Fibromyalgia
• Occupation
• Pain
• Quality of life
• women

References

1. Albersnagel, F. A. (1988). Velten and musical mood induction procedures: a comparison with accessibility of thought associations. Behav Res Ther., 26, 79- 96. doi: 10.1016/0005-7967(88)90035-6
2. Aman, M. M., Jason Yong, R., Kaye, A. D., & Urman, R. D. (2018). Evidence-based non-pharmacological therapies for fibromyalgia. Curr Pain Headache Rep., 22, 1-5. doi: 10.1007/s11916-018-0688-2
3. Araz, A. A. A., & Asan, A. (2011). Görsel analog ölçeği ve duygu kafesi: kültürümüze uyarlama çalışması. Türk Psikolojileri Yazıları, 14(27), 1-13.
4. Arnold, L. M., Bennett, R. M., Crofford, L. J., Dean, L. E., Clauw, D. J., Goldenberg, D. L. et al. (2019). AAPT diagnostic criteria for fibromyalgia. J Pain, 20(6), 611-628. doi: 10.1016/j.jpain.2018.10.008
5. Arnold, L. M., Crofford, L. J., Mease, P. J., Burgess, S. M., Palmer, S. C., Abetz, L. et. al. (2008). Patient perspectives on the impact of fibromyalgia. Patient Educ Couns, 73(1), 114-120. doi: 10.1016/j.pec.2008.06.005.
6. Bahadır, Z., Yaran, M., Özkan, E., Ekici, G., Huri, M., & Akel, S. (2023). Translation, psychometric and concept analysis of the occupational balance-questionnaire based on a Turkish population. Occup Ther Health Care., 37(1), 101-118. doi: 10.1080/07380577.2021.2010160.
7. Bernard, A. L., Prince, A., & Edsall, P. (2000). Quality of life issues for fibromyalgia patients. Arthritis Care Res., 13(1), 42-50.
8. Biccheri, E., Roussiau, N., & Mambet-Doué, C. (2016). Fibromyalgia, spirituality, coping and quality of life. J Relig Health., 55, 1189-1197. doi: 10.1007/s10943-016-0216-9

9. Boonstra, A. M., Reneman, M. F., Stewart, R. E., Post, M. W., & Schiphorst Preuper, H. R. (2013). Life satisfaction in patients with chronic musculoskeletal pain and its predictors. Qual life Res., 22, 93-101. doi: 10.1007/s11136-012-0132-8
10. Bushnell, M. C., Čeko, M., & Low, L. A. (2013). Cognitive and emotional control of pain and its disruption in chronic pain. Nat Rev Neurosci., 14(7), 502-511. doi: 10.1038/nrn3516
11. Chinn, S., Caldwell, W., & Gritsenko, K. (2016). Fibromyalgia pathogenesis and treatment options update. Curr Pain Headache Rep., 20, 1-10. doi: 10.1007/s11916-016-0556-x
12. Córdoba-Torrecilla, S., Aparicio, V., Soriano-Maldonado, A., Estévez-López, F., Segura-Jiménez, V., Álvarez-Gallardo, I., et. al. (2016). Physical fitness is associated with anxiety levels in women with fibromyalgia: the al-Andalus project. Qual Life Res., 25, 1053-1058. doi: 10.1007/s11136-015-1128-y
13. Cortelli, P., Giannini, G., Favoni, V., Cevoli, S., & Pierangeli, G. (2013). Nociception and autonomic nervous system. Neurol Sci., 34, 41-46. doi: 10.1007/s10072-013-1391-z
14. Çetin, N., Yalbuzdağ, Ş. A., Cabıoğlu, M. T., & Turhan, N. (2009). Factors affecting the quality of life in patients with fibromyalgia/Fibromiyalji sendromunda yaşam kalitesi üzerine etkili faktörler. Turkish Journal of Rheumatology, 24(2).
15. Dureja, G. P., Jain, P. N., Shetty, N., Mandal, S. P., Prabhoo, R., Joshi, M., et. al. (2014). Prevalence of chronic pain, impact on daily life, and treatment practices in India. Pain Pract., 14(2), E51-E62. doi: 10.1111/papr.12132.
16. Dür, M., Steiner, G., Fialka-Moser, V., Kautzky-Willer, A., Dejaco, C., Prodinger, B. et. al. (2014). Development Of A New Occupational Balance-Questionnaire: incorporating The Perspectives Of Patients And Healthy People in The Design Of A Self-Reported Occupational Balance Outcome Instrument. Health And Qual Life Outcomes, 12(1), 45. doi: 10.1186/1477-7525-12-45
17. Fernandez-Feijoo, F., Samartin-Veiga, N., & Carrillo-de-la-Peña, M. T. (2022). Quality of life in patients with fibromyalgia: contributions of disease symptoms, lifestyle and multi-medication. Front Psychol., 13, 924405. doi: 10.3389/fpsyg.2022.924405
18. Galvez-Sánchez, C. M., Montoro, C. I., Duschek, S., & Del Paso, G. A. R. (2020). Depression and trait-anxiety mediate the influence of clinical pain on health-related quality of life in fibromyalgia. J Affect Disord, 265, 486-495. doi: 10.1016/j.jad.2020.01.129
19. Hadi, M. A., McHugh, G. A., & Closs, S. J. (2019). Impact of chronic pain on patients’ quality of life: a comparative mixed-methods study. J Patient Exp, 6(2), 133-141. doi: 10.1177/2374373518786013
20. Hunt, S. M., McEwen, J., & McKenna, S. P. (1985) Measuring health status: a new tool for clinicians and epidemiologists. J R Coll Gen Pract., 35(273), 185-8.
21. Keponen, R., & Kielhofner, G. (2006). Occupation and meaning in the lives of women with chronic pain. Scand J Occup Ther., 13(4), 211-220. doi: 10.1080/11038120600672975.
22. Kücükdeveci, A., McKenna, S., Kutlay, S., Gürsel, Y., Whalley, D., & Arasil, T. (2000). The development and psychometric assessment of the Turkish version of the Nottingham Health Profile. Int J Rehabil Res., 23(1), 31-38. doi: 10.1097/00004356-200023010-00004
23. Lazarus, R. S., & Folkman, S. (1984). Stress, appraisal, and coping (pp. 334-376). New York: Springer Publishing Company.
24. Luque-Reca, O., Pulido-Martos, M., Gavilán-Carrera, B., García-Rodríguez, I. C., McVeigh, J. G., Aparicio, V. A. et. al. (2021). Emotional intelligence impairments in women with fibromyalgia: associations with widespread pain. J Health Psychol, 26(11), 1901-1912. doi: 10.1177/1359105319890916
25. Mannerkorpi, K., Kroksmark, T., & Ekdahl, C. (1999). How patients with fibromyalgia experience their symptoms in everyday life. Physiother Res Int, 4(2), 110-122. doi: 10.1002/pri.157
26. Marques, A. P., Santo, A. d. S. d. E., Berssaneti, A. A., Matsutani, L. A., & Yuan, S. L. K. (2017). Prevalence of fibromyalgia: literature review update. Rev Bras Reumatol Engl Ed., 57, 356-363. doi: 10.1016/j.rbre.2017.01.005
27. Nielsen, S. S., Skou, S. T., Larsen, A. E., Bricca, A., Søndergaard, J., & Christensen, J. R. (2022). The effect of occupational engagement on lifestyle in adults living with chronic pain: a systematic review and meta-analysis. Occup Ther Int., 2022. doi: 10.1155/2022/7082159
28. Nielson, W. R., Jensen, M. P., Karsdorp, P. A., & Vlaeyen, J. W. (2013). Activity pacing in chronic pain: concepts, evidence, and future directions. Clin J Pain, 29(5), 461-468. doi: 10.1097/AJP.0b013e3182608561
29. Offenbaecher, M., Kohls, N., Ewert, T., Sigl, C., Hieblinger, R., Toussaint, L. L. et. al. (2021). Pain is not the major determinant of quality of life in fibromyalgia: Results from a retrospective “real world” data analysis of fibromyalgia patients. Rheumatol Int, 41(11), 1995-2006. doi: 10.1007/s00296-020-04702-5
30. Ortiz-Rubio, A., Cabrera-Martos, I., Haro-Piedra, E., López-López, L., Rodriguez-Torres, J., Granados-Santiago, M. et. al. (2022). Exploring perceived occupational balance in women with fibromyalgia: a descriptive study. Scand Occup Ther., 29(5), 395-402. doi: 10.1080/11038128.2020.1865449
31. Raison, V. (2009). Neurobiology of depression, fibromyalgia and neuropathic pain. Front Biosci, 14, 5291-5338. doi: 10.2741/3598
32. Samami, E., Shahhosseini, Z., & Elyasi, F. (2021). The effect of psychological interventions on the quality of life in women with fibromyalgia: a systematic review. J Clin Psychol Med Settings., 28(3), 503-517. doi: 10.1007/s10880-021-09794-0
33. Sarzi-Puttini, P., Giorgi, V., Marotto, D., & Atzeni, F. (2020). Fibromyalgia: an update on clinical characteristics, aetiopathogenesis and treatment. Nat Rev Rheumatol., 16(11), 645-660. doi: 10.1038/s41584-020-00506-w
34. Senem, Ş., Koçak, F. A., & Tuncay, F. (2019). Fibromiyalji sendromunda yaşam kalitesinin değerlendirilmesi. Ahi Evran Medical Journal, 3(2), 48-53.
35. Sezgin Özcan, D., Aras, M., Köseoğlu, B. F., & Şentürk Güven, Ş. (2013). Fibromiyalji sendromlu kadın hastalarda yaşam kalitesi ve ilişkili durumlar. Türk Osteoporoz Dergisi 19: 42-47
36. Stamm, T., Wright, J., Machold, K., Sadlo, G., & Smolen, J. (2004). Occupational balance of women with rheumatoid arthritis: a qualitative study. Musculoskeletal Care, 2(2), 101-112. doi: 10.1002/msc.62
37. van Hecke, O., Torrance, N., & Smith, B. H. (2013). Chronic pain epidemiology–where do lifestyle factors fit in? Br J Pain., 7(4), 209-217. doi: 10.1177/2049463713493264
38. Wagman, P., Ahlstrand, I., Björk, M., & Håkansson, C. (2020). Occupational balance and its association with life satisfaction in men and women with rheumatoid arthritis. Musculoskeletal care, 18(2), 187-194. doi: 10.1002/msc.1454
39. Wagman, P., & Håkansson, C. (2014). Exploring occupational balance in adults in Sweden. Scand J Occup Ther., 21(6), 415-420. doi: 10.3109/11038128.2014.934917
40. Wolfe, F., Smythe, H. A., Yunus, M. B., Bennett, R. M., Bombardier, C., Goldenberg, D. L. et. al. (1990). The American College of Rheumatology 1990 criteria for the classification of fibromyalgia. Arthritis & Rheum., 33(2), 160-172. doi: 10.1002/art.1780330203
41. Wolfe, F., Walitt, B., Perrot, S., Rasker, J. J., & Häuser, W. (2018). Fibromyalgia diagnosis and biased assessment: sex, prevalence and bias. PloS one, 13(9), e0203755. doi: 10.1371/journal.pone.0203755