Measuring Fatigue in Rheumatoid Arthritis' Patients with the Bristol Rheumatoid Arthritis Fatigue Multidimensional Questionnaire (BRAF-MDQ) and the Bristol Rheumatoid Arthritis Fatigue Numerical Rating Scale (BRAF-NRS): A Cross-Sectional Study

Yıl 2022, Cilt: 44 Sayı: 3, 353 - 359, 14.03.2022

Suade Özlem Badak

https://doi.org/10.20515/otd.1027678

Öz

Fatigue is a common problem in Rheumatoid Arthritis (RA) and many factors are responsible for its etiology. The aim of this cross-sectional study was to investigate the current status of fatigue and to evaluate the factors related to fatigue by using the Bristol Rheumatoid Arthritis Fatigue Multidimensional Questionnaire (BRAF-MDQ) and Bristol Rheumatoid Arthritis Fatigue Numerical Rating Scale (BRAF-NRS) developed specifically for RA in patients with RA. 64 patients with RA were included in the study. The Disease Activity Score (DAS28-CRP) of 28 joints was used to assess disease activity, and the Health Assessment Questionnaire (HAQ) was used to assess functional status. In addition, BRAF-MDQ and BRAF-NRS scales were used to assess fatigue, Beck Depression Inventory (BDI) and Beck Anxiety Inventory (BAI) were used to screen for psychiatric symptoms. All correlations between BRAF-MDQ, BRAF-NRS scales and DAS28-CRP, BAI, BDI were statistically significant (p<0.05, each other). BRAF-MDQ, BRAF-NRS scales were found to be unrelated to age, seropositivity, and drugs used. Considering the effect of disease activity, HAQ, anxiety and depressive symptoms on the BRAF-MDQ total, it was associated only with BAI (p<0.001, 95% CI 0.593-1.768). In this study, we showed the contribution of anxiety and depressive symptoms to fatigue as well as disease activity. We consider that effective interventions focusing on these symptoms can improve fatigue and reduce the burden of chronic disease.

Anahtar Kelimeler

Anxiety, BRAF-MDQ, BRAF-NRS, Depression, Rheumatoid Arthritis

Romatoid Artrit Hastalarında Bristol Romatoid Artrit Yorgunluk Çok Boyutlu Anketi (BRAF-MDQ) ve Bristol Romatoid Artrit Yorgunluk Sayısal Derecelendirme Ölçeği (BRAF-NRS) ile Yorgunluğun Ölçülmesi: Kesitsel Bir Çalışma

Öz

Yorgunluk Romatoid Artrit'te (RA) sık görülen bir sorundur ve etiyolojisinden birçok faktör sorumludur. Bu kesitsel çalışmanın amacı, RA'lı hastalarda RA için özel olarak geliştirilen Bristol Romatoid Artrit Yorgunluk Çok Boyutlu Anketi (BRAF-MDQ) ve Bristol Romatoid Artrit Yorgunluk Sayısal Derecelendirme Ölçeği (BRAF-NRS) kullanılarak yorgunluğun mevcut durumunu araştırmak ve yorgunluk ile ilgili faktörleri değerlendirmektir. RA'lı 64 hasta çalışmaya dahil edildi. Hastalık aktivitesini değerlendirmek için 28 eklemin Hastalık Aktivite Skoru (DAS28-CRP), yorgunluğu değerlendirmek için BRAF-MDQ, BRAF-NRS ölçekleri, psikiyatrik semptomları taramak için Beck's Depresyon Envanteri (BDI), Beck's Anksiyete Envanteri (BAI), fonksiyonel durumu Değerlendirmek için Sağlık Değerlendirme Anketi (HAQ) kullanıldı. BRAF-MDQ, BRAF-NRS ölçekleri ile DAS28-CRP, BAI, BDI arasındaki tüm korelasyonlar istatistiksel olarak anlamlıydı (p<0.05, birbirİ). BRAF-MDQ, BRAF-NRS ölçeklerinin yaş, seropozitiflik ve kullanılan ilaçlarla ilişkisiz olduğu bulundu. Hastalık aktivitesi, HAQ, anksiyete ve depresif semptomların BRAF-MDQ toplamına etkisi dikkate alındığında sadece BAI ile ilişkili idi (p<0,001, %95 CI 0,593-1.768). Bu çalışmada, anksiyete ve depresif belirtilerin hastalık aktivitesinin yanı sıra yorgunluğa katkısını gösterdik. Bu semptomlara odaklanan etkili müdahalelerin yorgunluğu iyileştirebileceğini ve kronik hastalık yükünü azaltabileceğini düşünüyoruz.

Anahtar Kelimeler

Anksiyete, bristol romatoid artrit yorgunluk çok boyutlu anketi, bristol romatoid artrit yorgunluk sayısal derecelendirme ölçeği

Kaynakça

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