Dini İnanç Düzeyi ve Psikolojik Dayanıklılığın Fibromiyalji Belirtilerinin Şiddeti Üzerindeki Etkileri

Öz

Amaç: Literatürde fibromiyaljili hastalarda dindarlık, bağışlayıcılık ve psikolojik dayanıklılığın etkileri çeşitli açılardan araştırılmıştır. Ancak fibromiyalji semptomları olan hastalarda bu kavramların etkilerini toplu olarak araştıran bir çalışma bulunmamaktadır. Bu çalışmanın amacı, dini inanç, bağışlayıcılık ve psikolojik dayanıklılığın fibromiyalji semptom yükü ile ilişkisi olup olmadığını araştırmaktır. Gereç ve Yöntem: Tanımlayıcı tipte olan bu çalışmaya, 15 Aralık 2019 ile 15 Nisan 2020 tarihleri arasında bir Üniversite Hastanesi Fizik Tedavi ve Rehabilitasyon Bölümü polikliniğine başvuran fibromiyalji sendromu (FMS) tanısı ile başvuran yaşları 18-65 arasında değişen 49 hasta dahil edildi. Bulgular: Bu çalışmada toplam 49 kadın hasta vardı. Katılımcıların yaş ortalaması 45.04 ± 9.25 yıl idi. Dindarlık, psikolojik dayanıklılığın bazı alt boyutlarıyla anlamlı olarak ilişkili bulundu. Ek olarak, psikolojik dayanıklılığın çoğu alt ölçeği, fibromiyaljinin şiddeti ile önemli ölçüde ilişkiliydi. Dini inanç düzeyi, psikolojik dayanıklılık ile fibromiyaljinin şiddeti arasındaki ilişkiyi etkilemiştir. Sonuç: Bu çalışmada dini inanç ve bağışlama düzeylerinin fibromiyalji semptomları üzerinde doğrudan etkisinin olmadığı bulunmuştur. Psikolojik dayanıklılığın alt ölçeklerinin çoğunun fibromiyalji semptomlarının şiddeti ile ilişkili olduğu bulundu. Psikolojik dayanıklılığın fibromiyalji semptomlarının şiddeti üzerinde bir etkisi olduğu açıktır, ancak mekanizmaları değerlendirmek için ileri araştırmalara ihtiyaç vardır.

Anahtar Kelimeler

• Dini inanç
• psikolojik dayanıklılık
• bağışlama
• yorgunluk
• fibormiyalji

The Effects of Religious Belief Level and Psychological Resilience on the Severity of Fibromyalgia Symptoms

Öz

Objective: The effects of religiousness, forgiveness, and psychological resilience in patients with fibromyalgia have been investigated with regard to various aspects in the literature. However, there is no study investigating the effects of these concepts collectively in patients with fibromyalgia symptoms.The aim of this study was to investigate whether religious belief, forgiving nature and psychological resilience had any relationship with fibromyalgia symptom burden. Methods: This descriptive study included 49 patients aged between 18–65 years with a diagnosis of fibromyalgia syndrome (FMS) who had applied to the out-patient clinic of the Physical Therapy and Rehabilitation Department of a University Hospital between 15 December 2019 and 15 April 2020. Results: There were a total of 49 female patients in this study. The mean age of the patients participating in the study was 45.04 ± 9.25 years. Religiousness was found to be significantly associated with some subscales of psychological resilience. Additionally, most subscales of psychological resilience were significantly related with the severity of fibromyalgia. The level of religious belief influenced the relationship between psychological resilience and the severity of fibromyalgia. Conclusion: In this study, it has been found that religious belief and forgiveness levels did not have a direct effect on fibromyalgia symptoms. Most of the subscales of psychological resilience were found to be associated with the severity of fibromyalgia symptoms. It is clear that psychological resilience has an effect on the severity of fibromyalgia symptoms, but further research is needed to assess mechanisms.

Anahtar Kelimeler

• Religious belief
• psychological resilience
• forgiveness
• fatigue
• fibromyalgia

Kaynakça

1. Neumeister MW, Neumeister EL. Fibromyalgia. Clin Plast Surg 2020;47:203-213.
2. Clauw DJ. Fibromyalgia: a clinical review. JAMA 2014;311:1547-1555.
3. Pulido-Martos M, Luque-Reca O, Segura-Jiménez V, et al. Physical and psychological paths toward less severe fibromyalgia: A structural equation model. Ann Phys Rehabil Med 2020;63:46-52.
4. Fletcher D, Sarkar M. Psychological resilience. Eur Psychol 2013;18:12-23.
5. Karoly P, Ruehlman LS. Psychological "resilience" and its correlates in chronic pain: findings from a national community sample. Pain 2006;123:90-97.
6. Angarita-Osorio N, Pérez-Aranda A, Feliu-Soler A, et al. Patients With Fibromyalgia Reporting Severe Pain but Low Impact of the Syndrome: Clinical and Pain-Related Cognitive Features. Pain Pract 2020;20:255-261.
7. Coştu Y. Dine Normatif ve Popüler Yaklaşım:“Bir Dini Yönelim Ölçeği Denemesi. Hitit Üniversitesi İlahiyat Fakültesi Dergisi 2009;8:119-139.
8. Mueller PS, Plevak DJ, Rummans TA. Religious involvement, spirituality, and medicine: implications for clinical practice. Mayo Clin Proc 2001;76:1225-1235.

9. Koenig HG. Religion and medicine II: religion, mental health, and related behaviors. Int J Psychiatry Med 2001;31:97-109.
10. Toussaint L, Shields GS, Dorn G, Slavich GM. Effects of lifetime stress exposure on mental and physical health in young adulthood: How stress degrades and forgiveness protects health. J Health Psychol 2016;21:1004-1014.
11. Lee YR, Enright RD. A meta-analysis of the association between forgiveness of others and physical health. Psychol Health 2019;34:626-643.
12. Offenbaecher M, Dezutter J, Kohls N, et al. Struggling with adversities of life: The role of forgiveness in patients suffering from fibromyalgia. Clin J Pain 2017;33:528-534.
13. Toussaint L, Overvold-Ronningen M, Vincent A, et al. Implications of forgiveness enhancement in patients with fibromyalgia and chronic fatigue syndrome. J Health Care Chaplain 2010;16:123-139.
14. Wolfe F, Clauw DJ, Fitzcharles MA, et al. 2016 Revisions to the 2010/2011 fibromyalgia diagnostic criteria. Semin Arthritis Rheum 2016;46:319-329.
15. Burckhardt CS, Clark SR, Bennett RM. The fibromyalgia impact questionnaire: development and validation. J Rheumatol 1991;18:728-733.
16. Sarmer S, Ergin S, Yavuzer G. The validity and reliability of the Turkish version of the Fibromyalgia Impact Questionnaire. Rheumatol Int 2000;20:9-12.
17. Friborg O, Hjemdal O, Rosenvinge JH, Martinussen M. A new rating scale for adult resilience: what are the central protective resources behind healthy adjustment? Int J Methods Psychiatr Res 2003;12:65-76.
18. Basim HN, Cetin F. The reliability and validity of the Resilience Scale for Adults-Turkish Version. Turk Psikiyatri Derg 2011;22:104.
19. Ayten A. Affedicilik ve Din: Affetme Eğilimi ve Dindarlıkla İli § kisi Üzerine Ampirik Bir Ara § tırma. Marmara Üniversitesi İlahiyat Fakültesi Dergisi 2009:111-128.
20. Ferreira-Valente A, Sharma S, Torres S, et al. Does Religiosity/Spirituality Play a Role in Function, Pain-Related Beliefs, and Coping in Patients with Chronic Pain? A Systematic Review. J Relig Health 2019. Online ahead of print.
21. Baetz M, Bowen R. Chronic pain and fatigue: Associations with religion and spirituality. Pain Res Manag 2008;13:383-388.
22. Dedert EA, Studts JL, Weissbecker I, Salmon PG, Banis PL, Sephton SE. Religiosity may help preserve the cortisol rhythm in women with stress-related illness. Int J Psychiatry Med 2004;34:61-77.
23. Vallejo MA, Vallejo-Slocker L, Rivera J, Offenbächer M, Dezutter J, Toussaint L. Self-forgiveness in fibromyalgia patients and its relationship with acceptance, catastrophising and coping. Clin Exp Rheumatol 2020;38 Suppl 123:79-85.
24. Koenig HG. Research on religion, spirituality, and mental health: a review. Can J Psychiatry 2009;54:283-291.
25. Casale R, Sarzi-Puttini P, Botto R, et al. Fibromyalgia and the concept of resilience. Clin Exp Rheumatol 2019;37 Suppl 116:105-113.
26. Mcallister SJ, Vincent A, Hassett AL, et al. Psychological Resilience, Affective Mechanisms and Symptom Burden in a Tertiary-care Sample of Patients with Fibromyalgia. Stress Health 2015;31:299-305.
27. Schrier M, Amital D, Arnson Y, et al. Association of fibromyalgia characteristics in patients with non-metastatic breast cancer and the protective role of resilience. Rheumatol Int 2012;32:3017-3023.
28. Hill PL, Allemand M. Forgivingness and adult patterns of individual differences in environmental mastery and personal growth. J Res Pers 2010;44:245-250.