Araştırma Makalesi
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Comparison of physical and biopsychosocial characteristics of Turkish speaking individuals from different cultures

Yıl 2019, Cilt: 6 Sayı: 2, 71 - 77, 23.08.2019

Öz

Purpose: The purpose of our study was to compare physical and biopsychosocial characteristics
of individuals diagnosed with fibromyalgia from different Turkish speaking
cultures.

Methods: A total of 120
patients with fibromyalgia,
sixty
patients from the Republic of Turkey and 60 patients from the Turkish Republic
of North Cyprus with the mean age 42.55
±8.30 year and 39.83±11.85 year, were included in the study. Physical status in daily living was assessed with the Health
Assessment Questionnaire, the biopsychosocial status was assessed with the
Short Form-36 and
the Cognitive Exercise Therapy Approach (BETY)-Biopsychosocial Questionnaire.

Results: Significant differences were found in BETY-Biopsychosocial Questionnaire
and the Health Assessment Questionnaire scales and the Short Form-36
subparameters including physical function, social function, general mental
health, emotional role limitation and overall health status between two groups (p<0.05).
The scores of individuals living in Republic of North Cyprus were better than
those living in Republic of Turkey.







Conclusion: As a result of the study, the
biopsychosocial characteristics related to disease in individuals diagnosed
with fibromyalgia were better on behalf of individuals from Republic of North
Cyprus in two different cultures whose native language is Turkish. The way of
living in an island and warm climate were thought to effect stress factors
positively in individuals from Republic of North Cyprus. It is suggested that
performing same comparisons with expanded patients who can not tolerate warm
weather with different diagnostic groups in future studies might be better to
draw a conclusion whether warm climate has a bad effect.

Kaynakça

  • 1. Williams DA, Clauw DJ. Understanding fibromyalgia: Lessons from the broader pain research community. J Pain. 2009;10:777-791.
  • 2. Fitzcharles MA, Yunus MB. The clinical concept of fibromyalgia as a changing paradigm in the past 20 years. Pain Res Treat. 2012;2012:184835.
  • 3. Cazzola M, Sarzi Puttini P, Stisi S, et al. Italian Fibromyalgia Network. Fibromyalgia syndrome: definition and diagnostic aspects. Reumatismo. 2008;60:3-14.
  • 4. Wolfe F. Fibromyalgia: the clinical syndrome. Rheum Dis Clin North Am. 1989;15:1-18.
  • 5. Nampiaparampil DE, Shmerling RH. A review of fibromyalgia. Am J Manag Care. 2004;10:794-800.
  • 6. Goldenberg DL. Fibromyalgia and related syndromes. In. Hochberg MC, Silman AJ, Smolen JS, Weismann MH (eds). Rheumatology. London: Mosby. 2003:701-712.
  • 7. Wolfe F, Smythe HA, Yunus MB, et al. The American College of Rheumatology 1990 criteria for the classification of fibromyalgia. Arthritis Rheum. 1990;33:160-172.
  • 8. Staud R. Abnormal pain modulation in patients with spatially distributed chronic pain: fibromyalgia. Rheum Dis Clin North Am. 2009;35:263-274.
  • 9. Kosek E, Ekholm J, Hansson P. Sensory dysfunction in fibromyalgia patients with implications for pathogenic mechanisms. Pain.1996;68:375-383.
  • 10. Perrot S, Dickenson AH, Bennett RM. Fibromyalgia: harmonizing science with clinical practice considerations. Pain Pract. 2008;8:177-189.
  • 11. Geisser ME, Glass JM, Rajcevska LD, et al. A psychophysical study of auditory and pressure sensitivity in patients with fibromyalgia and healthy controls. J Pain. 2008;9:417-422.
  • 12. Daniel J, Clauw MD. Diagnosing and treating chronic musculoskeletal pain based on the underlying mechanism(s). Best Pract Res Clin Rheumatol. 2015;29:6-19.
  • 13. Ünal E, Arın G, Karaca NB, et al. Romatizmalı hastalar için bir yaşam kalitesi ölçeğinin geliştirilmesi: madde havuzunun oluşturulması. J Exerc Ther Rehabil. 2017;4:67-75.
  • 14. Küçükdeveci AA, Sahin H, Ataman S, et al. Issues in cross‐ cultural validity: Example from the adaptation, reliability, and validity testing of a Turkish version of the Stanford Health Assessment Questionnaire. Arthritis Rheum. 2004;51:14-19.
  • 15. Kocyigit H. Reliability and validity of the Turkish version of short form-36 (SF-36): a study in a group of patients will rheumatic diseases. Turk J Drugs Ther. 1999;12:102-106.
  • 16. Burke L, Stifano T, Dawisha S. Guidance for Industry - Patient- Reported Outcome Measures: Use in Medical Product Development to Support Labelling Claims. U.S Department of Health and Human Sciences, Rockville, MD Food and Drug Administration; 2006.
  • 17. McDowell I. Measuring Health: A Guide to Rating Scales and Questionnaires, 3rd ed. Oxford University Press, New York; 2006.
  • 18. Ruiz‐Montero PJ, Wilgen P, Segura‐Jiménez V. Illness perception and fibromyalgia impact on female patients from Spain and the Netherlands: do cultural differences exist? Rheumatol Int. 2015;35:1985-1993.
  • 19. Sardá Jr J, Nicholas MK, Asghari A, et al. The contribution of self-efficacy and depression to disability and work status in chronic pain patients: A comparison between Australian and Brazilian samples. Eur J Pain. 2009;13:189-195.
  • 20. Orhan C, Van Looveren E; Cagnie B. Are Pain Beliefs, Cognitions, and Behaviors Influenced by Race, Ethnicity, and Culture in Patients with Chronic Musculoskeletal Pain: A Systematic Review. Pain Physician. 2018;21:541-558.
  • 21. Öksüz S, Ünal E, Er G, et al. Kuzey Kıbrıs Türk Cumhuriyeti’nde yaşayan ankilozan spondilitli hastaların biyopsikososyal özellikleri arasındaki ilişkinin incelenmesi: pilot çalışma. J Exerc Ther Rehabil. 2017;4:9-17.
  • 22. Savage EM, McCormick D, McDonald S, et al. Does rheumatoid arthritis disease activity correlate with weather conditions? Rheumatol Int. 2015;35:887-890.
  • 23. Strusberg I, Mendelberg RC, Serra HA, et al. Influence of weather conditions on rheumatic pain. J Rheumatol. 2002;29:335-338.
  • 24. Martinez-Calderon J, Zamora-Campos C, Navarro-Ledesma S, et al. The role of selfefficacy on the prognosis of chronic musculoskeletal pain: A systematic review. J Pain. 2018;19:10-34.
  • 25. Cano A, Mayo A, Ventimiglia M. Coping, pain severity, interference, and disability: The potential mediating and moderating roles of race and education. J Pain. 2006;7:459-468.
  • 26. Jones AC, Kwoh CK, Groeneveld PW, et al. Investigating racial differences in coping with chronic osteoarthritis pain. J Cross Cult Gerontol. 2008;23:339-347.
  • 27. Jordan MS, Lumley MA, Leisen JC. The relationships of cognitive coping and pain control beliefs to pain and adjustment among African-American and Caucasian women with rheumatoid arthritis. Arthritis Care Res. 1998;11:80-88.
  • 28. Cho HJ, Bhugra D, Wessely S. ‘Physical or psychological?’- a comparative study of causal attribution for chronic fatigue in Brazilian and British primary care patients. Acta Psychiatr Scand. 2008;118:34-41.

Fibromiyalji tanılı Türkçe konuşan farklı kültürlerden bireylerin fiziksel ve biyopsikososyal özelliklerinin karşılaştırılması

Yıl 2019, Cilt: 6 Sayı: 2, 71 - 77, 23.08.2019

Öz

Amaç:
Çalışmamızın amacı fibromiyalji tanısı almış ve anadili Türkçe olan farklı
kültürlerden bireylerin fiziksel ve biyopsikososyal özelliklerinin
karşılaştırılmasıdır.

Yöntem:
Çalışmaya yaş ortalaması sırasıyla 42,55
±
8,30 yıl ve 39,83
±11,85 yıl olan Türkiye
Cumhuriyeti’nden 60 ve Kuzey Kıbrıs Türk Cumhuriyeti’nden 60 olmak üzere
toplamda 120 fibromiyalji tanılı birey dahil edildi. Günlük yaşamdaki fiziksel
durumunu belirlemek için Sağ
lık Değerlendirme Anketi, biyopsikososyal
durumun değerlendirmesi için Kısa Form-36 ve BETY-Biyopsikososyal Ölçeği
kullanıldı.

Bulgular: Bireylere
ait değişkenlerin karşılaştırmasında, Bilişsel Egzersiz Terapi Yaklaşımı (BETY)-Biyopsikososyal
Ölçeği ve Sağ
lık Değerlendirme
Anketi ile Kısa Form-36’nın fiziksel fonksiyon, sosyal fonksiyon, genel mental
sağlık, emosyonel rol limitasyonu ve genel sağlık durumu alt parametreleri
arasında anlamlı fark bulundu (p<0,05). Kuzey Kıbrıs Türk Cumhuriyeti’nde
yaşayan bireylerin tüm skorları Türkiye Cumhuriyeti’nde yaşayan bireylere
oranla daha iyiydi.







Sonuç:
Bu çalışma sonunda, anadili Türkçe olan iki farklı kültürdeki fibromiyalji
tanılı bireylerde hastalıkla ilişkili biyopsikososyal özelliklerin Kuzey Kıbrıs
Türk Cumhuriyeti’nden bireyler lehine farklı olduğu görüldü. Ada yaşantısının
ve sıcak iklimin Kuzey Kıbrıs Türk Cumhuriyeti’nden bireylerde stres faktörlerini
olumlu yönde etkilemiş olabileceği düşünüldü. Hasta sayısının genişletilmesi ve
sıcak iklimin iyi gelmediği farklı tanı gruplarında da aynı karşılaştırmaların
yapılmasının çalışmanın veriminin arttıracağı görüşüne varıldı.

Kaynakça

  • 1. Williams DA, Clauw DJ. Understanding fibromyalgia: Lessons from the broader pain research community. J Pain. 2009;10:777-791.
  • 2. Fitzcharles MA, Yunus MB. The clinical concept of fibromyalgia as a changing paradigm in the past 20 years. Pain Res Treat. 2012;2012:184835.
  • 3. Cazzola M, Sarzi Puttini P, Stisi S, et al. Italian Fibromyalgia Network. Fibromyalgia syndrome: definition and diagnostic aspects. Reumatismo. 2008;60:3-14.
  • 4. Wolfe F. Fibromyalgia: the clinical syndrome. Rheum Dis Clin North Am. 1989;15:1-18.
  • 5. Nampiaparampil DE, Shmerling RH. A review of fibromyalgia. Am J Manag Care. 2004;10:794-800.
  • 6. Goldenberg DL. Fibromyalgia and related syndromes. In. Hochberg MC, Silman AJ, Smolen JS, Weismann MH (eds). Rheumatology. London: Mosby. 2003:701-712.
  • 7. Wolfe F, Smythe HA, Yunus MB, et al. The American College of Rheumatology 1990 criteria for the classification of fibromyalgia. Arthritis Rheum. 1990;33:160-172.
  • 8. Staud R. Abnormal pain modulation in patients with spatially distributed chronic pain: fibromyalgia. Rheum Dis Clin North Am. 2009;35:263-274.
  • 9. Kosek E, Ekholm J, Hansson P. Sensory dysfunction in fibromyalgia patients with implications for pathogenic mechanisms. Pain.1996;68:375-383.
  • 10. Perrot S, Dickenson AH, Bennett RM. Fibromyalgia: harmonizing science with clinical practice considerations. Pain Pract. 2008;8:177-189.
  • 11. Geisser ME, Glass JM, Rajcevska LD, et al. A psychophysical study of auditory and pressure sensitivity in patients with fibromyalgia and healthy controls. J Pain. 2008;9:417-422.
  • 12. Daniel J, Clauw MD. Diagnosing and treating chronic musculoskeletal pain based on the underlying mechanism(s). Best Pract Res Clin Rheumatol. 2015;29:6-19.
  • 13. Ünal E, Arın G, Karaca NB, et al. Romatizmalı hastalar için bir yaşam kalitesi ölçeğinin geliştirilmesi: madde havuzunun oluşturulması. J Exerc Ther Rehabil. 2017;4:67-75.
  • 14. Küçükdeveci AA, Sahin H, Ataman S, et al. Issues in cross‐ cultural validity: Example from the adaptation, reliability, and validity testing of a Turkish version of the Stanford Health Assessment Questionnaire. Arthritis Rheum. 2004;51:14-19.
  • 15. Kocyigit H. Reliability and validity of the Turkish version of short form-36 (SF-36): a study in a group of patients will rheumatic diseases. Turk J Drugs Ther. 1999;12:102-106.
  • 16. Burke L, Stifano T, Dawisha S. Guidance for Industry - Patient- Reported Outcome Measures: Use in Medical Product Development to Support Labelling Claims. U.S Department of Health and Human Sciences, Rockville, MD Food and Drug Administration; 2006.
  • 17. McDowell I. Measuring Health: A Guide to Rating Scales and Questionnaires, 3rd ed. Oxford University Press, New York; 2006.
  • 18. Ruiz‐Montero PJ, Wilgen P, Segura‐Jiménez V. Illness perception and fibromyalgia impact on female patients from Spain and the Netherlands: do cultural differences exist? Rheumatol Int. 2015;35:1985-1993.
  • 19. Sardá Jr J, Nicholas MK, Asghari A, et al. The contribution of self-efficacy and depression to disability and work status in chronic pain patients: A comparison between Australian and Brazilian samples. Eur J Pain. 2009;13:189-195.
  • 20. Orhan C, Van Looveren E; Cagnie B. Are Pain Beliefs, Cognitions, and Behaviors Influenced by Race, Ethnicity, and Culture in Patients with Chronic Musculoskeletal Pain: A Systematic Review. Pain Physician. 2018;21:541-558.
  • 21. Öksüz S, Ünal E, Er G, et al. Kuzey Kıbrıs Türk Cumhuriyeti’nde yaşayan ankilozan spondilitli hastaların biyopsikososyal özellikleri arasındaki ilişkinin incelenmesi: pilot çalışma. J Exerc Ther Rehabil. 2017;4:9-17.
  • 22. Savage EM, McCormick D, McDonald S, et al. Does rheumatoid arthritis disease activity correlate with weather conditions? Rheumatol Int. 2015;35:887-890.
  • 23. Strusberg I, Mendelberg RC, Serra HA, et al. Influence of weather conditions on rheumatic pain. J Rheumatol. 2002;29:335-338.
  • 24. Martinez-Calderon J, Zamora-Campos C, Navarro-Ledesma S, et al. The role of selfefficacy on the prognosis of chronic musculoskeletal pain: A systematic review. J Pain. 2018;19:10-34.
  • 25. Cano A, Mayo A, Ventimiglia M. Coping, pain severity, interference, and disability: The potential mediating and moderating roles of race and education. J Pain. 2006;7:459-468.
  • 26. Jones AC, Kwoh CK, Groeneveld PW, et al. Investigating racial differences in coping with chronic osteoarthritis pain. J Cross Cult Gerontol. 2008;23:339-347.
  • 27. Jordan MS, Lumley MA, Leisen JC. The relationships of cognitive coping and pain control beliefs to pain and adjustment among African-American and Caucasian women with rheumatoid arthritis. Arthritis Care Res. 1998;11:80-88.
  • 28. Cho HJ, Bhugra D, Wessely S. ‘Physical or psychological?’- a comparative study of causal attribution for chronic fatigue in Brazilian and British primary care patients. Acta Psychiatr Scand. 2008;118:34-41.
Toplam 28 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Sağlık Kurumları Yönetimi
Bölüm Makaleler
Yazarlar

Gizem Devaşan 0000-0001-8830-409X

Mahbuba Zahid Bu kişi benim 0000-0002-0702-9012

Gamze Arın Bu kişi benim 0000-0002-7427-4480

Jale Karakaya Bu kişi benim 0000-0002-7222-7875

Edibe Ünal 0000-0003-2992-0698

Yayımlanma Tarihi 23 Ağustos 2019
Gönderilme Tarihi 28 Ocak 2019
Yayımlandığı Sayı Yıl 2019 Cilt: 6 Sayı: 2

Kaynak Göster

Vancouver Devaşan G, Zahid M, Arın G, Karakaya J, Ünal E. Fibromiyalji tanılı Türkçe konuşan farklı kültürlerden bireylerin fiziksel ve biyopsikososyal özelliklerinin karşılaştırılması. JETR. 2019;6(2):71-7.