Yıl: 2009 Cilt: 20 Sayı: 2 Sayfa Aralığı: 64 - 69 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Factors affecting pain and fatigue in females with chronic widespread pain

Öz:
Amaç: Bu çalışma Kronik Yaygın Ağrı’lı (KYA) kadınlarda ağrı şiddeti ve genel yorgunlukla ilişkilifaktörleri incelemek amacıyla yapıldı. Gereç ve yöntem: KYA’lı 104 hasta dahil edildi. Yaşortalaması 40.28±10.82 yıldı. Hem ağrı şiddeti hem de genel yorgunluk görsel analog skalasıkullanılarak değerlendirildi. Hastane Anksiyete ve Depresyon Ölçeği anksiyete ve depresyonbulgularını tanımlamak için kullanıldı. Üç farklı anket (boş zaman aktivitesi, iş ve evde fizikselaktivite) fiziksel aktivite düzeylerini tanımlamak için kullanıldı. Sonuçlar: Anksiyete skoru ağrıeşiğini etkileyen en yaygın faktördü (p=0.003). Diğer taraftan, orta düzeydeki evdeki fizikselaktivite (p=0.027), işteki fiziksel aktivite (p=0.008) ve anksiyete skoru (p=0.027) genelyorgunluğu etkileyen anlamlı faktörlerdi. Tartışma: Sonuçlarımız anksiyetenin KYA’lı kadınlardaağrı ve genel yorgunluğu etkileyen en önemli faktör olduğunu göstermiştir. Bu sonuçlar ağrı,yorgunluk ve anksiyete özelliklerinin ayrıca değerlendirilmesinin gerekli olduğu düşüncesinidesteklemektedir.
Anahtar Kelime: Ağrı Yorgunluk sendromu, kronik Yorgunluk Anketler Depresyon Ağrı ölçümü Kaygı

Konular: Genel ve Dahili Tıp Rehabilitasyon

Kronik yaygın ağrılı kadınlarda ağrı ve yorgunluğu etkileyen faktörler

Öz:
Purpose: This study was conducted to investigate factors related to pain intensity and globalfatigue in females with Chronic Widespread Pain (CWP). Material and methods: One hundredfour patients with CWP were included. The mean age was 40.28±10.82 years. Both Painintensity and global fatigue were assessed using a Visual Analogue Scale (VAS). The HospitalAnxiety and Depression Scale was used to describe anxiety and depression symptoms. Threedifferent questionnaires (leisure time activity, and physical activity at home, at work) were usedto determine physical activity levels. Dorsal regression was used to analyze the data. Results:The anxiety score was the most common factor affecting pain intensity (p=0.003). On the otherhand, a moderate level of physical activity at home (p=0.027), physical activity level at work(p=0.008), and the anxiety score (p=0.027) were significant factors affecting global fatigue.Conclusion: Our results show that anxiety is the most important factor affecting both pain andglobal fatigue in women with CWP. These results also support the idea that the characteristicsof pain, fatigue and anxiety should be evaluated separately.
Anahtar Kelime: Questionnaires Depression Pain Measurement Anxiety Pain Fatigue Syndrome, Chronic Fatigue

Konular: Genel ve Dahili Tıp Rehabilitasyon
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1. 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.
  • 2. Andersson M, Bagby JR, Dyrehag L, et al. Effects of staphylococcus toxoid vaccine on pain and fatigue in patients with fibromyalgia/chronic fatigue syndrome. Eur J Pain. 1998;2:133–142.
  • 3. Morriss RK, Ahmed M, Wearden AJ, et al. The role of depression in pain, psychophysiological syndromes and medically unexplained symptoms associated with chronic fatigue syndrome. J Affect Disord. 2007;55:143–148.
  • 4. Meeus M, Nijs J, Meirleir KD. Chronic musculoskeletal pain in patients with the chronic fatigue syndrome: a systematic review. Eur J Pain. 2007;11:377-386.
  • 5. Bliddal H, Danneskiold-Samsøe B. Chronic widespread pain in the spectrum of rheumatological diseases. Best Pract Res Clin Rheumatol. 2007;21:391-402.
  • 6. Nijs J, Cloostermans B, McGregor N, et al. Construct validity and internal consistency of the chronic fatigue syndrome activities and participation questionnaire (CFS-APQ), Physioth Theory Pract 2004;20:31–40.
  • 7. Ericsson A, Mannerkorpi K. Assessment of fatigue in patients with fibromyalgia and chronic widespread pain. Reliability and validity of the Swedish version of the MFI-20. Disabil Rehabil. 2007;29:1665-1670.
  • 8. Mannerkorpi K, Henriksson C. Nonpharmacological treatment of chronic widespread musculoskeletal pain. Best Pract Res Clin Rheumatol 2007;21:513-534.
  • 9. Walker EA, Katon WJ, Keegan D, et al. Predictors of physician frustration in the care of patients with rheumatological complaints. Gen Hosp Psychiatry. 1997;19:315-323.
  • 10. Bieber C, Müller KG, Blumenstiel K, et al. Longterm effects of a shared decision-making intervention on physician–patient interaction and outcome in fibromyalgia: A qualitative and quantitative 1 year follow-up of a randomized controlled trial. Patient Educ Couns. 2006;63:357-366.
  • 11. Líndal E, Bergmann S, Thorlacius S, et al. The localization of pain in chronic fatigue syndrome on a pain drawing according to grid areas. Percept Mot Skills. 1996;83:508-510.
  • 12. Skouen JS, Grasdal A, Haldorsen EM. Return to work after comparing outpatient multidisciplinary treatment programs versus treatment in general practicew for patients with chronic widespread pain. Eur J Pain. 2006;10:145-152.
  • 13. Breivik H, Collett B, Ventafridda V, et al. Survey of chronic pain in Europe: Prevalence, impact on daily life, and treatment. Eur J Pain. 2006;10:287-333.
  • 14. Garcia-Campayo J, Pascual A, Alda M, et al. Coping with fibromialgia: Usefulness of the Chronic Pain Coping Inventory-42. Pain. 2007;132:68-76.
  • 15. Keeley P, Creed F, Tomenson B, et al. Psychosocial predictors of health-related quality of life and health service utilisation in people with chronic low back pain. Pain, 2008;135:142-150.
  • 16. Aydemir Ö, Güvenir T, Küey L, Kültür S. Hastane Anksiyete ve Depresyon Ölçeği Türkçe Formunun Geçerlilik ve Güvenirliği. Türk Psikiyatri Dergisi. 1997;8:280-287.
  • 17. Mannerkorpi K, Hernelid C. Leisure Time Physical Activity Instrument and physical activity at Home and Work. Developments, face validity, construct validity and test-retest reliability for subjects with fibromyalgia. Disabil Rehabil. 2005;27:695-701.
  • 18. Mannerkorpi K, Rivano-Fischer M, Ericsson A, et al. Experience of physical activity in patients with fibromyalgia and chronic widespread pain. Disabil Rehabil. 2008;30:213-221.
  • 19. Le Goff P. Is fibromyalgia a muscle disorder?. Joint Bone Spine 2006;73:239–242.
  • 20. Mengshoel AM, Vøllestad NK, Førre O. Pain and fatigue induced by exercise in fibromyalgia patients and sedentary healthy subjects. Clin Exp Rheumatol. 1995;13: 477–482.
  • 21. Nishikai M, Tomomatsu S, Hankins RW et al. Autoantibodies to a 68/48 kDa protein in chronic fatigue syndrome and primary fibromyalgia: a possible marker for hypersomnia and cognitive disorders. Rheumatology (Oxford). 2001;40:806–810.
  • 22. Mannerkorpi K, Svantesson U, Broberg C. Relationships between performance-based tests and patients’ ratings of activity limitations, self-efficacy, and pain in fibromyalgia. Arch Phys Med Rehabil. 2006;87:259-64.
  • 23. Amital D, Fostick L, Polliack ML, et al. Posttraumatic stress disorder, tenderness, and fibromyalgia syndrome: are they different entities?. J Psychosom Res. 2006;61:663-669.
  • 24. Williams DA. Psychological and behavioural therapies in fibromyalgia and related syndromes. Best Pract Res Clin Rheumatol 2003;17;649-665.
  • 25. Krag NJ, Nørregaard J, Larsen JK, et al. A blinded, controlled evaluation of anxiety and depressive symptoms in patients with fibromyalgia, as measured by standardized psychometric interview scales. Acta Psychiatrica Scandinavica. 1994;89:370–375.
APA Ekici G, CAVLAK U, Yagci N, BAŞ ASLAN U, GÜLER C, ÇOBANKARA V (2009). Factors affecting pain and fatigue in females with chronic widespread pain. , 64 - 69.
Chicago Ekici Gamze,CAVLAK Uğur,Yagci Nesrin,BAŞ ASLAN Ummuhan,GÜLER Can Tuba,ÇOBANKARA Veli Factors affecting pain and fatigue in females with chronic widespread pain. (2009): 64 - 69.
MLA Ekici Gamze,CAVLAK Uğur,Yagci Nesrin,BAŞ ASLAN Ummuhan,GÜLER Can Tuba,ÇOBANKARA Veli Factors affecting pain and fatigue in females with chronic widespread pain. , 2009, ss.64 - 69.
AMA Ekici G,CAVLAK U,Yagci N,BAŞ ASLAN U,GÜLER C,ÇOBANKARA V Factors affecting pain and fatigue in females with chronic widespread pain. . 2009; 64 - 69.
Vancouver Ekici G,CAVLAK U,Yagci N,BAŞ ASLAN U,GÜLER C,ÇOBANKARA V Factors affecting pain and fatigue in females with chronic widespread pain. . 2009; 64 - 69.
IEEE Ekici G,CAVLAK U,Yagci N,BAŞ ASLAN U,GÜLER C,ÇOBANKARA V "Factors affecting pain and fatigue in females with chronic widespread pain." , ss.64 - 69, 2009.
ISNAD Ekici, Gamze vd. "Factors affecting pain and fatigue in females with chronic widespread pain". (2009), 64-69.
APA Ekici G, CAVLAK U, Yagci N, BAŞ ASLAN U, GÜLER C, ÇOBANKARA V (2009). Factors affecting pain and fatigue in females with chronic widespread pain. Fizyoterapi Rehabilitasyon, 20(2), 64 - 69.
Chicago Ekici Gamze,CAVLAK Uğur,Yagci Nesrin,BAŞ ASLAN Ummuhan,GÜLER Can Tuba,ÇOBANKARA Veli Factors affecting pain and fatigue in females with chronic widespread pain. Fizyoterapi Rehabilitasyon 20, no.2 (2009): 64 - 69.
MLA Ekici Gamze,CAVLAK Uğur,Yagci Nesrin,BAŞ ASLAN Ummuhan,GÜLER Can Tuba,ÇOBANKARA Veli Factors affecting pain and fatigue in females with chronic widespread pain. Fizyoterapi Rehabilitasyon, vol.20, no.2, 2009, ss.64 - 69.
AMA Ekici G,CAVLAK U,Yagci N,BAŞ ASLAN U,GÜLER C,ÇOBANKARA V Factors affecting pain and fatigue in females with chronic widespread pain. Fizyoterapi Rehabilitasyon. 2009; 20(2): 64 - 69.
Vancouver Ekici G,CAVLAK U,Yagci N,BAŞ ASLAN U,GÜLER C,ÇOBANKARA V Factors affecting pain and fatigue in females with chronic widespread pain. Fizyoterapi Rehabilitasyon. 2009; 20(2): 64 - 69.
IEEE Ekici G,CAVLAK U,Yagci N,BAŞ ASLAN U,GÜLER C,ÇOBANKARA V "Factors affecting pain and fatigue in females with chronic widespread pain." Fizyoterapi Rehabilitasyon, 20, ss.64 - 69, 2009.
ISNAD Ekici, Gamze vd. "Factors affecting pain and fatigue in females with chronic widespread pain". Fizyoterapi Rehabilitasyon 20/2 (2009), 64-69.