Yıl: 2015 Cilt: 30 Sayı: 1 Sayfa Aralığı: 34 - 39 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Can bath ankylosing spondylitis disease activity ındex be affected by accompanying fibromyalgia or depression?

Öz:
Amaç: Bu çalışmada Bath Ankilozan Spondilit Hastalık Aktivite İndeksinin (BASDAI) ankilozan spondilitli (AS) hastalarda birlikte var olabilen fibromiyalji (FM) ve depresyon gibi patolojilerden etkilenip etkilenmediği araştırıldı. Hastalar ve yöntemler: Yaşları 18 ile 75 arasında değişen FMli (n=52), depresyonlu (n=60) ve ASli (n=58) toplam 170 hasta (57 erkek, 123 kadın; ort. yaş 42.9±13.0 yıl) çalışmaya dahil edildi. Tüm hastalardan BASDAIyi ve Beck Depresyon Ölçeğini doldurmaları istendi. BASDAI skorları >4 (hastalık aktivitesi için kestirim değeri) ve >5 (biyolojik ajan geri ödemesi için kestirim değeri) olan hastaların yüzdeleri hesaplanarak gruplar arasında karşılaştırıldı. Bireysel BASDAI alt skorları, toplam BASDAI ve Beck Depresyon Ölçeği skorları gruplar arasında karşılaştırıldı. Bulgular: Bireysel BASDAI maddelerinin skorları ayrı ayrı analiz edildiğinde, tüm maddelerin skorları FM grubunda AS grubuna kıyasla istatistiksel olarak anlamlı şekilde yüksekti. Soru 1 (yorgunluk) ve 3 (periferik eklem ağrısı ve şişlik) skorları AS grubuna kıyasla depresyon grubunda istatistiksel olarak anlamlı şekilde yüksek iken, soru 5 ve 6 skorları (sabah tutukluğu ile ilişkili olan maddeler) AS grubuna kıyasla depresyon grubunda anlamlı şekilde düşüktü. BASDAI skorları >4 ve >5 olan hastaların yüzdesi FM grubunda diğer iki gruba kıyasla anlamlı şekilde yüksekti. AS ve FM gruplarında BASDAI ve Beck Depresyon Ölçeği skorları arasında anlamlı ilişki vardı. Sonuç: Çalışmamızın sonuçları ASde hastalık aktivitesi özellikle BASDAI gibi hasta bildirimli bir öz değerlendirme ölçeğiyle değerlendirilirken skorları etkileyebilecek FM ve depresyon gibi diğer durumların da göz önünde bulundurulması gerektiğini düşündürmektedir.
Anahtar Kelime:

Konular: Romatoloji

Bath ankilozan spondilit hastalık aktivite indeksi eşlik eden fibromyalji ya da depresyondan etkilenebilir mi?

Öz:
Objectives: This study aims to investigate whether Bath Ankylosing Spondylitis Disease Activity Index (BASDAI) is affected from pathologies such as fibromyalgia (FM) and depression which may coexist in patients with ankylosing spondylitis (AS). Patients and methods: A total of 170 patients (57 males, 123 females; mean age 42.9±13.0 years) aged between 18 and 75 years with FM (n=52), depression (n=60) and AS (n=58) were included in the study. All patients were asked to complete BASDAI and Beck Depression Inventory. Percentages of patients with BASDAI scores of >4 (cut-off value for disease activity) and >5 (cut-off value for reimbursement of biological agents) were calculated and compared between the groups. Individual BASDAI item scores, total BASDAI, and Beck Depression Inventory scores were compared between the groups. Results: When individual BASDAI items scores were analyzed separately, scores of all items were statistically significantly higher in FM group compared to AS group. While question 1 (fatigue) and 3 (peripheral joint pain and swelling) scores were statistically significantly higher in the depression group compared to AS group, question 5 and 6 scores (items associated with morning stiffness) were significantly lower in the depression group compared to AS group. Percentage of patients with BASDAI scores of >4 and >5 in the FM group was significantly higher compared to the other two groups. Significant correlation was noted between BASDAI and Beck Depression Inventory scores in AS and FM groups. Conclusion: Our findings suggest that while assessing disease activity in patients with AS particularly by a patient-reported outcome measure such as BASDAI, other conditions such as FM and depression which may affect the scores should be taken into consideration.
Anahtar Kelime:

Konular: Romatoloji
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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APA ALTAN İNCEOĞLU L, SİVRİOĞLU Y, Ercan I (2015). Can bath ankylosing spondylitis disease activity ındex be affected by accompanying fibromyalgia or depression?. , 34 - 39.
Chicago ALTAN İNCEOĞLU LALE,SİVRİOĞLU Yusuf,Ercan Ilker Can bath ankylosing spondylitis disease activity ındex be affected by accompanying fibromyalgia or depression?. (2015): 34 - 39.
MLA ALTAN İNCEOĞLU LALE,SİVRİOĞLU Yusuf,Ercan Ilker Can bath ankylosing spondylitis disease activity ındex be affected by accompanying fibromyalgia or depression?. , 2015, ss.34 - 39.
AMA ALTAN İNCEOĞLU L,SİVRİOĞLU Y,Ercan I Can bath ankylosing spondylitis disease activity ındex be affected by accompanying fibromyalgia or depression?. . 2015; 34 - 39.
Vancouver ALTAN İNCEOĞLU L,SİVRİOĞLU Y,Ercan I Can bath ankylosing spondylitis disease activity ındex be affected by accompanying fibromyalgia or depression?. . 2015; 34 - 39.
IEEE ALTAN İNCEOĞLU L,SİVRİOĞLU Y,Ercan I "Can bath ankylosing spondylitis disease activity ındex be affected by accompanying fibromyalgia or depression?." , ss.34 - 39, 2015.
ISNAD ALTAN İNCEOĞLU, LALE vd. "Can bath ankylosing spondylitis disease activity ındex be affected by accompanying fibromyalgia or depression?". (2015), 34-39.
APA ALTAN İNCEOĞLU L, SİVRİOĞLU Y, Ercan I (2015). Can bath ankylosing spondylitis disease activity ındex be affected by accompanying fibromyalgia or depression?. Archives of Rheumatology, 30(1), 34 - 39.
Chicago ALTAN İNCEOĞLU LALE,SİVRİOĞLU Yusuf,Ercan Ilker Can bath ankylosing spondylitis disease activity ındex be affected by accompanying fibromyalgia or depression?. Archives of Rheumatology 30, no.1 (2015): 34 - 39.
MLA ALTAN İNCEOĞLU LALE,SİVRİOĞLU Yusuf,Ercan Ilker Can bath ankylosing spondylitis disease activity ındex be affected by accompanying fibromyalgia or depression?. Archives of Rheumatology, vol.30, no.1, 2015, ss.34 - 39.
AMA ALTAN İNCEOĞLU L,SİVRİOĞLU Y,Ercan I Can bath ankylosing spondylitis disease activity ındex be affected by accompanying fibromyalgia or depression?. Archives of Rheumatology. 2015; 30(1): 34 - 39.
Vancouver ALTAN İNCEOĞLU L,SİVRİOĞLU Y,Ercan I Can bath ankylosing spondylitis disease activity ındex be affected by accompanying fibromyalgia or depression?. Archives of Rheumatology. 2015; 30(1): 34 - 39.
IEEE ALTAN İNCEOĞLU L,SİVRİOĞLU Y,Ercan I "Can bath ankylosing spondylitis disease activity ındex be affected by accompanying fibromyalgia or depression?." Archives of Rheumatology, 30, ss.34 - 39, 2015.
ISNAD ALTAN İNCEOĞLU, LALE vd. "Can bath ankylosing spondylitis disease activity ındex be affected by accompanying fibromyalgia or depression?". Archives of Rheumatology 30/1 (2015), 34-39.