Pain, depression levels, fatigue, sleep quality, and quality of life in elderly patients with rheumatoid arthritis

BAĞÇACI, Sinan; CAN, Beray; ALBAYRAK GEZER, İLKNUR; KÜÇÜKSEN, SAMI; BALKARLI, Ayşe; Küçük, Adem

Pain, depression levels, fatigue, sleep quality, and quality of life in elderly patients with rheumatoid arthritis

İlknur ALBAYRAK GEZER, (Selçuk Üniversitesi, Tıp Fakültesi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, Konya, Türkiye)

Ayşe BALKARLI, (Antalya Eğitim ve Araştırma Hastanesi, Romatoloji Kliniği, Antalya, Türkiye)

Beray CAN, (Pamukkale Üniversitesi, Tıp Fakültesi, İç Hastalıkları Anabilim Dalı, Denizli, Türkiye)

Sinan BAĞÇACI, (Büyükşehir Hastanesi Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, Konya, Türkiye)

Sami KÜÇÜKŞEN, (Necmettin Erbakan Üniversitesi, Meram Tıp Fakültesi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, Konya, Türkiye)

Adem KÜÇÜK (Malatya Devlet Hastanesi, Romatoloji Bölümü, Malatya, Türkiye)

Turkish Journal of Medical Sciences

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Yıl: 2017 Cilt: 47 Sayı: 3 Sayfa Aralığı: 847 - 853 Metin Dili: İngilizce İndeks Tarihi: 29-07-2022

Pain, depression levels, fatigue, sleep quality, and quality of life in elderly patients with rheumatoid arthritis

Öz:

Background/aim: The aim of this study was to evaluate and determine the relationships (if any) among pain, depression levels, fatigue, sleep quality, and quality of life in patients with rheumatoid arthritis (RA) aged 65 years and over, and to compare the results with those of RA patients under 65 years of age. Materials and methods: The study included 52 patients with RA aged 65 years and over (Group 1) and 84 patients with RA under 65 years of age (Group 2). Pain, depression levels, fatigue, sleep quality, quality of life, and disease activity of all of the participants were evaluated using a visual analog scale (VAS), the Beck Depression Inventory (BDI), the Checklist Individual Strength (CIS), the Pittsburgh Sleep Quality Index (PSQI), the Short Form-36 (SF-36), and the Disease Activity Score-28, respectively. Results: When the two groups were compared, higher scores for the VAS, BDI, total CIS, and PSQI were found in Group 1 compared to Group 2 (P = 0.003, P = 0.003, P = 0.007, and P = 0.001, respectively). The SF-36 subscales of the physical component summary and mental component summary were not statistically significantly different between the two groups (P > 0.05). Conclusion: This study evaluated the situation in elderly patients with RA and showed that pain, depression level, fatigue, and sleep quality worsen with age.

Anahtar Kelime:

Konular: Cerrahi

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

1. Mota L, Neto L, Pereira I, Burlingame R, Ménard H, Laurindo I. Autoantibodies as predictors of biological therapy for early rheumatoid arthritis. Acta Reumatol Port 2010; 35: 156-166.
2. Wildier RL. Rheumatoid arthritis, epidemiology, pathology and pathogenesis. In: Schumcher RH, editor. Primer on the Rheumatic Diseases. Atlanta, GA, USA: Arthritis Foundation; 1993. pp. 86-89.
3. Rojkovich B, Gibson T. Day and night pain measurement in rheumatoid arthritis. Ann Rheum Dis 1998; 57: 434-436.
4. Roehrs T, Diederichs C, Gillis M, Burger AJ, Stout RA, Lumley MA, Roth T. Nocturnal sleep, daytime sleepiness and fatigue in fibromyalgia patients compared to rheumatoid arthritis patients and healthy controls: a preliminary study. Sleep Med 2013; 14: 109-115.
5. Treharne GJ, Lyons AC, Hale ED, Douglas KM, Goodchild CE, Booth DA, Kitas GD. Sleep disruption frequency in rheumatoid arthritis: perceived stress predicts poor outcome over one year. Musculoskeletal Care 2007; 5: 51-64.
6. Pollard LC, Choy EH, Gonzalez J, Khoshaba B, Scott DL. Fatigue in rheumatoid arthritis reflects pain, not disease activity. Rheumatology 2006; 45: 885-889.
7. Dickens C, Creed F. The burden of depression in patients with rheumatoid arthritis. Rheumatology 2001; 40: 1327-1330.
8. Abad VC, Sarinas PS, Guilleminault C. Sleep and rheumatologic disorders. Sleep Med Rev 2008; 12: 211-228.
9. Suurmeijer TP, Waltz M, Moum T, Guillemin F, van Sonderen FL, Briançon S, Sanderman R, van den Heuvel WJ. Quality of life profiles in the first years of rheumatoid arthritis: results from the EURIDISS longitudinal study. Arthritis Rheum 2001; 45: 111-121.
10. Pollard L, Choy EH, Scott DL. The consequences of rheumatoid arthritis: quality of life measures in the individual patient. Clin Exp Rheumatol 2005; 23: 43-52.
11. Aletaha D, Neogi T, Silman AJ, Funovits J, Felson DT, Bingham CO 3rd, Birnbaum NS, Burmester GR, Bykerk VP, Cohen MD et al. 2010 Rheumatoid arthritis classification criteria. An American College of Rheumatology/European League Against Rheumatism collaborative initiative. Arthritis Rheum 2010; 62: 2569-2581.
12. Albayrak I, Yilmaz H, Akkurt HE, Salli A, Karaca G. Is pain the only symptom in patients with benign joint hypermobility syndrome? Clin Rheumatol 2015; 34: 1613-1619.
13. Ferrell WR, Tennant N, Sturrock RD, Ashton L, Creed G, Brydson G, Rafferty D. Amelioration of symptoms by enhancement of proprioception in patients with joint hypermobility syndrome. Arthritis Rheum 2004; 50: 3323- 3328.
14. Ruperto N, Malattia C, Bartoli M, Trail L, Pistorio A, Martini A, Ravelli A. Functional ability and physical and psychosocial well-being of hypermobile schoolchildren. Clin Exp Rheumatol 2004; 22: 495-498.
15. Zhai H, Chen L, Yang Y, Sun H, Pan H, He J, Zhu X, Sui H, Wang W, Qiu X et al. Family and college environmental exposures mediate the relationship between parental education and depression among college students. PLoS One 2016; 11: e0151759.
16. Ergin G, Yildirim Y. A validity and reliability study of the Turkish Checklist Individual Strength (CIS) questionnaire in musculoskeletal physical therapy patients. Physiother Theory Pract 2012; 28: 624-632.
17. Vercoulen JH, Swanink CM, Fennis JF, Galama JM, van der Meer JW, Bleijenberg G. Dimensional assessment of chronic fatigue syndrome. J Psychosom Res 1994; 38: 383-392.
18. Buysse DJ, Reynolds CF, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh Sleep Quality Index (PSQI): a new instrument for psychiatric research and practice. Psychiatry Res 1989; 28: 193- 213.
19. Stewart JW, Quitkin FM, McGrath PJ, Rabkin JG, Markowitz JS, Tricamo E, Klein DF. Social functioning in chronic depression: effect of 6 weeks of antidepressant treatment. Psychiatry Res 1988; 25: 213-222.
20. Aletaha D, Smolen JS. Joint damage in rheumatoid arthritis progresses in remission according to the Disease Activity Score in 28 joints and is driven by residual swollen joints. Arthritis Rheum 2011; 63: 3702-3711.
21. Jakobsson U, Hallberg IR. Pain and quality of life among older people with rheumatoid arthritis and/or osteoarthritis: a literature review. J Clin Nurs 2002; 11: 430-443.
22. Parker JC, Smarr KL, Slaughter JR, Johnston SK, Priesmeyer ML, Hanson KD, Johnson GE, Hewett JE, Hewett JE, Irvin WS et al. Management of depression in rheumatoid arthritis: a combined pharmacologic and cognitive-behavioral approach. Arthritis Rheum 2003; 49: 766-777.
23. Chen YM, Chen LK, Lan JL, Chen DY. Geriatric syndromes in elderly patients with rheumatoid arthritis. Rheumatology 2009; 48: 1261-1264.
24. Wolfe F, Hawley DJ. The relationship between clinical activity and depression in rheumatoid arthritis. J Rheumatol 1993; 20: 2032-2037.
25. van Hoogmoed D, Fransen J, Bleijenberg G, van Riel P. Physical and psychosocial correlates of severe fatigue in rheumatoid arthritis. Rheumatology 2010; 49: 1294-1302.
26. Nicassio PM, Ormseth SR, Custodio MK, Irwin MR, Olmstead R, Weisman MH. A multidimensional model of fatigue in patients with rheumatoid arthritis. J Rheumatol 2012; 39: 1807-1813.
27. Taylor-Gjevre RM, Gjevre JA, Nair B, Skomro R, Lim HJ. Components of sleep quality and sleep fragmentation in rheumatoid arthritis and osteoarthritis. Musculoskel Care 2011; 9: 152-159.
28. Lavie P, Epstein R, Tzischinsky O. Actigraphic measurements of sleep in rheumatoid arthritis: comparison of patients with low back pain and healthy controls. J Rheumatol 1992; 19: 362- 365.
29. Wolfe F, Michaud K, Li T. Sleep disturbance in patients with rheumatoid arthritis: evaluation by medical outcomes study and visual analog sleep scales. J Rheumatol 2006; 33: 1942- 1951.
30. Drewes AM, Nielsen KD, Hansen B, Taagholt SJ, Bjerregard K, Svendsen L. A longitudinal study of clinical symptoms and sleep parameters in rheumatoid arthritis. Rheumatology 2000; 39: 1287-1289.
31. Addington AM, Gallo JJ, Ford DE, Eaton WW. Epidemiology of unexplained fatigue and major depression in the community: the Baltimore ECA follow-up, 1981-1994. Psychol Med 2001; 31: 1037-1044.
32. Irwin MR, Olmstead R, Carrillo C, Sadeghi N, Fitzgerald JD, Ranganath VK, Nicassio PM. Sleep loss exacerbates fatigue, depression, and pain in rheumatoid arthritis. Sleep 2012; 35: 537-543.
33. Wirnsberger RM, De Vries J, Jansen T, Van Heck GL, Wouters EFM, Drent M. Impairment of quality of life: rheumatoid arthritis versus sarcoidosis. Neth J Med 1999; 54: 86-95.
34. Ulus B, İrban A, Bakırcı N, Yılmaz E, Uslu Y, Yücel N, Eti Aslan F. Determination of pain characteristics, pain belief and risk of depression among elderly residents living at nursing home. Turk Geriatri Derg 2014; 17: 180-187.
35. Shin SY. The relationship between cognitive and physical function in older adults with rheumatoid arthritis: a literature review. J Gerontol Nurs 2012; 38: 33-42.

APA	ALBAYRAK GEZER İ, BALKARLI A, CAN B, BAĞÇACI S, KÜÇÜKSEN S, Küçük A (2017). Pain, depression levels, fatigue, sleep quality, and quality of life in elderly patients with rheumatoid arthritis. , 847 - 853.
Chicago	ALBAYRAK GEZER İLKNUR,BALKARLI Ayşe,CAN Beray,BAĞÇACI Sinan,KÜÇÜKSEN SAMI,Küçük Adem Pain, depression levels, fatigue, sleep quality, and quality of life in elderly patients with rheumatoid arthritis. (2017): 847 - 853.
MLA	ALBAYRAK GEZER İLKNUR,BALKARLI Ayşe,CAN Beray,BAĞÇACI Sinan,KÜÇÜKSEN SAMI,Küçük Adem Pain, depression levels, fatigue, sleep quality, and quality of life in elderly patients with rheumatoid arthritis. , 2017, ss.847 - 853.
AMA	ALBAYRAK GEZER İ,BALKARLI A,CAN B,BAĞÇACI S,KÜÇÜKSEN S,Küçük A Pain, depression levels, fatigue, sleep quality, and quality of life in elderly patients with rheumatoid arthritis. . 2017; 847 - 853.
Vancouver	ALBAYRAK GEZER İ,BALKARLI A,CAN B,BAĞÇACI S,KÜÇÜKSEN S,Küçük A Pain, depression levels, fatigue, sleep quality, and quality of life in elderly patients with rheumatoid arthritis. . 2017; 847 - 853.
IEEE	ALBAYRAK GEZER İ,BALKARLI A,CAN B,BAĞÇACI S,KÜÇÜKSEN S,Küçük A "Pain, depression levels, fatigue, sleep quality, and quality of life in elderly patients with rheumatoid arthritis." , ss.847 - 853, 2017.
ISNAD	ALBAYRAK GEZER, İLKNUR vd. "Pain, depression levels, fatigue, sleep quality, and quality of life in elderly patients with rheumatoid arthritis". (2017), 847-853.

APA	ALBAYRAK GEZER İ, BALKARLI A, CAN B, BAĞÇACI S, KÜÇÜKSEN S, Küçük A (2017). Pain, depression levels, fatigue, sleep quality, and quality of life in elderly patients with rheumatoid arthritis. Turkish Journal of Medical Sciences, 47(3), 847 - 853.
Chicago	ALBAYRAK GEZER İLKNUR,BALKARLI Ayşe,CAN Beray,BAĞÇACI Sinan,KÜÇÜKSEN SAMI,Küçük Adem Pain, depression levels, fatigue, sleep quality, and quality of life in elderly patients with rheumatoid arthritis. Turkish Journal of Medical Sciences 47, no.3 (2017): 847 - 853.
MLA	ALBAYRAK GEZER İLKNUR,BALKARLI Ayşe,CAN Beray,BAĞÇACI Sinan,KÜÇÜKSEN SAMI,Küçük Adem Pain, depression levels, fatigue, sleep quality, and quality of life in elderly patients with rheumatoid arthritis. Turkish Journal of Medical Sciences, vol.47, no.3, 2017, ss.847 - 853.
AMA	ALBAYRAK GEZER İ,BALKARLI A,CAN B,BAĞÇACI S,KÜÇÜKSEN S,Küçük A Pain, depression levels, fatigue, sleep quality, and quality of life in elderly patients with rheumatoid arthritis. Turkish Journal of Medical Sciences. 2017; 47(3): 847 - 853.
Vancouver	ALBAYRAK GEZER İ,BALKARLI A,CAN B,BAĞÇACI S,KÜÇÜKSEN S,Küçük A Pain, depression levels, fatigue, sleep quality, and quality of life in elderly patients with rheumatoid arthritis. Turkish Journal of Medical Sciences. 2017; 47(3): 847 - 853.
IEEE	ALBAYRAK GEZER İ,BALKARLI A,CAN B,BAĞÇACI S,KÜÇÜKSEN S,Küçük A "Pain, depression levels, fatigue, sleep quality, and quality of life in elderly patients with rheumatoid arthritis." Turkish Journal of Medical Sciences, 47, ss.847 - 853, 2017.
ISNAD	ALBAYRAK GEZER, İLKNUR vd. "Pain, depression levels, fatigue, sleep quality, and quality of life in elderly patients with rheumatoid arthritis". Turkish Journal of Medical Sciences 47/3 (2017), 847-853.