Gamze EKİCİ, Uğur CAVLAK, Nesrin YAĞCI, UMMUHAN BAŞ ASLAN, TUBA CAN AKMAN, Veli ÇOBANKARA

Comparison of emotional status and physical activity between women with chronic widespread pain and fibromyalgia

Amaç: Bu çalışma, kronik yaygın ağrısı (KYA) ve fibromiyaljisi (FM) olan kadınlarda emosyonel durum ve fiziksel aktivite seviyesini karşılaştırmak için yapıldı. Gereç ve Yöntem: Üst ekstremitelerin dahil olduğu, belin üstünde ağrısı olan 33 KYA’lı kadın ve 68 FM’li kadın değerlendirildi. Fiziksel ve emosyonel durumu belirlemek için fibromiyalji etki anketi (FEA), fiziksel aktivite deneyimi enstrümanı, boş zaman fiziksel aktivite enstrümanı, evde ve işte fiziksel aktivite enstrümanı ve hastane anksiyete ve depresyon skalası (HADS) kullanıldı. Bulgular: KYA grubunun FM grubuna göre, daha yüksek fiziksel özür puanı vardı (p0.05). Bu sonuçlar, artmış ağrı şiddeti ve yaygın ağrının hem fiziksel fonksiyon hem de emosyonel durum üzerine negatif etkilerinin olduğunu göstermektedir. Sonuç: FM’li kadınlar KYA’lılara göre daha fazla şiddette klinik semptomlar bildirmiştir. Bu nedenle kronik ağrılı kadınlarda fiziksel fonksiyon değil aynı zamanda emosyonel durum da değerlendirilmelidir.

Kronik yaygın ağrılı ve fibromiyaljili kadınlarda emosyonel durum ve fiziksel aktivenin karşılaştırılması

Objectives: This study was conducted to compare the emotional status and physical activity level in women with chronic widespread pain (CWP) and fibromyalgia (FM). Methods: Thirty-three women with CWP above the waist, including the upper extremities, and 68 women with FM were evaluated. To determine physical and emotional status, the Fibromyalgia Impact Questionnaire (FIQ), the Experience of Physical Activity Instrument, the Leisure Time Physical Activity Instrument, the Physical Activity at Home and Work Instrument, and the Hospital Anxiety and Depression Scale (HADS) were used. Results: The CWP group had higher physical impairment scores than the FM group (p<0.05); however, the women with FM reported that they felt worse during the previous week than the other group before the interview. They also had higher scores for pain, morning tiredness and depression (FIQ 5, 7 and 10). Emotional symptoms were significantly elevated in FM patients versus the CWP patients. Conversely, no significant differences were found between the groups concerning the health status (FIQ-total) and physical activity (p>0.05). The results indicate that increased pain intensity and spread of pain have negative effects on both physical functioning and emotional status. Conclusion: The women with FM reported much more severe clinical symptoms than those with CWP. Therefore, in addition to physical functioning, the emotional status of women with chronic pain should also be evaluated.

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