Migren hastalarında revize hastalık algısı ölçeğinin geçerliliği ve deprem tecrübesinin hastalık algısı üzerine etkisi
Amaç: Migren hastalarında Revize Hastalık Algısı Ölçeğinin (IPQ) geçerliğini araştırmak ve deprem gibi ağır bir yaşam olayının hastalık algısı üzerine etkisini araştırmak amaçlandı. Gereç ve Yöntem: Çalışmaya deprem sırasında Erciş'te bulunan (n=33) ve deprem tecrübesi hiç yaşamamış (n=29) toplam 62 migren tanılı hasta alındı. Hastalara görüşme formu, IPQ ve Beck Depresyon Ölçeği (BDÖ) uygulandı. Çalışmaya alınan hastaların yaş ortalaması 31 ve ortalama 7.8 yıldır migren tanıları vardı. Deprem tecrübesi olan (Grup 1) ve olmayan (Grup 2) grup arasında yaş, cinsiyet, medeni durum, eğitim süresi, tanı süresi ve atak sıklığı açısından fark yoktu (p>0.05). Bulgular: IPQ hastalık belirtileri, hastalık hakkında görüşler ve olası nedenler olmak üzere 3 kısımdan oluşur. Hastalık belirtileri kısmında migren hastalarında en sık yaşanan belirtilerin ağrı, baş ağrısı ve yorgunluk olduğu görüldü. Hastalık hakkında görüşler ve olası nedenler için güvenirlik analizinde testin güvenilir olduğu saptandı. Hastalık hakkında görüşler bölümünde incelenen hastalığı anlayabilme ve süre (döngüsel) alt boyutları skorları Grup 1'de daha yüksekti (p0.05). Grup 1'de BDÖ skoru daha yüksekti (z: -2,006, p
Validation of the revised illness perception questionnaire for migraine patients and the effects of earthquake experience on perception of disease
Objectives: The aim of this study was to investigate the reliability of the Revised Illness Perception Questionnaire (IPQ) and to determine the effects of earthquake experience on the perception in migraine patients. Methods: The sample was composed of 62 outpatients, consisting of with migraine diagnosis who were in Erciş during earthquake (n=33) and who had never had any earthquake experience (n=29).The interview form, IPQ-R and Beck Depression Scale (BDS) were applied. The study was carried out on migraine patients whose mean age was 31 and who had been diagnosed since 7.8 years. Comparison of groups with earthquake experience (group1) and without experience (group 2) there were no difference in point of demographic findings and disease severity (p>0.05). Results: In the part concerning the manifestations of the disease, the most frequently manifestations were found pain, headache and fatige. The test was determined to be reliable. Illness coherence and timeline (cyclic) subscale scores (p<0.05) and BDS score (z: -2.006, p<0.05)were significantly higher in group 1. Although an earthquake caused an increase in depression scores did not cause much change in the IPQ-R scores. Group1 understand disease better and realize of the cyclical nature of the disease. Other perception parameters of the disease were same in both groups. Conclusion: A severe life event such as an earthquake did not much change IPQ-R scores in migraine patients. The results of this study demonstrated that IPQ could be used reliably in the Turkish migraine patients
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- Ertas M, Baykan B, Orhan EK, Zarifoglu M, Karli N, Saip S, et al. One-year prevalence and the impact of migraine and tension-type headache in Turkey: a nationwide home-ba- sed study in adults. J Headache Pain 2012;13(2):147-57.
- Ozdemir G, Aygül R, Demir R, Ozel L, Ertekin A, Ulvi H. Mig- raine prevalence, disability, and sociodemographic pro- perties in the eastern region of Turkey: a population-based door-to-door survey. Turk J Med Sci 2014;44(4):624-9.
- Kelman L. The triggers or precipitants of the acute migrai- ne attack. Cephalalgia 2007;27(5):394-402.
- Houle TT, Butschek RA, Turner DP, Smitherman TA, Ra- ins JC, Penzien DB. Stress and sleep duration predict headache severity in chronic headache sufferers. Pain 2012;153(12):2432-40.
- Gibbons CJ, Kenning C, Coventry PA, Bee P, Bundy C, Fisher L, et al. Development of a multimorbidity illness percepti- ons scale (MULTIPleS). PLoS One 2013;8(12):e81852.
- Diefenbach MA. General Description and Theoretical Back- ground. Illness Representations 2016.
- Mohammed S, Nagla S, Morten S, Asma E, Arja A. Illness perceptions and quality of life among tuberculosis pati- ents in Gezira, Sudan. Afr Health Sci 2015;15(2):385-93.
- Shallcross AJ, Becker DA, Singh A, Friedman D, Montesde- oca J, French J, et al. Illness perceptions mediate the relati- onship between depression and quality of life in patients with epilepsy. Epilepsia 2015;56(11):186-90.
- Lantéri-Minet M1, Massiou H, Nachit-Ouinekh F, Lu-cas C, Pradalier A, Radat F, et al. The GRIM2005 study of migraine consultation in France I. Determinants of con- sultation for migraine headache in France. Cephalalgia 2007;27(12):1386-97.
- Radat F, Lantéri-Minet M, Nachit-Ouinekh F, Massiou H, Lu- cas C, Pradalier A, et al. The GRIM2005 study of migraine consultation in France. III: Psychological features of sub- jects with migraine. Cephalalgia 2009;29(3):338-50.
- Jones RM, Butler JA, Thomas VA, Peveler RC, Prevett M. Adherence to treatment in patients with epilepsy: asso- ciations with seizure control and illness beliefs. Seizure 2006;15(7):504-8.
- De Filippis S, Erbuto D, Gentili F, Innamorati M, Lester D, Ta- tarelli R, et al. Mental turmoil, suicide risk, illness percepti- on, and temperament, and their impact on quality of life in chronic daily headache. J Headache Pain 2008;9(6):349-57.
- Paschalides C, Wearden AJ, Dunkerley R, Bundy C, Davies R, Dickens CM. The associations of anxiety, depression and personal illness representations with glycaemic control and health-related quality of life in patients with type 2 di- abetes mellitus. J Psychosom Res 2004;57(6):557-64.
- Hampson SE, Glasgow RE, Zeiss AM. Personal models of osteoarthritis and their relation to self-management acti- vities and quality of life. J Behav Med 1994;17(2):143-58.
- Jessop DC, Rutter DR. Adherence to asthma medicati- on: the role of illness representations. Psychol Health 2003;18:595-612.
- Llewellyn CD, Miners AH, Lee CA, Harrington C, Weinman J. The illness perceptions and treatment beliefs of individu- als with severe haemophilia and their role in adherence to home treatment. Psychol Health 2003;18:185-200.
- Petrie KJ, Weinman J, Sharpe N, Buckley J. Role of patients' view of their illness in predicting return to work and functi- oning after myocardial infarction: longitudinal study. BMJ 1996;312(7040):1191-4.
- Rozema H, Völlink T, Lechner L. The role of illness represen- tations in coping and health of patients treated for breast cancer. Psychooncology 2009;18(8):849-57.
- Scharloo M, Kaptein AA, Weinman J, Hazes JM, Willems LN, Bergman W, et al. Illness perceptions, coping and functi- oning in patients with rheumatoid arthritis, chronic obs- tructive pulmonary disease and psoriasis. J Psychosom Res 1998;44(5):573-85.
- Marshall GN. A multidimensional analysis of internal he- alth locus of control beliefs: separating the wheat from the chaff? J Pers Soc Psychol 1991;61(3):483-91.