Kronik yaygın ağrılı kadınlarda ağrı ve yorgunluğu etkileyen faktörler
Amaç: Bu çalışma Kronik Yaygın Ağrı’lı (KYA) kadınlarda ağrı şiddeti ve genel yorgunlukla ilişkili faktörleri incelemek amacıyla yapıldı. Gereç ve yöntem: KYA’lı 104 hasta dahil edildi. Yaş ortalaması 40.28±10.82 yıldı. Hem ağrı şiddeti hem de genel yorgunluk görsel analog skalası kullanılarak değerlendirildi. Hastane Anksiyete ve Depresyon Ölçeği anksiyete ve depresyon bulgularını tanımlamak için kullanıldı. Üç farklı anket (boş zaman aktivitesi, iş ve evde fiziksel aktivite) fiziksel aktivite düzeylerini tanımlamak için kullanıldı. Sonuçlar: Anksiyete skoru ağrı eşiğini etkileyen en yaygın faktördü (p=0.003). Diğer taraftan, orta düzeydeki evdeki fiziksel aktivite (p=0.027), işteki fiziksel aktivite (p=0.008) ve anksiyete skoru (p=0.027) genel yorgunluğu etkileyen anlamlı faktörlerdi. Tartışma: Sonuçlarımız anksiyetenin KYA’lı kadınlarda ağrı ve genel yorgunluğu etkileyen en önemli faktör olduğunu göstermiştir. Bu sonuçlar ağrı, yorgunluk ve anksiyete özelliklerinin ayrıca değerlendirilmesinin gerekli olduğu düşüncesini desteklemektedir
Anahtar Kelimeler:
Ağrı, Yorgunluk, Fiziksel aktivite, Anksiyete, Depresyon
Factors affecting pain and fatigue in females with chronic widespread pain
Keywords:
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- 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.
- 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.
- 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.
- 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.
- Bliddal H, Danneskiold-Samsİe B. Chronic widespread pain in the spectrum of rheumatological diseases. Best Pract Res Clin Rheumatol. 2007;21:391-402.
- 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.
- 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.
- Mannerkorpi K, Henriksson C. Non- pharmacological treatment of chronic widespread musculoskeletal pain. Best Pract Res Clin Rheumatol 2007;21:513-534.
- 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.
- Bieber C, Müller KG, Blumenstiel K, et al. Long- term 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- Le Goff P. Is fibromyalgia a muscle disorder?. Joint Bone Spine 2006;73:239–242.
- Mengshoel AM, Vİllestad NK, Fİrre O. Pain and fatigue induced by exercise in fibromyalgia patients and sedentary healthy subjects. Clin Exp Rheumatol. 1995;13: 477–482.
- 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.
- 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.
- 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.
- Williams DA. Psychological and behavioural therapies in fibromyalgia and related syndromes. Best Pract Res Clin Rheumatol 2003;17;649-665.
- Krag NJ, Nİrregaard 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.
- ISSN: 2651-4451
- Başlangıç: 1974
- Yayıncı: Türkiye Fizyoterapistler Derneği