Turkiye Klinikleri Journal of Medical Sciences

.: ORIGINAL RESEARCH
The Relationship Between Disease Severity and Body Perception, Mood Disorder and Quality of Life in Fibromyalgia Syndrome
Fibromiyalji Sendromunda Hastalık Şiddeti ile Beden Algısı, Duygudurum Bozukluğu ve Yaşam Kalitesi Arasındaki İlişki
Ejder BERKa, Burhan Fatih KOÇYİĞİTa, Şule Şirin BERKb
aKahramanmaraş Sütçü İmam University Faculty of Medicine, Department of Physical Medicine and Rehabilitation, Kahramanmaraş, TURKEY
bNecip Fazıl City Hospital, Department of Psychiatry, Kahramanmaraş, TURKEY
Turkiye Klinikleri J Med Sci.2020;40(2):154-60
doi: 10.5336/medsci.2019-72278
Article Language: EN
Full Text
ABSTRACT
 Objective: The present study aimed to determine the correlation between fibromyalgia (FM) severity and body image perception and to investigate its impact on quality of life and mood. Material and Methods: The study participants included 18-65 years old 141 female FM patients and 30 healthy female subjects. Fibromyalgia impact questionnaire (FIQ), body image questionnaire (BIQ), Beck depression inventory (BDI), Beck anxiety inventory (BAI), and quality of life survey- short form (SF-36) were applied to all subjects. In order to define the severity of FM, cases were compared based on total FIQ scores and categorized as mild (<39), moderate (40-59), severe (≥60) and control groups. Results: There were statistically significant positive correlations between FM severity and BIQ, BDI, BAI scores, and statistically significant negative correlations between FM severity and physical functioning, role-physical, pain, general health, vitality, role- emotional and mental health scores. Multivariate regression analysis demonstrated that BIQ, role-physical, pain, general health and BDI values significantly contributed to fibromyalgia severity. Conclusion: The results of our study show that body image, mood and quality of life are affected negatively in FM patients and FM severity has an important effect on anxiety, depression, body image and quality of life.

Keywords: Fibromyalgia severity; body image perception; depression; anxiety; quality of life
ÖZET
 Amaç: Fibromiyalji (FM) hastalık şiddetinin vücut imajı algısı ile ilişkisini belirlemek ve aynı zamanda yaşam kalitesi ve duygu durumunun nasıl etkilendiğini araştırmaktır. Gereç ve Yöntemler: Çalışmaya 18-65 yaş aralığında 141 FM'li kadın hasta ve 30 sağlıklı kadın katılımcı dahil edildi. Tüm olgulara fibromyalji etki anketi (FIQ), vücut algısı anketi (BIQ), Beck depresyon (BDI), Beck anksiyete (BAI), kısa form yaşam kalitesi (SF-36) anketleri uygulandı. FM hastalık şiddetini tanımlamak için olgular FIQ total skorlarına göre; hafif (<39), orta (40- 59), şiddetli (≥60) ve kontrol grubu şeklinde 4 gruba ayrıldı. Bulgular: FM şiddeti ile BIQ, BDI, BAI skorları arasında istatistiksel olarak pozitif yönde, FM şiddeti ile fiziksel fonksiyon, fiziksel rol, ağrı, genel sağlık, canlılık, emosyonel rol ve mental sağlık skorları arasında istatistiksel olarak negatif yönde anlamlı korelasyon vardı. Çok değişkenli regresyon analizi BIQ, fiziksel rol, ağrı, genel sağlık ve BDI değerlerinin fibromiyalji ciddiyetine önemli ölçüde katkıda bulunduğunu göstermiştir. Sonuç: Çalışmamızın sonuçları FM hastalarında vücut imajı, ruh hali ve yaşam kalitesinin kontrol grubuna göre olumsuz etkilendiğini ve FM şiddetinin anksiyete, depresyon, vücut imgesi ve yaşam kalitesi üzerinde önemli bir etkisi olduğunu göstermektedir.

Anahtar Kelimeler: Fibromyalji şiddeti; vücut algısı; depresyon; anksiyete; yaşam kalitesi
REFERENCES:
  1. Sumpton JE, Moulin DE. Fibromyalgia. Handb Clin Neurol. 2014;119:513-27. [Crossref]  [PubMed] 
  2. Bellato E, Marini E, Castoldi F, Barbasetti N, Mattei L, Bonasia DE, et al. Fibromyalgia syndrome: etiology, pathogenesis, diagnosis, and treatment. Pain Res Treat. 2012;2012:426130. [Crossref]  [PubMed]  [PMC] 
  3. Wolfe F, Ross K, Anderson J, Russell IJ, Hebert L. The prevalence and characteristics of fibromyalgia in the general population. Arthritis Rheum. 1995;38(1):19-28. [Crossref]  [PubMed] 
  4. Salaffi F, Sarzi-Puttini P, Ciapetti A, Atzeni F. Assessment instruments for patients with fibromyalgia: properties, applications and interpretation. Clin Exp Rheumatol. 2009;27(5 Suppl 56):S92-105.
  5. Lotze M, Moseley GL. Role of distorted body image in pain. Curr Rheumatol Rep. 2007:9(6):488-96. [Crossref]  [PubMed] 
  6. Grogan S. Body image and health: contemporary perspectives. J Health Psychol. 2006;11(4):523-30. [Crossref]  [PubMed] 
  7. Boyington JE, Schoster B, Callahan LF. Comparisons of body image perceptions of a sample of black and white women with rheumatoid arthritis and fibromyalgia in the US. Open Rheumatol J. 2015;9:1-7. [Crossref]  [PubMed]  [PMC] 
  8. Senkowski D, Heinz A. Chronic pain and distorted body image: implications for multisensory feedback interventions. Neurosci Biobehav Rev. 2016;69:252-9. [Crossref]  [PubMed] 
  9. Uçar M, Sarp Ü, Karaaslan Ö, Gül AI, Tanik N, Arik HO. Health anxiety and depression in patients with fibromyalgia syndrome. J Int Med Res. 2015;43(5):679-85. [Crossref]  [PubMed] 
  10. Wolfe F, Clauw DJ, Fitzcharles MA, Goldenberg DL, Häuser W, Katz RL, et al. 2016 revisions to the 2010/2011 fibromyalgia diagnostic criteria. Semin Arthritis Rheum. 2016;46(3):319-29. [Crossref]  [PubMed] 
  11. Bennett RM, Bushmakin AG, Cappelleri JC, Zlateva G, Sadosky AB. Minimal clinically important difference in the fibromyalgia impact questionnaire. J Rheumatol. 2009;36(6):1304-11. [Crossref]  [PubMed] 
  12. Burckhardt CS, Clark SR, Bennett RM. The fibromyalgia impact questionnaire: development and validation. J Rheumatol. 1991;18(5):728-33.
  13. Sarmer S, Ergin S, Yavuzer G. The validity and reliability of the Turkish version of the Fibromyalgia Impact Questionnaire. Rheumatol Int. 2000;20(1):9-12. [Crossref]  [PubMed] 
  14. Bennett R. The Fibromyalgia Impact Questionnaire (FIQ): a review of its development, current version, operating characteristics and uses. Clin Exp Rheumatol. 2005;23(5 Suppl 39):S154-62.
  15. Jourard A, Secord P. Body cathexis and the ideal female figure. J Abnorm Psychol. 1955;50(2):243-6. [Crossref]  [PubMed] 
  16. Ware JE Jr, Sherbourne CD. The MOS 36-item short-form health survey (SF- 36). I. Conceptual framework and item selection. Med Care. 1992;30(6):473-83. [Crossref]  [PubMed] 
  17. Demiral Y, Ergor G, Unal B, Semin S, Akvardar Y, Kivircik B, et al. Normative data and discriminative properties of short form 36 (SF-36) in Turkish urban population. BMC Public Health. 2006;6:247. [Crossref]  [PubMed]  [PMC] 
  18. Beck AT, Ward CH, Mendelson M, Mock J, Erbaugh J. An inventory for measuring depression. Arch Gen Psychiatry. 1961;4(6):561-71. [Crossref]  [PubMed] 
  19. Hisli N. Effect of patients' evaluation of group behavior on therapy outcome. Int J Group Psychother. 1987;37(1):119-24. [Crossref]  [PubMed] 
  20. Beck AT, Epstein N, Brown G, Steer RA. An inventory for measuring clinical anxiety: psychometric properties. J Consult Clin Psychol. 1988;56(6):893-7. [Crossref]  [PubMed] 
  21. Ulusoy M, Sahin N, Erkmen H. Turkish version of the Beck Anxiety Inventory: Psychometric Properties. J Cogn Psychother. 1992;12(2):163-72.
  22. Riis P. Perspectives on the fifth revision of the declaration of Helsinki. JAMA. 2000;284(23):3045-6. [Crossref]  [PubMed] 
  23. Akkaya N, Akkaya S, Atalay NS, Balci CS, Sahin F. Relationship between the body image and level of pain, functional status, severity of depression, and quality of life in patients with fibromyalgia syndrome. Clin Rheumatol. 2012;31(6):983-8. [Crossref]  [PubMed] 
  24. Ben-Tovim DI, Walker MK. Body image, disfigurement and disability. J Psychosom Res. 1995;39(3):283-91. [Crossref] 
  25. Skevington SM, Blackwell F, Britton NF. Self-esteem and perception of attractiveness: an investigation of early rheumatoid arthritis. Br J Med Psychol. 1987;60(Pt 1):45-52. [Crossref]  [PubMed] 
  26. Novy DM, Nelson DV, Averill PM, Berry LA. Gender differences in the expression of depressive symptoms among chronic pain patients. Clin J Pain. 1996;12(1):23-9. [Crossref]  [PubMed] 
  27. Koçyiğit BF, Okyay RA. The relationship between body mass index and pain, disease activity, depression and anxiety in women with fibromyalgia. Peer J. 2018;6:e4917. [Crossref]  [PubMed]  [PMC] 
  28. Kudlow PA, Rosenblat JD, Weissman CR, Cha DS, Kakar R, McIntyre RS, et al. Prevalence of fibromyalgia and co-morbid bipolar disorder: a systematic review and meta-analysis. J Affect Disord. 2015;188:134-42. [Crossref]  [PubMed] 
  29. Schaefer C, Chandran A, Hufstader M, Baik R, McNett M, Goldenberg D, et al. The comparative burden of mild, moderate and severe fibromyalgia: results from a cross-sectional survey in the United States. Health Qual Life Outcomes. 2011;9:71. [Crossref]  [PubMed]  [PMC] 
  30. Beyazal MS, Tüfekçi A, Kırbaş S, Topaloğlu MS. The impact of fibromyalgia on disability, anxiety, depression, sleep disturbance, and quality of life in patients with migraine. Noro Psikiyatr Ars. 2018;55(2):140-5.
  31. Homann D, Stefanello JM, Goes SM, Breda CA, Paiva Edos S, Leite N. Stress perception and depressive symptoms: functionality and impact on the quality of life of women with fibromyalgia. Rev Bras Reumatol. 2012;52(3):319-30. [Crossref] 
  32. Gota CE, Kaouk S, Wilke WS. The impact of depressive and bipolar symptoms on socioeconomic status, core symptoms, function and severity of fibromyalgia. Int J Rheum Dis. 2017;20(3):326-39. [Crossref]  [PubMed] 
  33. Chang MH, Hsu JW, Huang KL, Su TP, Bai YM, Li CT, et al. Bidirectional association between depression and fibromyalgia syndrome: a nationwide longitudinal study. J Pain. 2015;16(9):895-902. [Crossref]  [PubMed] 
  34. Shapiro JR, Anderson DA, Danoff-Burg S. A pilot study of the effects of behavioral weight loss treatment on fibromyalgia symptoms. J Psychosom Res. 2005;59(5):275-82. [Crossref]  [PubMed] 

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