.: ORİJİNAL ARAŞTIRMA
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
Turkiye Klinikleri J Med Sci.2020;40(2):154-60
doi: 10.5336/medsci.2019-72278
Makale Dili: EN
Tam Metin
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
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
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
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