Levels of anxiety, depression, and quality of life in patients with fibromyalgia during the COVID-19 pandemic: A cross-sectional study
Öz
Aim: Covid-19 pandemic has been reported to cause increased levels of depression, anxiety and posttraumatic stress disorders in the general population. Fibromyalgia syndrome (FMS) patients may be more inclined to develop these problems because of reduced resilience and coping mechanisms. For this reason, we have aimed to assess FMS patients’ levels of resilience, Obsession with covid-19, anxiety and quality of life and compare these values with controls living in the same household.
Materials and Methods: Patients diagnosed as having FMS according to the ACR 2016 classification criteria and a control subject living in the same household were included in the study. Subjects were asked to fill out an online questionnaire form containing pain level, Short form 36, covid-19 anxiety scale, Obsession with covid scale and resilience scale for adults. Results were compared between the FMS patients and controls.
Results: 39 FMS patients and 39 controls were included in the study. Demographic characteristics were similar between the groups (p>0.05). Subjects with FMS had lower levels of quality of life in addition to worse anxiety and obsession with Covid-19 scores (p<0.05). Surprisingly, most subsections of the resilience scale for adults were not significantly different between the groups (p>0.05), except for structured style subsection (p<0.05).
Conclusion: Patients with FMS are affected more negatively psychologically than controls during the Covid-19 pandemic. Regular follow up visits, whether face to face or through telemedicine should include assessment for pandemic related anxiety and obsession may help control pain and other FMS symptoms.
Anahtar Kelimeler
Etik Beyan
Etik kurul onayımız yüklenmiştir
Destekleyen Kurum
Çalışmamız EÜTF hastanesinde yürütülmüştür, herhangi bir maddi destek alınmamıştır
Kaynakça
- Johns Hopkins University of Medicine Coronavirus Resource Center. Johns Hopkins Coronavirus Resource Center [Internet]. [cited 2022 Jun 5]. COVID-19 Map. Available from: https://coronavirus.jhu.edu/map.html
- Mazza MG, De Lorenzo R, Conte C, Poletti S, Vai B, Bollettini I, et al. Anxiety and depression in COVID-19 survivors: Role of inflammatory and clinical predictors. Brain Behav Immun. 2020 Oct;89:594–600.
- Qiu J, Shen B, Zhao M, Wang Z, Xie B, Xu Y. A nationwide survey of psychological distress among Chinese people in the COVID-19 epidemic: implications and policy recommendations. Gen Psychiatr. 2020;33(2):e100213.
- Li S, Wang Y, Xue J, Zhao N, Zhu T. The Impact of COVID-19 Epidemic Declaration on Psychological Consequences: A Study on Active Weibo Users. Int J Environ Res Public Health. 2020 Mar 19;17(6):E2032.
- Di Tella M, Ghiggia A, Tesio V, Romeo A, Colonna F, Fusaro E, et al. Pain experience in Fibromyalgia Syndrome: The role of alexithymia and psychological distress. J Affect Disord. 2017 Jan 15;208:87–93.
- Galvez-Sánchez CM, Montoro CI, Duschek S, Del Paso GAR. Pain catastrophizing mediates the negative influence of pain and trait-anxiety on health-related quality of life in fibromyalgia. Qual Life Res. 2020 Jul;29(7):1871–81.
- Cankurtaran D, Tezel N, Ercan B, Yildiz SY, Akyuz EU. The effects of COVID-19 fear and anxiety on symptom severity, sleep quality, and mood in patients with fibromyalgia: a pilot study. Adv Rheumatol. 2021 Jun 30;61(1):41.
- Bacon AM, White L, Norman A. Coping with fibromyalgia during the COVID-19 pandemic: adjustment and wellbeing. Psychol Health. 2021 Dec 13;1–16.
- Aloush V, Gurfinkel A, Shachar N, Ablin JN, Elkana O. Physical and mental impact of COVID-19 outbreak on fibromyalgia patients. Clin Exp Rheumatol. 2021 Jun;39 Suppl 130(3):108–14.
- Batres-Marroquín AB, Medina-García AC, Vargas Guerrero A, Barrera-Villalpando MI, Martínez-Lavín M, Martínez-Martínez LA. Effect of COVID-19 Pandemic Lockdown on Fibromyalgia Symptoms. J Clin Rheumatol. 2022 Jan 1;28(1)289–91.
- 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 Dec;46(3):319–29.
- Kocyigit H, Aydemir O, Fisek G, Olmez N, Memis A. Validity and reliability of Turkish version of Short form 36: A study of a patients with romatoid disorder. Drug Therapy. 1999 Jan 1;12:102–6.
- Oswald J, Salemi S, Michel BA, Sprott H. Use of the Short-Form-36 Health Survey to detect a subgroup of fibromyalgia patients with psychological dysfunction. Clin Rheumatol. 2008 Jul;27(7):919–21.
- Lee SA. Coronavirus Anxiety Scale: A brief mental health screener for COVID-19 related anxiety. Death Stud. 2020;44(7):393–401.
- Hançerli̇oğlu S, Özel F, Konakçi G. Validity and reliability of the coronavirus anxiety scale: Turkish adaptation for nurses. Ege J Med. 2021 Jun 30;60(2):99–104.
- Lee SA. How much “Thinking” about COVID-19 is clinically dysfunctional? Brain Behav Immun. 2020 Jul;87:97–8.
- Kurt M, Çakmak C, Biçer I. Validation of the Turkish version of the obsession with Covid-19 scale (OCS). Ann Clin Anal Med. 2021 12(4), 390-94.
- Morote R, Hjemdal O, Martinez Uribe P, Corveleyn J. Psychometric properties of the Resilience Scale for Adults (RSA) and its relationship with life-stress, anxiety and depression in a Hispanic Latin-American community sample. PLoS One. 2017 Nov 10;12(11):e0187954.
- Basim H, Cetin F. Yetiskinler için psikolojik dayaniklilik olcegi’nin guvenilirlik ve gecerlilik calismasi. Turk Psikiyatri Derg. 2011;22(2):104–14.
- Ayed N, Toner S, Priebe S. Conceptualizing resilience in adult mental health literature: A systematic review and narrative synthesis. Psychol Psychother. 2019 Sep;92(3):299–341.
- Casale R, Sarzi-Puttini P, Botto R, Alciati A, Batticciotto A, Marotto D, et al. Fibromyalgia and the concept of resilience. Clin Exp Rheumatol. 2019 Feb;37 Suppl 116(1):105–13.
- Akay E, Senormanci O, Eroksuz R, Senormanci G, Demirci O. The effect of psychopathology on quality of life and disability in patients with fibromyalgia. The European Research Journal. 2022;8(1):103–10.
- Chinn S, Caldwell W, Gritsenko K. Fibromyalgia Pathogenesis and Treatment Options Update. Curr Pain Headache Rep. 2016 Apr;20(4):25.
- Bidonde J, Busch AJ, Webber SC, Schachter CL, Danyliw A, Overend TJ, et al. Aquatic exercise training for fibromyalgia. Cochrane Database Syst Rev. 2014 Oct 28;2014(10):CD011336.
- Busch AJ, Barber KAR, Overend TJ, Peloso PMJ, Schachter CL. Exercise for treating fibromyalgia syndrome. Cochrane Database of Systematic Reviews. 2007;(4):CD003786.
- Cejudo J, García-Castillo FJ, Luna P, Rodrigo-Ruiz D, Feltrero R, Moreno-Gómez A. Using a Mindfulness- Based Intervention to Promote Subjective Well-Being, Trait Emotional Intelligence, Mental Health, and
- Resilience in Women With Fibromyalgia. Front Psychol. 2019 Nov 14;10:2541.
- Izquierdo-Alventosa R, Inglés M, Cortés-Amador S, Gimeno-Mallench L, Chirivella-Garrido J, Kropotov J, et al. Low-Intensity Physical Exercise Improves Pain Catastrophizing and Other Psychological and Physical Aspects in Women with Fibromyalgia: A Randomized Controlled Trial. Int J Environ Res Public Health. 2020 May 21;17(10):E3634.
- Borchers AT, Gershwin ME. Fibromyalgia: A Critical and Comprehensive Review. Clin Rev Allergy Immunol. 2015 Oct;49(2):100–51.
COVID-19 pandemisi sürecinde fibromiyalji sendromlu hastalarda kaygı düzeyi, depresyon ve yaşam kalitesinin değerlendirilmesi, kesitsel çalışma
Öz
Amaç: Kovid-19 pandemisi sürecinde hem hastalık korkusu hem de sosyal izolasyon nedeni ile kronik ağrısı olan bireylerde sosyal izolasyonun ağrı düzeyleri üzerine de olumsuz etkileri olduğu gösterilmiştir (Hruschak 2021). Bir kronik yaygın ağrı sendromu olan Fibromiyalji hastalarında da sosyal izolasyon nedeni ile anksiyete ve depresyon üzerine olumsuz etkiler olduğu bildirilmiştir (Aloush 2021). Bu bulgulardan yola çıkarak, bu çalışmada, fibromiyalji hastalarının pandemi sürecindeki anksiyete ve depresyon düzeylerinin değerlendirilmesi ve kontroller ile karşılaştırılması amaçlanmıştır.
Gereç ve yöntem: Çalışmaya her iki grupta 35 gönüllü olacak şekilde toplam 70 hasta dahil edilmesi planlanmıştır. Fibromiyalji grubuna 2015 Amerikan Romatoloji Birliği kriterlerine göre fibromiyalji sendromu kriterlerini karşılayan ve polikliniğimizden takipli olan hastalar dahil edilmiş, kontrol grubuna ise fibromiyalji hastaları ile aynı evde yaşayan birinci derece yakınları dahil edilmiştir. Hastaların demografik özellikleri, Covid-19 geçirip geçirmedikleri, yakın çevrelerinden Covid-19 geçiren olup olmadığı, mevcut ağrı düzeyleri, yaygın ağrı ölçeği ve semptom şiddeti skalası değerleri kaydedilmiştir. Ayrıca yaşam kalitesinin değerlendirilmesi amacı ile katılımcılardan Kısa form 36 (SF36), pandemiden etkilenme düzeylerini değerlendirmek amacı ile de Koronavirüs endişe anketi (KEA), Koronavirüs takıntı anketi (KTA), dayanıklılık düzeylerinin değerlendirilmesi amacı ile Yetişkinler için psikolojik dayanıklılık ölçeğini doldurmaları istenmiştir. Demografik ve hastalık özelliklerinin değerlendirilmesinde tanımlayıcı istatistikler, kategorik verilerin dağılımının değerlendirilmesi amacı ile ki-kare testi, nümerik verilerin gruplar arası karşılaştırılması için bağımsız örneklem t-testi uygulanmıştır. Bulgular: 39 fibromiyalji hastası ve 39 kontrol katılımcı çalışmaya alınmıştır. Hastaların %71,8’i kadın, kontrol grubunun %50’si kadındır ve gruplar arasında cinsiyet açısından anlamlı fark mevcuttur (p<0,05). Yaş, medeni durum, ek hastalık varlığı ve çalışma durumu açısından gruplar arasında anlamlı fark saptanmamıştır (p>0,05). SF36 ölçeğinin tüm alt gruplarında, fibromiyalji hastalarında kontrollere oranla anlamlı daha kötü skorlar saptanmıştır (p<0,05). Covid endişe, covid takıntı ve psikolojik dayanıklılık skorları da fibromiyalji tanılı hastalarda, kendileri ile aynı evde yaşayan kontrollere oranla anlamlı daha kötü saptanmıştır (p<0,05). Sonuç: Fibromiyalji hastalarında sağlıklı bireylere oranla yaşam kalitesi ve anksiyete düzeylerinin daha kötü olduğu bildirilmiştir (Baxter, 2014). Çalışmamızın bulguları, fibromiyalji hastalarının Kovid-19 pandemisi sırasında anksiyete ve yaşam kalitesi düzeylerinin daha kötü seyrettiğini göstermektedir. Aynı zamanda fibromiyaljili bireylerde Covid-19’a dair hasta olma korku ve takıntısının da kontrollere oranla daha yüksek olması, fibromiyaljik bireylerde fonksiyonel kayıpları şiddetlendirebilir. Kovid-19 pandemisinin devam ettiği süreçte, fibromiyalji hastalarına bakım veren hekimlerin bu endişe ve takıntı düzeylerini de değerlendirmesi ve gerektiği durumlarda bu endişelere yönelik psikolojik destek sağlanması, hastaların hem anksiyete düzeylerinde azalmaya hem de primer ağrı kontrolüne yardımcı olabilir.
Anahtar Kelimeler
Kaynakça
- Johns Hopkins University of Medicine Coronavirus Resource Center. Johns Hopkins Coronavirus Resource Center [Internet]. [cited 2022 Jun 5]. COVID-19 Map. Available from: https://coronavirus.jhu.edu/map.html
- Mazza MG, De Lorenzo R, Conte C, Poletti S, Vai B, Bollettini I, et al. Anxiety and depression in COVID-19 survivors: Role of inflammatory and clinical predictors. Brain Behav Immun. 2020 Oct;89:594–600.
- Qiu J, Shen B, Zhao M, Wang Z, Xie B, Xu Y. A nationwide survey of psychological distress among Chinese people in the COVID-19 epidemic: implications and policy recommendations. Gen Psychiatr. 2020;33(2):e100213.
- Li S, Wang Y, Xue J, Zhao N, Zhu T. The Impact of COVID-19 Epidemic Declaration on Psychological Consequences: A Study on Active Weibo Users. Int J Environ Res Public Health. 2020 Mar 19;17(6):E2032.
- Di Tella M, Ghiggia A, Tesio V, Romeo A, Colonna F, Fusaro E, et al. Pain experience in Fibromyalgia Syndrome: The role of alexithymia and psychological distress. J Affect Disord. 2017 Jan 15;208:87–93.
- Galvez-Sánchez CM, Montoro CI, Duschek S, Del Paso GAR. Pain catastrophizing mediates the negative influence of pain and trait-anxiety on health-related quality of life in fibromyalgia. Qual Life Res. 2020 Jul;29(7):1871–81.
- Cankurtaran D, Tezel N, Ercan B, Yildiz SY, Akyuz EU. The effects of COVID-19 fear and anxiety on symptom severity, sleep quality, and mood in patients with fibromyalgia: a pilot study. Adv Rheumatol. 2021 Jun 30;61(1):41.
- Bacon AM, White L, Norman A. Coping with fibromyalgia during the COVID-19 pandemic: adjustment and wellbeing. Psychol Health. 2021 Dec 13;1–16.
- Aloush V, Gurfinkel A, Shachar N, Ablin JN, Elkana O. Physical and mental impact of COVID-19 outbreak on fibromyalgia patients. Clin Exp Rheumatol. 2021 Jun;39 Suppl 130(3):108–14.
- Batres-Marroquín AB, Medina-García AC, Vargas Guerrero A, Barrera-Villalpando MI, Martínez-Lavín M, Martínez-Martínez LA. Effect of COVID-19 Pandemic Lockdown on Fibromyalgia Symptoms. J Clin Rheumatol. 2022 Jan 1;28(1)289–91.
- 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 Dec;46(3):319–29.
- Kocyigit H, Aydemir O, Fisek G, Olmez N, Memis A. Validity and reliability of Turkish version of Short form 36: A study of a patients with romatoid disorder. Drug Therapy. 1999 Jan 1;12:102–6.
- Oswald J, Salemi S, Michel BA, Sprott H. Use of the Short-Form-36 Health Survey to detect a subgroup of fibromyalgia patients with psychological dysfunction. Clin Rheumatol. 2008 Jul;27(7):919–21.
- Lee SA. Coronavirus Anxiety Scale: A brief mental health screener for COVID-19 related anxiety. Death Stud. 2020;44(7):393–401.
- Hançerli̇oğlu S, Özel F, Konakçi G. Validity and reliability of the coronavirus anxiety scale: Turkish adaptation for nurses. Ege J Med. 2021 Jun 30;60(2):99–104.
- Lee SA. How much “Thinking” about COVID-19 is clinically dysfunctional? Brain Behav Immun. 2020 Jul;87:97–8.
- Kurt M, Çakmak C, Biçer I. Validation of the Turkish version of the obsession with Covid-19 scale (OCS). Ann Clin Anal Med. 2021 12(4), 390-94.
- Morote R, Hjemdal O, Martinez Uribe P, Corveleyn J. Psychometric properties of the Resilience Scale for Adults (RSA) and its relationship with life-stress, anxiety and depression in a Hispanic Latin-American community sample. PLoS One. 2017 Nov 10;12(11):e0187954.
- Basim H, Cetin F. Yetiskinler için psikolojik dayaniklilik olcegi’nin guvenilirlik ve gecerlilik calismasi. Turk Psikiyatri Derg. 2011;22(2):104–14.
- Ayed N, Toner S, Priebe S. Conceptualizing resilience in adult mental health literature: A systematic review and narrative synthesis. Psychol Psychother. 2019 Sep;92(3):299–341.
- Casale R, Sarzi-Puttini P, Botto R, Alciati A, Batticciotto A, Marotto D, et al. Fibromyalgia and the concept of resilience. Clin Exp Rheumatol. 2019 Feb;37 Suppl 116(1):105–13.
- Akay E, Senormanci O, Eroksuz R, Senormanci G, Demirci O. The effect of psychopathology on quality of life and disability in patients with fibromyalgia. The European Research Journal. 2022;8(1):103–10.
- Chinn S, Caldwell W, Gritsenko K. Fibromyalgia Pathogenesis and Treatment Options Update. Curr Pain Headache Rep. 2016 Apr;20(4):25.
- Bidonde J, Busch AJ, Webber SC, Schachter CL, Danyliw A, Overend TJ, et al. Aquatic exercise training for fibromyalgia. Cochrane Database Syst Rev. 2014 Oct 28;2014(10):CD011336.
- Busch AJ, Barber KAR, Overend TJ, Peloso PMJ, Schachter CL. Exercise for treating fibromyalgia syndrome. Cochrane Database of Systematic Reviews. 2007;(4):CD003786.
- Cejudo J, García-Castillo FJ, Luna P, Rodrigo-Ruiz D, Feltrero R, Moreno-Gómez A. Using a Mindfulness- Based Intervention to Promote Subjective Well-Being, Trait Emotional Intelligence, Mental Health, and
- Resilience in Women With Fibromyalgia. Front Psychol. 2019 Nov 14;10:2541.
- Izquierdo-Alventosa R, Inglés M, Cortés-Amador S, Gimeno-Mallench L, Chirivella-Garrido J, Kropotov J, et al. Low-Intensity Physical Exercise Improves Pain Catastrophizing and Other Psychological and Physical Aspects in Women with Fibromyalgia: A Randomized Controlled Trial. Int J Environ Res Public Health. 2020 May 21;17(10):E3634.
- Borchers AT, Gershwin ME. Fibromyalgia: A Critical and Comprehensive Review. Clin Rev Allergy Immunol. 2015 Oct;49(2):100–51.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Romatoloji ve Artrit |
| Bölüm | Araştırma Makaleleri |
| Yazarlar | |
| Yayımlanma Tarihi | 12 Mart 2025 |
| Gönderilme Tarihi | 20 Ocak 2025 |
| Kabul Tarihi | 31 Ocak 2025 |
| Yayımlandığı Sayı | Yıl 2025Cilt: 64 Sayı: 1 |
