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AB1450-HPR Comparison of biopsychosocial status of rheumatoid arthritis and fibromyalgia patients

ANNALS OF THE RHEUMATIC DISEASES(2018)

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Abstract
Background Rheumatic diseases have biopsychosocial effects on individiuals.1 This affection includes the combination of anxiety, depression, and participation in daily living activities. It can be thought that individuals can be affected from different diseases in different ways. Objectives The aim of this study is to compare the biopsychosocial status of patients with Rheumatoid Arthritis (RA) and Fibromyalgia (FMS). Methods Individuals diagnosed with Rheumatoid Arthritis (RA) and Fibromyalgia (FMS) who applied to the Rheumatology Department of the Medical Faculty of Hacettepe University were included in the study. After the demographic characteristics of the individuals were recorded; daily living activities were assessed with the Health Assessment Questionnaire (HAQ), quality of life with Short Form 36 (SF-36) scale, anxiety and depression levels with Hospital Anxiety and Depression Scale (HADS) and disease related biopsychosocial status with the Cognitive Exercise Therapy Approach Scale (BETY) which is a newly developed scale in rheumatic patients (the authors request that the abbreviation stay as “BETY” as the original in Turkish).2 Results 120 RA and 99 FMS patients were included in the study. The scores of individuals on scales are shown in Table 1. When analysed in terms of differences according to RA and FMS, the anxiety and depression scores of the HADS scale and the SF-36 quality of life scale of the individuals were found to differ between the Physical Functioning, Social Functioning, General Mental Health, Role Limitations Due to Emotional Problems, Vitality Energy or Fatigue and General Health Perception subparametric scores. Conclusions Physical function, mental health, emotional role strength, energy vitality and general health perception, anxiety and depression levels in RA patients were found to be better than FMS patients. The activities of daily living were thought to be unaffected by the changing parameters of pain and biopsychosocial status. References [1] van Middendorp H, Evers AWM. The role of psychological factors in inflammatory rheumatic diseases: From burden to tailored treatment. Best Practice & Research Clinical Rheumatology. 2016;30(5):932–45. [2] Unal E, Arin G, Karaca Nb, Kiraz S, Akdogan A, Kalyoncu U, et al. Romatizmali hastalar icin bir yasam kalitesi olceginin gelistirilmesi: madde havuzunun olusturulmasi. Journal of Exercise Therapy and Rehabilitation. 2017;4(2):67–75. Disclosure of Interest None declared
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Key words
biopsychosocial status,rheumatoid arthritis
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