BackgroundStudies show that patients’ biopsychosocial characteristics may be affected by various factors such as inpatient, outpatients, exercise intervention regularly. [1]. No studies have been found to examine this situation in the literature.ObjectivesThe aim of this study was to investigate the biopsychosocial characteristics of patients with rheumatic diseases who were inpatients, outpatients and participated in an exercise intervention regularly.MethodsA total of 105 patients were included in the study (inpatient, outpatient, exercise intervention) (Table 1). For exercise intervention group, BETY as a biopsychosocial exercise model was applied 3 days a week for 3 months [2]. Biopsychosocial characteristics of the patients included in the study were evaluated by BETY- Biopsychosocial Questionnaire (BETY-BQ) [3]. In addition to the total score of BETY-BQ, the same time pain, functionality and fatigue, sexuality, emotional status and socialization subcategory of this questionnaire were evaluated on item basis among each patients.ResultsThe demographics variables and BETY-BQ scores of the patients were shown in Table 1. There were a statistically significant differences among three groups. After post-hoc analysis, it was determined that there is no difference between the BETY-BQ scores of the outpatients and inpatients (p> 0.05), whereas the BETY-BQ scores of the patients who participated in the group exercise were lower (p<0.05). When the items were analyzed, it was found that pain (items 2, 3, 5, and 12), functionality and fatigue (items 6, 7, 11, 26, and 28), emotional status (items 16 and 17), and sleep (item 30) subcategory scores were also lower in patients who participated in BETY programme (p<0.05).Abstract Table 1 Demographic statistics and BETY-BQ scores Inpatient (n= 30) Outpatıent (n= 44) Exercıse ınterventıon (BETY) (n= 31) Female Male Female Male Female Male Gender (%) 61.337.887.212.853.77.4 XSD XSD XSD Age (year) 46.3514.5646.0613.2648.67 11.89 BMI (kg/m2) 24.19 5.1728.98 18.8526.94 3.84 BETY-BQ (0- 120) p XSD XSD XSD 0.027 49.1017.9445.6427.9333.8121.73ConclusionIt is surprising that the biopsychosocial characteristics of the inpatients and outpatients were similar. According to this result, inpatients shouldnt be thought as worse than outpatients. On the other hand, the patients who participated in exercise intervention were improved in terms of biopsychosocial aspects. The positive effects of the BETY program on the biopsychosocial status of individuals have been demonstrated formerly [4]. It was concluded that inpatients should be supported to exercise in terms of their biopsychosocial needs during hospitalization period as well as rheumatic outpatients need.References[1] Saketkoo, L.A. and J.D. Pauling, Qualitative methods to advance care, diagnosis, and therapy in rheumatic diseases. Rheumatic Disease Clinics of North America, 2018.[2] Kisacik, P., et al., Investigating the effects of a multidimensional exercise program on symptoms and antiinflammatory status in female pa...
BackgroundAlthough the trend towards biopsychosocial approaches is increasing today, studies on psychosocial effects of exercise are limited in the literature. There is a need for framed exercise programs to assess the clinical effectiveness of biopsychosocial approaches. The reason why biopsychosocial programs are important may be due to multidimensional features of symptoms such as pain, fatigue.ObjectivesThe purpose of this study is to investigate the effectiveness of the biopsychosocial exercise program on pain coping skill and fatigue in rheumatic patients.MethodsNinety-one patients with the rheumatic disease were included in this study. The patients were divided into two groups based on a prospective cohort (BETY group, n = 56; and control group, n = 35). BETY is a biopsychosocial exercise approach (1). It was performed in a period of one hour, 3 times a week for 12 weeks and included clinical pilates exercises, dance therapy-authentic movement and pain management information. The control group did not take any exercise treatment. The BETY-Biopsychosocial Questionnaire (BETY-BQ) was used to evaluate the pain coping skill and fatigue as well as assessing whole biopsychosocial status of individuals (2). The answers were given to the 5th question (I don’t know how to control my pain.) and the 11th question (I feel tired.) of the BETY-BQ were recorded as a 5-point Likert at ranging from ‘yes, always’ to ‘no, never. Also, the total score of BETY-BQ was recorded. Demographic data were given as mean ± standard deviation (X ± SD), and answers given to the questionnaire were expressed in frequency tables.ResultsThe mean ages of BETY group and control group were 49.63 ± 11 and 39.74 ± 10 years and body mass indexes were 26.93 ± 3 kg/m2 and 26,54 ± 4 kg/m2, respectively. The frequency of answers to the 5th and 11th question and the total score of the BETY-BQ on the first assessment (pre-treatment) and the second assessment (post-treatment) were shown in Table 1.FRI0718HPR Table 1 Comparison of assessment results BETY exercise group Control Group Pre-treatment Post-treatment p Pre-treatment Post-treatment p BETY-BQ (0-120) 54.60±2738.55±25 <0,001 56.51±2453.63±280.221 5th question Yes always (%) 24.17.4 <0,001 28.628.60.734 Yes often (%) 7.43.72014.3 Yes sometimes (%) 25.922.28.617.1 Yes rarely (%) 25.920.417.18.6 No never (%) 16.746.325.731.4 11th question Yes always (%) 33.314.8 <0,001 51.442.90.198 Yes often (%) 25.918.525.722.9 Yes sometimes (%) 25.93711.420 Yes rarely (%) 9.320.45.78.6No never (%)5.69.35.75.7ConclusionIt was concluded that BETY as a biopsychosocial exercise approach is effective in reducing fatigue and improving the pain coping skill as well as the biopsychosocial status of rheumatic patients. BETY should be kept in mind for further studies in terms of biopsychosocial aspects of pain coping, fatigue, etc.References[1] Kisacik, Pinar, et al. ”Investigating the effects of a multidimensional exercise program on symptoms and antiinflammatory status in female patients with ankylosing spondylit...
BackgroundQuality of life, function and emotional status of inpatients with rheumatic diseases may be estimated worse than outpatients. Previous studies had shown that there was a worsening in the emotional state of inpatients (1).ObjectivesThe aim of this study is to compare the quality of life, functional and emotional status in inpatients and outpatients with rheumatic diseases.MethodsThe study included 78 patients (inpatient, n = 31; outpatient, n = 47) with rheumatic disease. The Health Assessment Questionnaire (HAQ) (2) and SF-36 (3) were used to evaluate the functionality and quality of life, and the Hospital Anxiety and Depression Scale (HADS) (4) was used to determine their emotional status. The variables were investigated using visual and analytical methods to determine whether or not they are normally disturbed. Since physical function, mental health and general health perception values of SF-36 and HADS-Anxiety were normally distributed, the Students T-test was used to compare these parameters between two groups. Physical role limitation, pain, social status, emotional difficulty, energy viability of SF-36, HAQ and HADS-Depression were not normally distributed. Thus, Mann-Whitney U test was used to compare these scores between two groups.ResultsThe mean age of the subjects (n = 78) included in the study was 46.09 13.89 years and the mean BMI was 27.59 15.08. There was a significant difference in depression, anxiety and pain and social functioning sub-parameters of SF-36 (p <0.005) but there was no significant difference in other parameters (p> 0.005).Abstract AB1393HPR Table 1 Comparison of the scores of inpatients and outpatientsINPATIENTS (XSD)OUTPATIENTS (XSD)pHAQ0,930,820,890,680,152HADS-Anxiety9,873,88,2150,022HADS-Depression9,935,027,474,340,006SF-36 Physical Function47,9428,4248,3623,810,669SF-36 Physical Role Limitation27,533,727,6336,20,869SF-36 Pain33,6632,2854,0721,420,011SF-36 Social Status39,5828,6355,0627,090,032SF-36 Mental Health6121,862,7316,080,761SF-36 Emotional Difficulty31,1038,0833,3243,830,717SF-36 Energy Vitality30,8320,6343,2820,860,317SF-36 General Health Perception36,1621,6847,4716,150,393ConclusionIt was thought that during the period of admission to the hospital, inpatients should be supported in terms of pain management, social functioning and anxiety and, depression as well as taking medication. Besides, caregivers in hospitals should encourage inpatients with regard to maintaining physical activity.References[1] Lambert, C. M., Hurst, N. P., Forbes, J. F., Lochhead, A., Macleod, M., & Nuki, G. (1998). Is day care equivalent to inpatient care for active rheumatoid arthritis? Randomised controlled clinical and economic evaluation. Bmj, 316(7136), 965-969.[2] Fries JF, Spitz PW, Young DY: The dimensions of health outcomes: the Health Assessment Questionnaire, Disability and Pain Scales. J Rheumatol 9:789-793, 1982[3] Brazier, J. E., Harper, R., Jones, N. M., O’cathain, A., Thomas, K. J., Usherwood, T., & Westlake, L. (1992). Validating the SF-36 health survey questionnaire:...
BackgroundJuvenile idiopathic arthritis (JIA) is a heterogeneous group of diseases characterized by unknown origin arthritis that begins before the age of 16 years (1). Therefore, families are often affected by the disease of children. Parents and children often disagree with assessing different aspects of disease activity in JIA (2).ObjectivesThe aim of this study is to investigate the relationship between children with JIA and their parents’ psychosocial status.MethodsA total of 345 children with JIA and their parents were included in the study (n = 690). Juvenile Arthritis Biopsychosocial Questionnaire (JAB-Q) was administered to the subjects (3). The psychosocial status of the individuals was evaluated by this questionnaires.ResultsThe mean age of children included in the study (n = 345) was 12.32 3.76 years. While the median value of the Child Psychosocial score was 10 (min: 0 max: 38), the median value of the Parent Psychosocial score was 6 (min: 0 max: 20). Correlation coefficients and statistical significance were calculated by using the Pearson test. A positive low correlation was found between the psychosocial status of the child and parents (r = 0.273, p <0.001) (Table 1).Table 1.CorrelationsJAB-Q Child Psychosocial r1,00 0,283 p0,000n345345Parents Psychosocial r 0,283 1,00p0,000n345345ConclusionIt was observed that there was a low relationship between the psychosocial status of children and parents. It was concluded that child and parents psychosocial status may be affected by other variables such as high disease activity, school attendance. Further studies are needed in this area including different variables and interaction psychosocial status.References[1] Prakken, B., Albani, S., & Martini, A. (2011). Juvenile idiopathic arthritis. The Lancet, 377(9783), 2138-2149.[2] Garcia-Munitis P, Bandeira M, Pistorio A, Magni-Manzoni S, Ruperto N, Schivo A, et al. Level of agreement between children, parents, and physicians in rating pain intensity in juvenile idiopathic arthritis. Arthritis Rheum 2006;55:177-83.Disclosure of InterestsNone declared
BackgroundJIA is the most common rheumatic disease in children and may result in significant morbidity with joint deformity, growth disorder, and persistence of active arthritis to adulthood (1). According to the model of biopsychosocial pain, emotions affect the degree of functional impairment (2).ObjectivesThe aim of this study is to investigate the relatıonshıp between the psychosocial and functional status of children with juvenile idiopathic arthritis (JIA).Methods382 children with JIA were included in the study. Individuals were assessed with the Juvenile Arthritis Biopsychosocial Questionnaire (JAB-Q) (3) and Children Health Assessment Questionaire (CHAQ) was applied for functional status (4).ResultsThe mean age of the subjects included in the study (n = 386) was 12.48 ± 3.81 years. The median value of the JAB-Q functional status was 2 (min: 0 max: 34), psychosocial status was 10 (min: 0 max: 38). And the median value of the CHAQ was 0,25 (min: 0 max: 3). Correlation coefficients and statistical significance were calculated by using Pearson’s test. There was a low positive correlation between BETY-BQ functional status and BETY-BQ psychosocial status (r = 0.347, p <0.001), a low positive correlation between CHAQ and BETY-BQ psychosocial status (r = 0.395, p <0.001). There was a good positive correlation between BETY-BQ functional status and CHAQ (r = 0.678, p <0.001) (Table 1).FRI0722HPR Table 1 Comparison of JAB-Q Psychosocial, JAB-Q Function and CHAQ scores of children with JIABETY-BQ PsychosocialBETY-BQ FunctionCHAQBETY-BQ Psychosocialr10,347**0.395**p0.0000.000BETY-BQ Functionr0,346**10.678**p0.0000.000CHAQr0.395**0.678**1p0.0000.000ConclusionThe psychosocial status of children is not affected by functional status. Psychosocial status may be affected by different variables. It was concluded that children should be encouraged to participate in social activities independently their functional problems. Further studies are needed to examine the other variables’ effects on psychosocial status in children with JIA.References[1] Kahn, P. Juvenile idiopathic arthritis: current and future therapies. Bulletin of the NYU hospital for joint diseases, 2009, 67(3), 291-291.[2] Gatchel R, Peng Y, Peters M, Fuchs P, Turk D. The biopsychosocial approach to chronic pain: Scientific advances and future directions, Psychological Bulletin, 2007, vol.1334 (pg.581-624)[3] Unal, Edibe, et al. ”A new biopsychosocial and clinical questionnaire to assess juvenile idiopathic arthritis: JAB-Q.”Rheumatology international2018: 1-8.[4] Singh G, Athreya BH, Fries JF, Goldsmith DP. Measurement of health status in children with juvenile rheumatoid arthritis. Arthritis Rheum1994;37:1761–9.Disclosure of InterestsNone declared
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