Fri0718-Hpr the Effect of the Biopsychosocial Exercise Program on Pain Coping Skill and Fatigue in Rheumatic Diseases

Abstract

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...