Physical Activity, Kinesiophobia, Pain Catastrophizing, Body Awareness, Depression and Disease Activity in Patients With Ankylosing Spondylitis and Rheumatoid Arthritis: A Cross-Sectional Explorative Study.

IF 1.5 Q3 RHEUMATOLOGY Musculoskeletal Care Pub Date : 2024-12-01 DOI:10.1002/msc.1953
Nur Banu Karaca, Gamze Arin-Bal, Serdar Sezer, Ayse Bahar Kelesoglu Dincer, Gulay Kinikli, Carina Boström, Gizem Irem Kinikli
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Abstract

Objective/aim: The aim was to compare the levels of physical activity, kinesiophobia, pain catastrophizing, body awareness, and depression in patients with Ankylosing Spondylitis (AS) and Rheumatoid Arthritis (RA) and to explore the associations between these outcomes and disease activity.

Methods: Seventy-eight patients with AS (n = 30) and RA (n = 48) were included. Outcomes were assessed using the International Physical Activity Questionnaire-Short Form, the Tampa Scale of Kinesiophobia, the Pain Catastrophizing Scale, the Body Awareness Questionnaire, and the Beck Depression Inventory. Disease activity levels were determined using the Bath Ankylosing Spondylitis Disease Activity Index for AS and the Disease Activity Score 28 score for RA.

Results: AS patients were younger, had a higher proportion of men, and were more physically active than RA patients (p < 0.05). Both groups exhibited high levels of kinesiophobia but low levels of pain catastrophizing, similar body awareness and mild depression scores. Moderate correlations (r ≥ 0.5) were observed between kinesiophobia and depression, body awareness and pain catastrophizing and depression, and pain catastrophizing and disease activity in AS patients. In RA patients, moderate correlations (r ≥ 0.5) were found between kinesiophobia and pain catastrophizing.

Conclusion: Addressing physical activity, kinesiophobia, pain catastrophizing, body awareness, and depression is important in managing AS and RA patients. Notably, correlations among outcomes differed between groups, with more significant correlations in AS. Further studies are needed to explore these in greater detail.

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强直性脊柱炎和类风湿性关节炎患者的体育锻炼、运动恐惧、疼痛灾难化、身体意识、抑郁和疾病活动:一项横断面探索性研究。
目的:该研究旨在比较强直性脊柱炎(AS)和类风湿性关节炎(RA)患者的体力活动、运动恐惧、疼痛灾难化、身体意识和抑郁水平,并探讨这些结果与疾病活动之间的关联:方法:共纳入 78 名强直性脊柱炎患者(30 人)和类风湿性关节炎患者(48 人)。方法:纳入 78 名强直性脊柱炎和风湿性关节炎患者(30 人 = 48 人),使用国际体力活动问卷简表、坦帕运动恐惧症量表、疼痛灾难化量表、身体意识问卷和贝克抑郁量表对结果进行评估。强直性脊柱炎患者的疾病活动指数采用巴斯强直性脊柱炎疾病活动指数,而风湿性关节炎患者的疾病活动指数则采用28分:强直性脊柱炎患者比 RA 患者更年轻,男性比例更高,身体活动量更大(P在管理强直性脊柱炎和风湿性关节炎患者时,解决体力活动、运动恐惧、疼痛灾难化、身体意识和抑郁等问题非常重要。值得注意的是,各组之间的结果相关性有所不同,AS 患者的相关性更为显著。还需要进一步的研究来更详细地探讨这些问题。
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来源期刊
Musculoskeletal Care
Musculoskeletal Care RHEUMATOLOGY-
CiteScore
2.30
自引率
7.70%
发文量
88
期刊介绍: Musculoskeletal Care is a peer-reviewed journal for all health professionals committed to the clinical delivery of high quality care for people with musculoskeletal conditions and providing knowledge to support decision making by professionals, patients and policy makers. This journal publishes papers on original research, applied research, review articles and clinical guidelines. Regular topics include patient education, psychological and social impact, patient experiences of health care, clinical up dates and the effectiveness of therapy.
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