The relationship between physical activity and pain, interoceptive awareness, and personal well-being in women with fibromyalgia: A cross-sectional study
Öz
Aim: In this study, the effect of physical activity level on pain, interoceptive awareness, and personal well-being in women with fibromyalgia was investigated.
Methods: Fifty female patients diagnosed with fibromyalgia syndrome who applied to the physical medicine and rehabilitation outpatient clinic were evaluated as follows: Demographics (age, occupational status, and body mass index (BMI)) were recorded, pain levels were evaluated with visual analog scale (VAS), physical activity levels were evaluated with the international physical activity questionnaire (IPAQ), personal well-being were evaluated with the personal well-being index adult form (PWI-A) and interoceptive awareness were evaluated with multidimensional assessment of interoceptive awareness (MAIA).
Results: The mean age of the participants was 50.96±8.35, and the mean BMI was 27.74±4.01. Fifty-four % of the participants had low physical activity levels and 46% had moderate physical activity levels. The mean MAIA total score was 19.44±3.73 and the mean VAS was 6.32±1.69. In correlation analysis, a large negative statistically significant relationship between VAS and PWI-A (p<0.001, r=-0.780), VAS and all subscores and total scores of MAIA (p<0.001) except no relationship with not distracting (p>0.05) and moderate positive relationship with noticing scores (p<0.01, r=0.380) was found. Large positive statistically significant relationship between IPAQ and PWI-A (p<0.001, r=0.755), IPAQ and all subscores and total scores of MAIA (p<0.001) except no relationship with not distracting (p>0.05) and moderate negative relationship with noticing scores (p<0.001, r=-0.489) and large negative relationship between IPAQ and VAS (p<0.001, r=-0.796) was found.
Conclusion: Interoceptive awareness is impaired in women with fibromyalgia. Decreased interoceptive awareness and well-being are closely associated with physical activity levels. Regular exercise and optimal physical activity may increase interoceptive awareness and improve the quality of life in fibromyalgia.
Anahtar Kelimeler
Kaynakça
- Walitt B, Katz RS, Bergman MJ, Wolfe F. Three-Quarters of Persons in the US Population Reporting a Clinical Diagnosis of Fibromyalgia Do Not Satisfy Fibromyalgia Criteria: The 2012 National Health Interview Survey. PLoS One. 2016;11(6):e0157235.
- Bellato E, Marini E, Castoldi F, et al. Fibromyalgia syndrome: etiology, pathogenesis, diagnosis, and treatment. Pain Res Treat. 2012;2012:426130.
- Dragesund T, Ljunggren AE, Kvåle A, Strand LI. Body Awareness Rating Questionnaire – Development of a self-administered questionnaire for patients with long-lasting musculoskeletal and psychosomatic disorders. Adv Phys. 2010;12:87-94.
- Pisella L, Havé L, Rossetti Y. Body awareness disorders: dissociations between body-related visual and somatosensory information. Brain. 2019;142(8):2170-3.
- Onieva-Zafra MD, Parra-Fernández ML, Fernandez-Martinez E. Benefits of a Home Treatment Program Using Guided Imagery Relaxation Based on Audio Recordings for People With Fibromyalgia. Holist Nurs Pract. 2019;33(2):111-20.
- Hassett AL, Gevirtz RN. Nonpharmacologic treatment for fibromyalgia: patient education, cognitive-behavioral therapy, relaxation techniques, and complementary and alternative medicine. Rheum Dis Clin North Am. 2009;35(2):393-407.
- The World Health Organization Quality of Life assessment (WHOQOL): position paper from the World Health Organization. Soc Sci Med. 1995;41(10):1403-9.
- Campos RP, Vázquez Rodríguez MI. Health-related quality of life in women with fibromyalgia: clinical and psychological factors associated. Clin Rheumatol. 2012;31(2):347-55.
- Homann D, Stefanello JM, Góes SM, Breda CA, Paiva Edos S, Leite N. Stress perception and depressive symptoms: functionality and impact on the quality of life of women with fibromyalgia. Rev Bras Reumatol. 2012;52(3):319-30.
- Penny KI, Purves AM, Smith BH, Chambers WA, Smith WC. Relationship between the chronic pain grade and measures of physical, social and psychological well-being. Pain. 1999;79(2-3):275-9.
- Schleicher H, Alonso C, Shirtcliff EA, Muller D, Loevinger BL, Coe CL. In the Face of Pain: The Relationship between Psychological Well-Being and Disability in Women with Fibromyalgia. Psychother Psychosom.. 2005;74(4):231-9.
- Culos-Reed SN, Brawley LR. Fibromyalgia, physical activity, and daily functioning: the importance of efficacy and health-related quality of life. Arthritis Care Res. 2000;13(6):343-51.
- Tüzün EH, Albayrak G, Eker L, Sözay S, Daşkapan A. A comparison study of quality of life in women with fibromyalgia and myofascial pain syndrome. Disabil Rehabil. 2004;26(4):198-202.
- Soriano-Maldonado A, Ruiz JR, Aparicio VA, et al. Association of Physical Fitness With Pain in Women With Fibromyalgia: The al-Ándalus Project. Arthritis Care Res (Hoboken). 2015;67(11):1561-70.
- Estévez-López F, Gray CM, Segura-Jiménez V, et al. Independent and combined association of overall physical fitness and subjective well-being with fibromyalgia severity: the al-Ándalus project. Qual Life Res. 2015;24(8):1865-73.
- Lee PH, Macfarlane DJ, Lam TH, Stewart SM. Validity of the International Physical Activity Questionnaire Short Form (IPAQ-SF): a systematic review. Int J Behav Nutr Phys Act. 2011;8:115.
- Gallagher EJ, Liebman M, Bijur PE. Prospective validation of clinically important changes in pain severity measured on a visual analog scale. Ann Emerg Med. 2001;38(6):633-8.
- Meral BF. Psychometric properties of Turkish form of the Personal Well-Being Index-Adult. . The Journal of Happiness&Well-Being 2014;2(2):119-31.
- Özpinar S, Dunder E, Demir Y, Akyol M. Multidimensional assessment of interoceptive awareness (MAIA 2): psychometric properties of the Turkish version. Journal of Health Sciences and Medicine. 2021;4:132-6.
- Valenzuela-Moguillansky C, Reyes-Reyes A, Gaete MI. Exteroceptive and Interoceptive Body-Self Awareness in Fibromyalgia Patients. Front Hum Neurosci. 2017;11:117.
- Duschek S, Montoro CI, Reyes Del Paso GA. Diminished Interoceptive Awareness in Fibromyalgia Syndrome. Behav Med. 2017;43(2):100-7.
- Borg C, Chouchou F, Dayot-Gorlero J, et al. Pain and emotion as predictive factors of interoception in fibromyalgia. J Pain Res. 2018;11:823-835.
- Valenzuela Moguillansky C. Pain and Body Awareness An Exploration of the Bodily Experience of Persons Suffering from Fibromyalgia Constr. Found. 2013;8:339.
- Calsius J, Courtois I, Stiers J, De Bie J. How Do Fibromyalgia Patients With Alexithymia Experience Their Body? A Qualitative Approach. SAGE Open. 2015;5(1):2158244015574631.
- Hillman CH, Erickson KI, Kramer AF. Be smart, exercise your heart: exercise effects on brain and cognition. Nat Rev Neurosci. 2008;9(1):58-65.
- Sharma A, Madaan V, Petty FD. Exercise for mental health. Prim Care Companion J Clin Psychiatry. 2006;8(2):106.
- Mahindru A, Patil P, Agrawal V. Role of Physical Activity on Mental Health and Well-Being: A Review. Cureus. 2023;15(1):e33475.
- Koçyiğit BF, Akaltun MS. Kinesiophobia Levels in Fibromyalgia Syndrome and the Relationship Between Pain, Disease Activity, Depression. Arch Rheumatol. 2020;35(2):214-9.
- Fox KR. The physical self: From motivation to well-being. Champaign, IL: Human Kinetics; 1997.
- Gaddad P, Pemde HK, Basu S, Dhankar M, Rajendran S. Relationship of physical activity with body image, self esteem sedentary lifestyle, body mass index and eating attitude in adolescents: A cross-sectional observational study. J Family Med Prim Care. 2018;7(4):775-9.
- Bravo C, Skjaerven LH, Espart A, Guitard Sein-Echaluce L, Catalan-Matamoros D. Basic Body Awareness Therapy in patients suffering from fibromyalgia: A randomized clinical trial. Physiother Theory Pract. 2019;35(10):919-29.
- Courtois I, Cools F, Calsius J. Effectiveness of body awareness interventions in fibromyalgia and chronic fatigue syndrome: a systematic review and meta-analysis. J Bodyw Mov Ther. 2015;19(1):35-56.
Fibromiyaljili kadınlarda fiziksel aktivite ile ağrı, interoseptif farkındalık ve kişisel iyi oluş arasındaki ilişki: Kesitsel çalışma
Öz
Amaç: Bu çalışmada, fibromiyaljili kadınlarda fiziksel aktivite düzeyinin ağrı, interoseptif farkındalık ve kişisel iyilik hali üzerindeki etkisi araştırıldı.
Yöntemler: Fiziksel Tıp ve Rehabilitasyon polikliniğine başvuran fibromiyalji sendromu tanılı 50 kadın hasta şu şekilde değerlendirildi: Demografik veriler (yaş, mesleki durum ve vücut kitle indeksi (VKİ)) kaydedildi, ağrı vizüel analog skala (VAS) ile değerlendirildi, fiziksel aktivite düzeyleri uluslararası fiziksel aktivite anketi (IPAQ) ile, kişisel iyi oluş kişisel iyi oluş indeksi yetişkin formu (PWI-A) ile ve interoseptif farkındalık çok boyutlu bedensel farkındalık değerlendirmesi (MAIA) ile değerlendirildi.
Bulgular: Katılımcıların ortalama yaşı 50.96±8.35, ortalama BMI 27.74±4.01 idi. Katılımcıların %54ü düşük fiziksel aktivite düzeyine, %46’sı orta fiziksel aktivite düzeyine sahipti. MAIA total skor ortalaması 19.44±3.73, ortalama VAS 6.32±1.69du. Korelasyon analizinde, VAS ile PWI-A (p<0.001, r=-0.780), VAS ve MAIA’nın not distracting (p>0.05) ile anlamlı ilişki olmaması ve noticing puanları ile orta düzeyde pozitif ilişki (p<0.01, r=0.380) haricindeki tüm alt skorları ve toplam skor arasında (p<0.001) büyük negatif istatistiksel olarak anlamlı ilişki bulundu bulundu. IPAQ ile PWI-A (p<0.001, r=0.755), IPAQ ve MAIA’nın not distracting ile anlamlı ilişki olmaması (p>0.05) ve noticing skoru ile orta düzeyde negatif ilişki (p<0.001, r=-0.489) dışında, tüm alt skorları ve toplam skor (p<0.001) arasında, büyük pozitif istatistiksel olarak anlamlı ilişki ve IPAQ ile VAS arasında büyük negatif ilişki (p<0.001, r=-0.796) saptandı.
Sonuç: Fibromiyaljili kadınlarda interoseptif farkındalık bozulmuştur. Azalmış interoseptif farkındalık ve kişisel iyi oluş, fiziksel aktivite düzeyi ile yakından ilişkilidir. Düzenli egzersiz ve optimal fiziksel aktivite, interoseptif farkındalığı artırabilir ve fibromiyaljide yaşam kalitesini iyileştirebilir.
Anahtar Kelimeler
Kaynakça
- Walitt B, Katz RS, Bergman MJ, Wolfe F. Three-Quarters of Persons in the US Population Reporting a Clinical Diagnosis of Fibromyalgia Do Not Satisfy Fibromyalgia Criteria: The 2012 National Health Interview Survey. PLoS One. 2016;11(6):e0157235.
- Bellato E, Marini E, Castoldi F, et al. Fibromyalgia syndrome: etiology, pathogenesis, diagnosis, and treatment. Pain Res Treat. 2012;2012:426130.
- Dragesund T, Ljunggren AE, Kvåle A, Strand LI. Body Awareness Rating Questionnaire – Development of a self-administered questionnaire for patients with long-lasting musculoskeletal and psychosomatic disorders. Adv Phys. 2010;12:87-94.
- Pisella L, Havé L, Rossetti Y. Body awareness disorders: dissociations between body-related visual and somatosensory information. Brain. 2019;142(8):2170-3.
- Onieva-Zafra MD, Parra-Fernández ML, Fernandez-Martinez E. Benefits of a Home Treatment Program Using Guided Imagery Relaxation Based on Audio Recordings for People With Fibromyalgia. Holist Nurs Pract. 2019;33(2):111-20.
- Hassett AL, Gevirtz RN. Nonpharmacologic treatment for fibromyalgia: patient education, cognitive-behavioral therapy, relaxation techniques, and complementary and alternative medicine. Rheum Dis Clin North Am. 2009;35(2):393-407.
- The World Health Organization Quality of Life assessment (WHOQOL): position paper from the World Health Organization. Soc Sci Med. 1995;41(10):1403-9.
- Campos RP, Vázquez Rodríguez MI. Health-related quality of life in women with fibromyalgia: clinical and psychological factors associated. Clin Rheumatol. 2012;31(2):347-55.
- Homann D, Stefanello JM, Góes SM, Breda CA, Paiva Edos S, Leite N. Stress perception and depressive symptoms: functionality and impact on the quality of life of women with fibromyalgia. Rev Bras Reumatol. 2012;52(3):319-30.
- Penny KI, Purves AM, Smith BH, Chambers WA, Smith WC. Relationship between the chronic pain grade and measures of physical, social and psychological well-being. Pain. 1999;79(2-3):275-9.
- Schleicher H, Alonso C, Shirtcliff EA, Muller D, Loevinger BL, Coe CL. In the Face of Pain: The Relationship between Psychological Well-Being and Disability in Women with Fibromyalgia. Psychother Psychosom.. 2005;74(4):231-9.
- Culos-Reed SN, Brawley LR. Fibromyalgia, physical activity, and daily functioning: the importance of efficacy and health-related quality of life. Arthritis Care Res. 2000;13(6):343-51.
- Tüzün EH, Albayrak G, Eker L, Sözay S, Daşkapan A. A comparison study of quality of life in women with fibromyalgia and myofascial pain syndrome. Disabil Rehabil. 2004;26(4):198-202.
- Soriano-Maldonado A, Ruiz JR, Aparicio VA, et al. Association of Physical Fitness With Pain in Women With Fibromyalgia: The al-Ándalus Project. Arthritis Care Res (Hoboken). 2015;67(11):1561-70.
- Estévez-López F, Gray CM, Segura-Jiménez V, et al. Independent and combined association of overall physical fitness and subjective well-being with fibromyalgia severity: the al-Ándalus project. Qual Life Res. 2015;24(8):1865-73.
- Lee PH, Macfarlane DJ, Lam TH, Stewart SM. Validity of the International Physical Activity Questionnaire Short Form (IPAQ-SF): a systematic review. Int J Behav Nutr Phys Act. 2011;8:115.
- Gallagher EJ, Liebman M, Bijur PE. Prospective validation of clinically important changes in pain severity measured on a visual analog scale. Ann Emerg Med. 2001;38(6):633-8.
- Meral BF. Psychometric properties of Turkish form of the Personal Well-Being Index-Adult. . The Journal of Happiness&Well-Being 2014;2(2):119-31.
- Özpinar S, Dunder E, Demir Y, Akyol M. Multidimensional assessment of interoceptive awareness (MAIA 2): psychometric properties of the Turkish version. Journal of Health Sciences and Medicine. 2021;4:132-6.
- Valenzuela-Moguillansky C, Reyes-Reyes A, Gaete MI. Exteroceptive and Interoceptive Body-Self Awareness in Fibromyalgia Patients. Front Hum Neurosci. 2017;11:117.
- Duschek S, Montoro CI, Reyes Del Paso GA. Diminished Interoceptive Awareness in Fibromyalgia Syndrome. Behav Med. 2017;43(2):100-7.
- Borg C, Chouchou F, Dayot-Gorlero J, et al. Pain and emotion as predictive factors of interoception in fibromyalgia. J Pain Res. 2018;11:823-835.
- Valenzuela Moguillansky C. Pain and Body Awareness An Exploration of the Bodily Experience of Persons Suffering from Fibromyalgia Constr. Found. 2013;8:339.
- Calsius J, Courtois I, Stiers J, De Bie J. How Do Fibromyalgia Patients With Alexithymia Experience Their Body? A Qualitative Approach. SAGE Open. 2015;5(1):2158244015574631.
- Hillman CH, Erickson KI, Kramer AF. Be smart, exercise your heart: exercise effects on brain and cognition. Nat Rev Neurosci. 2008;9(1):58-65.
- Sharma A, Madaan V, Petty FD. Exercise for mental health. Prim Care Companion J Clin Psychiatry. 2006;8(2):106.
- Mahindru A, Patil P, Agrawal V. Role of Physical Activity on Mental Health and Well-Being: A Review. Cureus. 2023;15(1):e33475.
- Koçyiğit BF, Akaltun MS. Kinesiophobia Levels in Fibromyalgia Syndrome and the Relationship Between Pain, Disease Activity, Depression. Arch Rheumatol. 2020;35(2):214-9.
- Fox KR. The physical self: From motivation to well-being. Champaign, IL: Human Kinetics; 1997.
- Gaddad P, Pemde HK, Basu S, Dhankar M, Rajendran S. Relationship of physical activity with body image, self esteem sedentary lifestyle, body mass index and eating attitude in adolescents: A cross-sectional observational study. J Family Med Prim Care. 2018;7(4):775-9.
- Bravo C, Skjaerven LH, Espart A, Guitard Sein-Echaluce L, Catalan-Matamoros D. Basic Body Awareness Therapy in patients suffering from fibromyalgia: A randomized clinical trial. Physiother Theory Pract. 2019;35(10):919-29.
- Courtois I, Cools F, Calsius J. Effectiveness of body awareness interventions in fibromyalgia and chronic fatigue syndrome: a systematic review and meta-analysis. J Bodyw Mov Ther. 2015;19(1):35-56.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Klinik Tıp Bilimleri (Diğer) |
| Bölüm | ORJİNAL MAKALE |
| Yazarlar | |
| Yayımlanma Tarihi | 28 Eylül 2023 |
| Kabul Tarihi | 7 Eylül 2023 |
| Yayımlandığı Sayı | Yıl 2023 Cilt: 28 Sayı: 3 |
This Journal licensed under a CC BY-NC (Creative Commons Attribution-NonCommercial 4.0) International License.