Effecting Factors on Depression in Patients with Fibromyalgia

섬유조직염환자의 우울에 영향을 미치는 요인

  • Han, Sang-Sook (College of Nursing Science, KyungHee University) ;
  • Lee, Sang-Chul (School of Management, Korea Advanced Institute of Science and Technology)
  • 한상숙 (경희대학교 간호과학대학) ;
  • 이상철 (한국과학기술원 테크노경영대학원)
  • Published : 2005.01.01

Abstract

Purpose: The purpose of this research was to provide basic data in the control of depression found in patients with fibromyalgia by analysing the main factors that affect them. Method: The subjects were 207 out-patients in three university medical centers diagnosed with fibromyalgia according to the conditions by American College of Rheumatology (1990). Depression was measured by the CES-D Scale. Dependant variables, such as stress and anxiety were measured by the VAS Scale and physical activity was measured using 10(4-point-scale) questions developed by the researcher. The number of tender points was converted to scores based on the criteria of the ACR(1990) and of Yunus. Self-efficacy was measured by the Self-Efficacy Scale developed by Lorig et al. (1989) for arthritis patients. Result: The main factors that affect depression of patients with fibromyalgia were self-efficacy, anxiety, physical activity, tender points fatigue, and family support, which explained 49% of the depression. Conclusion: It has been confirmed that the regression equation model of this research may serve as a predictor of depression in patients with fibromyalgia.

Keywords

References

  1. American Arthritis Foundation (1995). Fibromyalgia Self-Help Course: Class Participant's Manual. U.S.A
  2. American College of Rheumatology (1990). Criteria for the classification of fibromyalgia: Report of the Multicenter Criteria Committee. Arthritis & Rheumatism, 33, 160-172 https://doi.org/10.1002/art.1780330203
  3. Buckelew, S. P., Huyser, B., Hewett, J. E., Parker, J. G., Johnson, J. C., Conway, R., & Kay, D. R. (1996). Self-efficacy predicting outcome among fibromyalgia subjects. Arthritis Care and Research, 9(2), 97-104 https://doi.org/10.1002/1529-0131(199604)9:2<97::AID-ANR1790090205>3.0.CO;2-F
  4. Buckelew, S. P., Murray, S. E., Hewett, J. E., Johnson, J., & Huyser, B. (1995). Self-efficacy, pain, and physical activity among fibromyalgia subjects. Arthritis Care and Research, 8(1), 43-50 https://doi.org/10.1002/art.1790080110
  5. Burckhardt, C, Clark, S. R., & Bennett, R. M. (1993). Fibromyalgia and quality of life: A comparative analysis. J of Rheumatology, 20(3), 475-479
  6. Cathey, M. A., Wolfe, F., Kleinheksel, S. M., & Hawley, D. J. (1986). Socioeconomical impact of fibrositis: A study of 81 patients with primary fibrositis. American J of Medicine, 81(3A), 78-84
  7. Clark, S. R. (1994). Prescribing exercise for fibromyalgia patients. Arthritis Care and Research, 7(4), 221-225 https://doi.org/10.1002/art.1790070410
  8. Croft, P., Schollum, J., & Silman, A. (1994). Population study of tender point counts & pain as evidence of fibromyalgia. BMJ, 309(17), 696-699 https://doi.org/10.1136/bmj.309.6956.696
  9. Goldenberg, D. L. (1989). Psychologic studies in fibrositis. American J of Medicine, 81(3A), 67-70
  10. Han, S. S., & Kang H. S. (1997). Survey on fibromyalgia syndrome. The J of Rheumatology Health, 4(1), 74-86
  11. Han, S. S. (1998). Effect of a self-help program including stretching exerecise on reduction of symptom in patients with fibromyalgia. The J of Rheumatology Health, 5(1), 39-56
  12. Han, S. S., & Kang H. S. (1998). Relational analysis between family support, knowledge, self-efficacy, syndrome and physical disability of fibromyalgia patients. The J of Rheumatology Health, 5(2), 191-205
  13. Han, S. S., & Kang H. S. (1999). Disease characteristics & behavior pattern of treatment for patient with fibromyalgia. The J of Rheumatology Health, 6(1), 22-36
  14. Han, S. S., & Lee, S. C. (2004). Nursing and Healthy Statistical Analysis. Seoul: HyunMoonSa
  15. Hawley, D. J., & Wolfe, F. (1991). Pain, disability, and pain/disability relationships in seven rheumatic disorders: A study of 1,552 patients. J of Rheumatology, 18. 1552-1557
  16. Hudson, J. I., & Pope, H. G. Jr. (1989). Fibromyalgia and psychopathology: Is fibromyalgia a form of 'affective spectrum disorder?'. J of Rheumatology, 16(19), 15-21
  17. Ingber, R. S. (1993). Therapeutic stretching: An essential component in treatment of myofascial disfunction. First internation course on myofascial pain, New York, Mount Sinai School of Mdicine, 8-11
  18. Kang, H. S. (1984). An experimental study of the effects of reinforcement education for rehabilitation on hemiplegia patients' self-care activities. Unpublished doctoral dissertation university of yonsei
  19. Kang, H. S., & Han, S. S. (2000). A comparative study on symptoms, living activities, self-efficacy and family support between rheumatoid arthritis patients & fibromyalgia patients. The J of Rheumatology Health, 7(1), 25-39
  20. Kim, S. B. (1998). A study on knowledge, self-efficacy and compliance in rheumatic arthritis patients. The J of Rheumatology Health, 5(2), 238-252
  21. Ledingham, J. Doherty, S., & Doherty, M. (1993). Primary fibromyalgia syndrome: An outcome study. British J of Rheumatology, 32, 139-142 https://doi.org/10.1093/rheumatology/32.2.139
  22. Lee, E. O., Park, S. Y., Kim, J. I., et al. (1997). The effects of self-help education increasing self-efficacy on the health promotion for the arthritis patients. The J of Rheumatology Health, 4(1), 1-14
  23. Lee, E. O., & Han, S. S. (1997). Modification and test of self-help program for patients having fibromyalgia - Pilot study- The J of Rheumatology Health, 4(2), 262-276
  24. Lorig, K., Chastain, R. L., Ung, E., Shoor, S., & Holman, H. R. (1989). Development and evaluation of a scale to measure perceived self- efficacy in people with arthritis. Arthritis and Rheumatism, 32(1), 37-44 https://doi.org/10.1002/anr.1780320107
  25. Nielson, W. R. Walker, C, & McCain, G. A. (1992). Cognitive behavioral treatment of fibromyalgia syndrome: Preliminary findings. J of Rheumatology, 19(1), 98-103
  26. Radloff, L.. S. (1977). The CES-D Scale: A self-report depression scale for research in general population. Applied Psycholocal Measurement. 1, 385-401 https://doi.org/10.1177/014662167700100306
  27. Simms, R. W., Felson, D. T., & Goldenberg, D. L. (1991). Development of preliminary criteria for response to treatment in fibromyalgia syndrome. J of Rheumatology, 18(10), 1558-1563
  28. Song, K. W., Shin, I. H., & Lee, K. H. (2003). The factors influencing on depression of patients for ftbromyalgia syndrome. J or Korean Academy or Nusing. 33(5). 609-617
  29. Uveges, J. M., Parker. J. C. Smarr, K. L., McGowan, J. F., Lyon, M. G., Irvin, W. S., Meyer, A. A., Buckelew, S.P., Morgan, R. K., Delmonico, R. I., Hewett, J. E., & Kay, D. R. (1990). sychological symptoms In primary fibromyalgia syndrome: Relationship to pain, life stress, and sleep disturbance, Arthritis & Rheumatism. 33(8), 1279-1283 https://doi.org/10.1002/art.1780330832
  30. Wolfe, F, Smythe, H. A., Yunus, M. B, Bennett, R. M., Bombardier C., Goldenberg, D. L, Tugwell, P., Campbel, I S. M., Abeles, M., Clark, P., Fam, A. G., Faber, S. J., Fiechtner, J. J., Franklin C.M., Gatter R.A., Hamaty, D, Lessard, J, Lichtbroun A. S., Masi, A. T., McCain, G. A., Reynolds, W. J., Romano, T. J., Russel, I. J., & Sheon, R. P. (1990). The American College of Rheumatology (1990). Criteria for the classification of fibromyalgia: Report of the Multicenter Criteria Committee. Arthritis and Rheumatism. 33. 160-172 https://doi.org/10.1002/art.1780330203