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The Factors Influencing on Depression of Patients for Fibromyalgia Syndrome  

성기월 (대구가톨릭대학교 의과대학)
신임희 (대구가톨릭대학교 위과대학 의학통계학과교실)
이경희 (대구가톨릭대학병원 간호부)
Publication Information
Journal of Korean Academy of Nursing / v.33, no.5, 2003 , pp. 609-617 More about this Journal
Abstract
Purpose: The purpose of this study is to understand the depression of patients for Fibromyalgia Syndrome(FMS) and to identify the factors influencing depression. Method: The instruments used here are Beck Depression Inventory in depression, the Korean Rheumatology Health Association' instruments in Self-Efficacy. Also, Pain and Fatigue was measured by Visual Graphic Rating Scale. The subject of study is 76 outpatients diagnosing FMS from rheumatism specialists at C hospital in D city. The data has been collected from Sep. 1st to Sep. 30th in 2001. For the analysis of collected data, frequency analysis, independent t-test, analysis of variance, Pearson's correlation and multiple regression analysis were used for statistical analysis with SAS statistical program. Result: General characteristics showing statistically significant difference in depression were age, education, occupation, gender, exercise and sleep in the patients with FMS. Depression for the patients with FMS has negative correlation coefficients with Self-efficacy and ADL, and positive correlation coefficients with Pain and Fatigue. The suitable regression form resulting from the multiple regression analysis to investigate the influencing factors of depression for the partients with FMS was expressed by y =50.067 - 0.278x$_1$ + 1.320x$_2$ (x$_1$: Self-Efficacy x$_2$: Fatigue) and $R^2$ =0.427. Conclusion: The factors influencing on depression of patients for FMS was Self-Efficacy, ADL, Pain, and Fatigue. Further study needs to be done identify methods of overcoming and presentation of depression in FMS.
Keywords
Fibromyalgia Syndrome; Depression;
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1 Buckelew, S. P., Murray, S.E., Hewett, J.E., Johnson, J., & Huyser, B.(1995). Self-efficacy, pain, and physical activity among fibromyalgia patients. Arthritis Care and Research, 8(1), 43-50
2 Burckhardt, C. S. Mannerkorpi, K., Hedenberg, L., & Bjelle, A. (1994). A randomized controlled clinical trial education and physical training for woman with fibromyalgia. J. of Rheumatology, 21(4), 714-720
3 Clark, S. R. (1994). Prescribing exercise for fibromyalgia patients. Arthritis Care and Research, 7(4), 221-225
4 Fifield, J., Reisine, S.T., & Grady, K.(1991). Work disability and the experience of pain and depression in rheumatoid arthritis. Soc. Sci. Med., 33(5), 579-585
5 Han, S. S., & Kang, H. S. (1997). Survey on fibromyalgia syndrom. The J. of Rheumatology Health, 4(1), 74-86
6 Han, S. S., & Kang, H. S. (1999). Disease characteristics and behavior pattern of treatment for patient with fibromyalgia. The J. of Rheumatology Health, 6(1), 22-36
7 Han, S. S. (1998). The effect of self-help program including extension exercise for patient with fibromyalgia. Doctor's Theses from Graduate School of Kyung Hee University
8 Viitanen. J. B., Kautianaininen. H., & Isomaki, H. (1993). Pain intensity in patients with fibromylagia and rheumatoid arthritis. Scandian J. of Rheumatology, 22, 131-135
9 Hudson. J. I., & Pope. H. G. Jr. (1989). Fibromyalgia and psychopathology: Is fibromyalgia a form of "Affective specturm disorder?" J of Rheumatology,16(19). 15-21
10 Lee, E. Y. (1981). The study for the college students' antidepressive coping behavior. Master's Theses from Graduate School of Korea University
11 Hassett, A. L., Cone, J. D., Patella, S. J., & Sigal, L. H. (2000). The role of catastrophizing in the pain and depression of women with fibromyalgia syndrom. Arthritis and Rheumatism, 43(11), 2493-2500
12 Walker, E. A., et al. (1997). Psychosocial factors in fibromyalgia compared with rheumatoid arthritis: I .Psychiatric diagnoses and functional disability. Psychosomatic Medicine, 59(6), 565-571
13 Burckhardt, C. S., Clark, S. R., & Bennett, R. M. (1993). Fibromyalgia and quality of life: A comparative analysis. J. of Rheumatology, 20(3), 475-479
14 Crofford, L.J. & Appleton, B.E.(2001). Complementary and alternative therapies for fibromyalgia. Current Rheumatology Reports, 3(2), 147-156
15 Kim, J. I., & Kim I. J. (1995). Relationship of Activity of Daily Living(ADL) and psychological factors in rheumatoid Arthritis. The J. of Rheumatology Health, 2(2), 156-167
16 Friden J., Sfakianos P. N., Hargens A. R. (1989). Blood indices of muscle injury associated with ecentric muscle contractions. J. of Orthopedic Research, 7, 142-145   DOI
17 Buescher, K. L., Johnston, J. A., Parker, J. C., Smarr, K. L., Buckelew, S. P., Anderson, S. K., & Walker, S. E. (1991). Relationship of self-efficacy to pain behavior. J. of Rheumatology, 18, 968-972
18 Kang, H. S., & Han, S. S. (2000). A comparative study on symptoms, living activities, self-efficacy and family support between rheumatoid arthritis patients and fibromyalgia patients. The J. of Rheumatology Health, 7(1), 25-39
19 Tishler, M., Barak, Y., Paran, D., & Yaron, M. (1997). Sleep disturbance, fibromyalgia and primary Sjogren's syndrome. Clinical and Experimental Rheumatology, 15(1), 71-74
20 Yunus M., Ahles T. A., Aldag J, C., Masi A. T. (1988). Relationship of clinical features with psychological status in primary fibromalgia. J. of Rheumatology. 15(8), 1271-1273
21 Beck, A. T. (1978). Depression Inventory. Philadelphia: Center for Cognitive Therapy
22 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
23 Wolfe, F., Cathey, M., Kleinheksel, S., Amos, S., Hoffman, R., Young, D., & Hawley, D. (1984). Psychological status in primary fibrositis and fibrositis associated with rheumatoid arthritis. J. of Rheumatology. 11, 500-506
24 Nielson, W. R., Walker, C., & McCain, G. A. (1992). Cognitive behavioral treatment of fibromyalgia syndrome: Preliminary fingings. J. of Rheumatology. 19(1), 98-103
25 Kim, S. Y., & Yoo, D. H. (1992). Medical treatment of rheumatoid arthritis. J. of Korean medical Association, 5(10), 1223-1229
26 Fitzpatrick, R., Newman, S., Archer, & Shipley, M. (1991). Social support, disability and depression: a longitudinal study of rheumatoid arthritis. Soc. scu. Med., 33, 605-611   DOI   ScienceOn
27 Hong, H. Y. (1995). The relationships of perfectionism, self-efficacy and depression. Master's Theses from Graduate School of Ewha University
28 Oh, D. H., et al. (2000). Depression and its associated factors with rheumatoid arthritis. The J. of Rheumatology Health, 7(3), 232-242
29 Ledingham. J., Doherty, S., & Doherty M. (1993). Primary fibormyalgia syndrome An outcome study. British J. of Rheumatology, 32(2), 139-142
30 Ranjan, Roy., Thomas, M., & Matas, M. (1984). Chronic Pain and depression scale for research in the general popuration. Appl Psychol Measurement, 1, 385-401