Aktuelle Rheumatologie 2023; 48(02): 137-141
DOI: 10.1055/a-2020-9562
Original Article

Kinesiophobia And Related Factors In Adult Patients With Familial Mediterranean Fever

Kinesiophobie und damit zusammenhängende Faktoren bei erwachsenen Patienten mit familiärem Mittelmeerfieber
1   Physiotherapy and Rehabilitation Department, Faculty of Health Sciences, Haliç University, İstanbul, Türkiye
,
İrem Çetinkaya
1   Physiotherapy and Rehabilitation Department, Faculty of Health Sciences, Haliç University, İstanbul, Türkiye
2   Physiotherapy and Rehabilitation Department, Institute for Health Sciences, Marmara University, İstanbul, Türkiye
,
Elif İrem Günaydın
3   Physiotherapy Department, Vocational School, Haliç University, İstanbul, Türkiye
4   Physiotherapy and Rehabilitation Department, Institute for Graduate Studies, Hasan Kalyoncu University, Gaziantep, Türkiye
,
Ayşenur Çetinkaya
1   Physiotherapy and Rehabilitation Department, Faculty of Health Sciences, Haliç University, İstanbul, Türkiye
5   Physiotherapy and Rehabilitation Department, Graduate School of Health Sciences, Medipol University, İstanbul, Türkiye
,
Melek Güneş Yavuzer
1   Physiotherapy and Rehabilitation Department, Faculty of Health Sciences, Haliç University, İstanbul, Türkiye
› Author Affiliations

Abstract

Objective Kinesiophobia is a common problem in patients with rheumatic diseases and can cause physical inactivity, social isolation, disability, and poor quality of life. This study aimed to evaluate kinesiophobia and associated factors in patients with familial Mediterranean fever (FMF).

Methods A total of 38 patients diagnosed with FMF volunteered to participate in the study. All patients were assessed using the Tampa Kinesiophobia Scale (TKS), the International Physical Activity Questionnaire (IPAQ), the Fatigue Severity Scale (FSS), and the Hospital Anxiety and Depression Scale (HADS).

Results Thirty-three (86.8%) of the patients had TKS scores over 37, indicating high levels of kinesiophobia. The TKS score was positively correlated with the HADS depression score (r=0.530; p=0.001) and the FSS score (r=0.340; p=0.035) but was not significantly associated with age (r=0.102; p=0.543), disease duration (r=–0.110; p=0.511), body mass index (r=0.283; p=0.085), the HADS anxiety score (r=0.306; p=0.061), or the IPAQ score (r=–0.097; p=0.563).

Conclusions Our sample of adult FMF patients showed high levels of kinesiophobia associated with fatigue and depression. Treatments focusing on kinesiophobia in FMF patients could help to increase the effectiveness of rehabilitation.



Publication History

Article published online:
09 March 2023

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  • References

  • 1 Özen S. Update on the epidemiology and disease outcome of familial Mediterranean fever. Best Practice & Research Clinical Rheumatology 2018; 32: 254-260
  • 2 Atas N, Armagan B, Bodakci E. et al. Familial Mediterranean fever is associated with a wide spectrum of inflammatory disorders: results from a large cohort study. Rheumatology international 2020; 40: 41-48
  • 3 Kunt SŞ, Aydın F, Çakar N. et al. The effect of genotype on musculoskeletal complaints in patients with familial Mediterranean fever. Postgraduate Medicine 2020; 132: 220-224
  • 4 Goldfinger S. Colchicine for familial Mediterranean fever. 1972
  • 5 Dinarello CA, Chusid MJ, Fauci AS. et al. Effect of prophylactic colchicine therapy on leukocyte function in patients with familial Mediterranean fever. Arthritis & Rheumatism: Official Journal of the American College of Rheumatology 1976; 19: 618-622
  • 6 Adwan MH. A brief history of familial Mediterranean fever. Saudi medical journal 2015; 36: 1126
  • 7 Duruoz MT, Unal C, Bingul DK. et al. Fatigue in familial Mediterranean fever and its relations with other clinical parameters. Rheumatology international 2018; 38: 75-81
  • 8 Coulter EH, McDonald MT, Cameron S. et al. Physical activity and sedentary behaviour and their associations with clinical measures in axial spondyloarthritis. Rheumatology International 2020; 40: 375-381
  • 9 Yentür SB, Karatay S, Oskay D. et al. Kinesiophobia and related factors in systemic lupus erythematosus patients. Turkish journal of medical sciences 2019; 49: 1324-1331
  • 10 Demirbüken İ, Özgül B, Kuru Çolak T. et al. Kinesiophobia in relation to physical activity in chronic neck pain. J Back Musculoskelet Rehabil 2016; 29: 41-47 DOI: 10.3233/BMR-150594.
  • 11 Altuğ F, Ünal A, Kilavuz G. et al. Investigation of the relationship between kinesiophobia, physical activity level and quality of life in patients with chronic low back pain1. J Back Musculoskelet Rehabil 2016; 29: 527-531 DOI: 10.3233/BMR-150653.
  • 12 Knapik A, Dąbek J, Brzęk A. Kinesiophobia as a Problem in Adherence to Physical Activity Recommendations in Elderly Polish Patients with Coronary Artery Disease. Patient Prefer Adherence 2019; 13: 2129-2135 DOI: 10.2147/PPA.S216196.
  • 13 Vlaeyen J, Kole-Snijders AM, Boeren RG. et al. Fear of movement/(re) injury in chronic low back pain and its relation to behavioral performance. Pain 1995; 62: 363-372
  • 14 Gunendi Z, Eker D, Tecer D. et al. Is the word” osteoporosis” a reason for kinesiophobia?. European journal of physical and rehabilitation medicine 2018; 54: 671-675
  • 15 Krupp LB, LaRocca NG, Muir-Nash J. et al. The fatigue severity scale: application to patients with multiple sclerosis and systemic lupus erythematosus. Archives of neurology 1989; 46: 1121-1123
  • 16 Zigmond AS, Snaith RP. The hospital anxiety and depression scale. Acta psychiatrica scandinavica 1983; 67: 361-370
  • 17 Aydemir O. Hastane anksiyete ve depresyon olcegi Turkce formunun gecerlilik ve guvenilirligi. Turk Psikiyatri Derg 1997; 8: 187-280
  • 18 Craig CL, Marshall AL, Sjöström M. et al. International physical activity questionnaire: 12-country reliability and validity. Medicine & science in sports & exercise 2003; 35: 1381-1395
  • 19 Faul F, Erdfelder E, Lang A-G. et al. G* Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior research methods 2007; 39: 175-191
  • 20 Lööf H, Demmelmaier I, Welin Henriksson E. et al. Fear-avoidance beliefs about physical activity in adults with rheumatoid arthritis. Scandinavian journal of rheumatology 2015; 44: 93-99
  • 21 Santos EJ, Duarte C, da Silva JA. et al. The impact of fatigue in rheumatoid arthritis and the challenges of its assessment. Rheumatology 2019; 58: v3-v9
  • 22 Giese A, Örnek A, Kilic L. et al. Anxiety and depression in adult patients with familial Mediterranean fever: a study comparing patients living in Germany and Turkey. International journal of rheumatic diseases 2017; 20: 2093-2100 DOI: 10.1111/1756-185X.12297.
  • 23 Deger SM, Ozturk MA, Demirag MD. et al. Health-related quality of life and its associations with mood condition in familial Mediterranean fever patients. Rheumatology international 2011; 31: 623-628 DOI: 10.1007/s00296-009-1334-4.
  • 24 Oskay D, Tuna Z, DÜZGÜN İ. et al. Relationship between kinesiophobia and pain, quality of life, functional status, disease activity, mobility, and depression in patients with ankylosing spondylitis. Turkish journal of medical sciences 2017; 47: 1340-1347
  • 25 Babaoglu H, Varan O, Atas N. et al. Detection of Familial Mediterranean Fever attacks by using a connected activity tracker and assessment of impact of attacks to daily physical activities: a pilot study. Clinical rheumatology 2019; 38: 1941-1946
  • 26 Seekatz B, Meng K, Bengel J. et al. Is there a role of depressive symptoms in the fear-avoidance model? A structural equation approach. Psychology, Health & Medicine 2016; 21: 663-674 DOI: 10.1080/13548506.2015.1111392.