Journal of Korean Academy of Nursing (대한간호학회지)

Korean Society of Nursing Science (한국간호과학회)
권호 표지

The Factors Influencing on Depression of Patients for Fibromyalgia Syndrome

섬유조직염 환자의 우울에 미치는 변인

  • 성기월 (대구가톨릭대학교 의과대학) ;
  • 신임희 (대구가톨릭대학교 위과대학 의학통계학과교실) ;
  • 이경희 (대구가톨릭대학병원 간호부)
  • Published : 2003.08.01
Download PDF
⟨ Previous Next ⟩

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

References

  1. Beck, A. T. (1978). Depression Inventory. Philadelphia: Center for Cognitive Therapy
  2. 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
  3. 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
  4. 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
  5. 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
  6. Clark, S. R. (1994). Prescribing exercise for fibromyalgia patients. Arthritis Care and Research, 7(4), 221-225
  7. Crofford, L.J. & Appleton, B.E.(2001). Complementary and alternative therapies for fibromyalgia. Current Rheumatology Reports, 3(2), 147-156
  8. 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
  9. 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 https://doi.org/10.1016/0277-9536(91)90218-2
  10. 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 https://doi.org/10.1002/jor.1100070120
  11. Han, S. S., & Kang, H. S. (1997). Survey on fibromyalgia syndrom. The J. of Rheumatology Health, 4(1), 74-86
  12. 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
  13. 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
  14. 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
  15. Hong, H. Y. (1995). The relationships of perfectionism, self-efficacy and depression. Master's Theses from Graduate School of Ewha University
  16. 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
  17. 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
  18. 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
  19. Kim, S. Y., & Yoo, D. H. (1992). Medical treatment of rheumatoid arthritis. J. of Korean medical Association, 5(10), 1223-1229
  20. Ledingham. J., Doherty, S., & Doherty M. (1993). Primary fibormyalgia syndrome An outcome study. British J. of Rheumatology, 32(2), 139-142
  21. 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
  22. Lee, E. Y. (1981). The study for the college students' antidepressive coping behavior. Master's Theses from Graduate School of Korea University
  23. Nielson, W. R., Walker, C., & McCain, G. A. (1992). Cognitive behavioral treatment of fibromyalgia syndrome: Preliminary fingings. J. of Rheumatology. 19(1), 98-103
  24. Oh, D. H., et al. (2000). Depression and its associated factors with rheumatoid arthritis. The J. of Rheumatology Health, 7(3), 232-242
  25. Ranjan, Roy., Thomas, M., & Matas, M. (1984). Chronic Pain and depression scale for research in the general popuration. Appl Psychol Measurement, 1, 385-401
  26. 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
  27. Viitanen. J. B., Kautianaininen. H., & Isomaki, H. (1993). Pain intensity in patients with fibromylagia and rheumatoid arthritis. Scandian J. of Rheumatology, 22, 131-135
  28. 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
  29. 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
  30. 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