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Dergiler / Fenerbahçe Üniversitesi Sağlık Bilimleri Dergisi / 2026 / Cilt: 4 Sayı: 2

Multipl Sklerozlu Bireylerde Fiziksel ve Psikolojik Parametreler Arasındaki İlişkinin Araştırılması

Investigating the Relationship Between Physical and Psychological Parameters in Participants with Multiple Sclerosis

Sultan Baştürk(İZMİR TINAZTEPE ÜNİVERSİTESİ, SAĞLIK BİLİMLERİ FAKÜLTESİ)0000-0003-3314-3780
Gamze Ekici(HACETTEPE ÜNİVERSİTESİ, SAĞLIK BİLİMLERİ FAKÜLTESİ)0000-0002-7423-178X
Sayfa
241–250
Yayın Tarihi
2024-08-26
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⚡ TL;DR(1 Cümlede Hızlı Çıkarım)

Gelecekteki çalışmalar, bilişsel durumları değerlendiren ve bu parametreler arasındaki ilişkileri araştıran bütünsel bir yaklaşım benimsemeye teşvik edilmektedir.

📌 3 Maddede Bu Makale

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Amaç & Hipotez:Bu çalışma, Multipl Skleroz (MS) hastalığına sahip bireylerde hastalık süresi, denge, anksiyete ve depresyon arasındaki ilişkileri, ayrıca bu parametrelerin yaşam kalitesi ile nasıl ilişkilendiğini araştırmaktadır.
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Temel Bulgular & Veri:Ortalama yaşı 45.65±11.04 olan 63 katılımcı dahil edildi.
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Sonuç & Katkı:Gelecekteki çalışmalar, bilişsel durumları değerlendiren ve bu parametreler arasındaki ilişkileri araştıran bütünsel bir yaklaşım benimsemeye teşvik edilmektedir.
🔬Tür:Uygulamalı Anket & Alan Araştırması
📍Kapsam:63 katılımcı
⚙️Değişkenler:Kaygı · denge · depresyon

Özet

Bu çalışma, Multipl Skleroz (MS) hastalığına sahip bireylerde hastalık süresi, denge, anksiyete ve depresyon arasındaki ilişkileri, ayrıca bu parametrelerin yaşam kalitesi ile nasıl ilişkilendiğini araştırmaktadır. Ortalama yaşı 45.65±11.04 olan 63 katılımcı dahil edildi. Spearman korelasyon analizi bu ilişkileri değerlendirdi. Hastane Anksiyete ve Depresyon Ölçeği (HADS) anksiyete ve depresyon belirtilerini ölçerken, Berg Denge Ölçeği (BBS) dengeyi değerlendirdi ve Multiple Sclerosis Quality of Life-54 Anketi (MSQOL-54) yaşam kalitesini değerlendirdi. Katılımcıların hastalık süresi ile denge arasında negatif ve anlamlı bir ilişki bulundu (r =-0.362, p = 0.004). Ancak, hastalık süresi ile anksiyete, depresyon ve yaşam kalitesi arasında anlamlı bir ilişki gözlemlenmedi (p> 0.05). Denge ile anksiyete (r =-0.330, p = 0.008) ve depresyon (r =-0.311, p = 0.013) arasında negatif korelasyonlar belirlendi. Ayrıca, denge ile yaşam kalitesi arasında pozitif bir korelasyon gözlemlendi, yaşam kalitesi ile anksiyete ve depresyon arasında ise negatif korelasyonlar belirlendi. MS'nin bireyleri derinden etkilediği göz önüne alındığında, kapsamlı bir anlayış için bütünsel bir değerlendirme önemlidir. Gelecekteki çalışmalar, bilişsel durumları değerlendiren ve bu parametreler arasındaki ilişkileri araştıran bütünsel bir yaklaşım benimsemeye teşvik edilmektedir.

Abstract

This study investigates the associations among disease duration, balance, anxiety, and depression in individuals with Multiple Sclerosis (MS), along with how these parameters correlate with quality of life. Sixty-three participants with a mean age of 45.65±11.04 years were included. Spearman correlation analysis assessed these correlations. The Hospital Anxiety and Depression Scale (HADS) measured anxiety and depression symptoms, the Berg Balance Scale (BBS) assessed balance, and the Multiple Sclerosis Quality of Life-54 Questionnaire (MSQOL-54) evaluated quality of life. A negative and significant relationship was found between participants' disease duration and balance (r =-0.362, p = 0.004). However, no significant relationships were observed between disease duration and anxiety, depression, and quality of life (p> 0.05). Negative correlations were identified between balance and anxiety (r =-0.330, p = 0.008) and between balance and depression (r =-0.311, p = 0.013). Additionally, a positive correlation was observed between balance and quality of life, while negative correlations were identified between quality of life and both anxiety and depression. Given that MS profoundly affects individuals, a holistic evaluation is crucial for a comprehensive understanding. Future studies are encouraged to adopt a holistic approach, incorporating assessments of cognitive states and exploring interrelationships between these parameters.

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Bu Makaleye Atıf Yap

Baştürk, S., Ekici, G. (2024). Multipl Sklerozlu Bireylerde Fiziksel ve Psikolojik Parametreler Arasındaki İlişkinin Araştırılması. Fenerbahçe Üniversitesi Sağlık Bilimleri Dergisi, Cilt: 4 Sayı: 2, 241–250. https://doi.org/10.56061/fbujohs.1456898

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Kaynakça (35)

  1. Algahtani, H., Shirah, B., & Alassiri, A. (2017). Tumefactive demyelinating lesions: a comprehensive review. Multiple Sclerosis and Related Disorders, 14, 72-79. https://doi.org/10.1016/j.msard.2017.04.003
  2. Alghwiri, A. A., Khalil, H., Al-Sharman, A., & El-Salem, K. (2018). Depression is a predictor for balance in people with multiple sclerosis. Multiple Sclerosis and Related Disorders, 24, 28-31. https://doi.org/10.1016/j.msard.2018.05.013
  3. Baumstarck, K., Pelletier, J., Butzkueven, H., Fernandez, O., Flachenecker, P., Idiman, E., Stecchi, S., Boucekine, M., Auquier, P., & Group, M. S. (2013). Health‐related quality of life as an independent predictor of long‐term disability for patients with relapsing–remitting multiple sclerosis. European Journal of Neurology, 20(6), 907-e979. https://doi.org/10.1111/ene.12087
  4. Cameron, M. H., & Lord, S. (2010). Postural control in multiple sclerosis: implications for fall prevention. Current neurology and neuroscience reports, 10, 407-412. https://doi.org/10.1007/s11910-010-0128-0
  5. Cattaneo, D., De Nuzzo, C., Fascia, T., Macalli, M., Pisoni, I., & Cardini, R. (2002). Risks of falls in subjects with multiple sclerosis. Archives of physical medicine and rehabilitation, 83(6), 864-867. https://doi.org/10.1053/apmr.2002.32825
  6. Cavanaugh, J. T., Gappmaier, V. O., Dibble, L. E., & Gappmaier, E. (2011). Ambulatory activity in individuals with multiple sclerosis. Journal of neurologic physical therapy, 35(1), 26-33. https://doi.org/10.1097/npt.0b013e3182097190
  7. Chwastiak, L. A., & Ehde, D. M. (2007). Psychiatric issues in multiple sclerosis. Psychiatric Clinics of North America, 30(4), 803-817. https://doi.org/10.1016/j.psc.2007.07.003
  8. Comber, L., Galvin, R., & Coote, S. (2017). Gait deficits in people with multiple sclerosis: A systematic review and meta-analysis. Gait & posture, 51, 25-35. https://doi.org/10.1016/j.gaitpost.2016.09.026
  9. Filippi, M., Rocca, M. A., Ciccarelli, O., De Stefano, N., Evangelou, N., Kappos, L., Rovira, A., Sastre-Garriga, J., Tintorè, M., & Frederiksen, J. L. (2016). MRI criteria for the diagnosis of multiple sclerosis: MAGNIMS consensus guidelines. The Lancet Neurology, 15(3), 292-303. https://doi.org/10.1016/s1474-4422(15)00393-2
  10. Giovannetti, A. M., Brambilla, L., Torri Clerici, V., Antozzi, C., Mantegazza, R., Černiauskaitė, M., & Confalonieri, P. (2017). Difficulties in adjustment to multiple sclerosis: vulnerability and unpredictability of illness in the foreground. Disability and Rehabilitation, 39(9), 897-903. https://doi.org/10.3109/09638288.2016.1170212
  11. Hainaut, J.-P., Caillet, G., Lestienne, F. G., & Bolmont, B. (2011). The role of trait anxiety on static balance performance in control and anxiogenic situations. Gait & posture, 33(4), 604-608. https://doi.org/10.1016/j.gaitpost.2011.01.017
  12. Hanna, M., & Strober, L. B. (2020). Anxiety and depression in Multiple Sclerosis (MS): Antecedents, consequences, and differential impact on well-being and quality of life. Multiple Sclerosis and Related Disorders, 44, 102261. https://doi.org/10.1016/j.msard.2020.102261
  13. Idiman, E., Uzunel, F., Ozakbas, S., Yozbatiran, N., Oguz, M., Callioglu, B., Gokce, N., & Bahar, Z. (2006). Cross-cultural adaptation and validation of multiple sclerosis quality of life questionnaire (MSQOL-54) in a Turkish multiple sclerosis sample. Journal of the neurological sciences, 240(1-2), 77-80. https://doi.org/10.1016/j.jns.2005.09.009
  14. Jamroz-Wiśniewska, A., Papuć, E., Bartosik-Psujek, H., Belniak, E., Mitosek-Szewczyk, K., & Stelmasiak, Z. (2007). Validation of selected aspects of psychometry of the Polish version of the Multiple Sclerosis Impact Scale 29 (MSIS-29). Neurologia i Neurochirurgia Polska, 41(3), 215-222.
  15. Jones, B. (2014). Patients' Perspectives in Multiple Sclerosis: Uncertainty and Anxiety Hinder Psychological Wellbeing. [Unpublished doctoral dissertation].University of Surrey (United Kingdom).
  16. Jones, K. H., Ford, D. V., Jones, P. A., John, A., Middleton, R. M., Lockhart-Jones, H., Peng, J., Osborne, L. A., & Noble, J. G. (2013). How people with multiple sclerosis rate their quality of life: an EQ-5D survey via the UK MS register. PLoS One, 8(6), e65640. https://doi.org/10.1371/journal.pone.0065640
  17. Klevan, G., Jacobsen, C., Aarseth, J., Myhr, K. M., Nyland, H., Glad, S., Lode, K., Figved, N., Larsen, J., & Farbu, E. (2014). Health related quality of life in patients recently diagnosed with multiple sclerosis. Acta Neurologica Scandinavica, 129(1), 21-26. https://doi.org/10.1111/ane.12142
  18. LaRocca, N. G. (2011). Impact of walking impairment in multiple sclerosis: perspectives of patients and care partners. The Patient: Patient-Centered Outcomes Research, 4, 189-201. https://doi.org/10.2165/11591150-000000000-00000
  19. Margoni, M., Preziosa, P., Rocca, M. A., & Filippi, M. (2023). Depressive symptoms, anxiety and cognitive impairment: emerging evidence in multiple sclerosis. Translational Psychiatry, 13(1), 264. https://doi.org/10.1038/s41398-023-02555-7
  20. McNicholas, N., Tubridy, N., Hutchinson, M., & McGuigan, C. (2021). Perceived and objective cognitive impairment in newly diagnosed versus established multiple sclerosis: impact of disease duration. Irish Journal of Medical Science (1971-), 190, 1149-1154. https://doi.org/10.1007/s11845-020-02404-2
  21. Middleton, A., Fritz, S. L., & Lusardi, M. (2015). Walking speed: the functional vital sign. Journal of aging and physical activity, 23(2), 314-322. https://doi.org/10.1123/japa.2013-0236
  22. Nilsagård, Y., Lundholm, C., Denison, E., & Gunnarsson, L.-G. (2009). Predicting accidental falls in people with multiple sclerosis—a longitudinal study. Clinical rehabilitation, 23(3), 259-269. https://doi.org/10.1177/0269215508095087
  23. Pacheco-Unguetti, A. P., Acosta, A., Callejas, A., & Lupiáñez, J. (2010). Attention and anxiety: Different attentional functioning under state and trait anxiety. Psychological science, 21(2), 298-304. https://doi.org/10.1177/0956797609359624
  24. Paker, N., Bugdayci, D., Midik, M., Celik, B., & Kesiktas, N. (2013). Reliability of the Turkish version of the hospital anxiety and depression scale in the people with traumatic spinal cord injury. NeuroRehabilitation, 33(2), 337-341. https://doi.org/10.3233/nre-130964
  25. Patti, F., Russo, P., Pappalardo, A., Macchia, F., Civalleri, L., Paolillo, A., & Group, F. S. (2007). Predictors of quality of life among patients with multiple sclerosis: an Italian cross-sectional study. Journal of the neurological sciences, 252(2), 121-129. https://doi.org/10.1016/j.jns.2006.10.017
  26. Sahin, F., Yilmaz, F., Ozmaden, A., Kotevoglu, N., Sahin, T., & Kuran, B. (2008). Reliability and validity of the Turkish version of the Berg Balance Scale. Journal of geriatric physical therapy, 31(1), 32-37. https://doi.org/10.1519/00139143-200831010-00006
  27. Siegert, R. J., & Abernethy, D. (2005). Depression in multiple sclerosis: a review. Journal of Neurology, Neurosurgery & Psychiatry, 76(4), 469-475. https://doi.org/10.1136/jnnp.2004.054635
  28. Solomon, A. J., Arrambide, G., Brownlee, W. J., Flanagan, E. P., Amato, M. P., Amezcua, L., Banwell, B. L., Barkhof, F., Corboy, J. R., & Correale, J. (2023). Differential diagnosis of suspected multiple sclerosis: an updated consensus approach. The Lancet Neurology, 22(8), 750-768. https://doi.org/10.1016/s1474-4422(23)00148-5
  29. Sosnoff, J. J., Socie, M. J., Boes, M. K., Sandroff, B. M., Pula, J. H., Suh, Y., Weikert, M., Balantrapu, S., Morrison, S., & Motl, R. W. (2011). Mobility, balance and falls in persons with multiple sclerosis. PLoS One, 6(11), e28021. https://doi.org/10.1371/journal.pone.0028021
  30. Thompson, A. J., Banwell, B. L., Barkhof, F., Carroll, W. M., Coetzee, T., Comi, G., Correale, J., Fazekas, F., Filippi, M., & Freedman, M. S. (2018). Diagnosis of multiple sclerosis: 2017 revisions of the McDonald criteria. The Lancet Neurology, 17(2), 162-173. https://doi.org/10.1016/s1474-4422(17)30470-2
  31. Tingey, J. L. (2020). Intolerance of uncertainty and resilience predict self-efficacy trajectories of individuals newly diagnosed with multiple sclerosis Seattle Pacific University]. https://doi.org/10.1037/rep0000487
  32. Vickrey, B., Hays, R., Harooni, R., Myers, L., & Ellison, G. (1995). A health-related quality of life measure for multiple sclerosis. Quality of life research, 4(3), 187-206. https://doi.org/10.1007/bf02260859
  33. Yamout, B., Issa, Z., Herlopian, A., El Bejjani, M., Khalifa, A., Ghadieh, A., & Habib, R. (2013). Predictors of quality of life among multiple sclerosis patients: a comprehensive analysis. European Journal of Neurology, 20(5), 756-764. https://doi.org/10.1111/ene.12046
  34. Zigmond, A. S., & Snaith, R. P. (1983). The hospital anxiety and depression scale. Acta psychiatrica scandinavica, 67(6), 361-370. https://doi.org/10.1111/j.1600-0447.1983.tb09716.x
  35. Jones, B. (2014). Patients' Perspectives in Multiple Sclerosis: Uncertainty and Anxiety Hinder Psychological Wellbeing. [Unpublished doctoral dissertation].University of Surrey (United Kingdom).