Research Article
BibTex RIS Cite

Kronik Kas İskelet Sistemi Ağrısı Olan Hastalarda Fiziksel Aktivite Seviyeleri ile Depresif Semptomlar Arası İlişkinin İncelenmesi

Year 2025, Volume: 10 Issue: 1, 27 - 32, 30.04.2025

Rabia Seva Özkan , Musa Polat

Abstract

Bu çalışma, kronik kas-iskelet sistemi ağrısı olan hastalarda fiziksel aktivite seviyeleri ile duygu durumu arasındaki ilişkiyi incelemeyi amaçlamaktadır. Sivas Numune Hastanesi’nde yürütülen kesitsel araştırmaya, 12 haftadan uzun süredir orta veya şiddetli kas-iskelet ağrısı olan 50 hasta dahil edilmiştir. Katılımcıların ağrı düzeyleri Görsel Analog Skala (GAS) ile, fiziksel aktivite seviyeleri Uluslararası Fiziksel Aktivite Anketi ile ve depresif semptomları Beck Depresyon Ölçeği ile değerlendirilmiştir.
Araştırmada, katılımcıların %66'sının fiziksel olarak inaktif olduğu gözlemlenmiş; ancak fiziksel aktivite düzeyi ile depresyon skoru arasında istatistiksel olarak anlamlı bir ilişki bulunamamıştır (p=0.96). Fiziksel inaktivitenin kronik ağrılı bireylerde depresyonu etkileyen faktörlerden biri olabileceği düşünülse de bu çalışmada depresyon üzerinde etkili olan diğer psikososyal faktörlerin ön planda olabileceği görülmüştür. Sonuç olarak, kronik ağrının depresyon üzerindeki etkilerinin yalnızca fiziksel aktivite düzeyi ile açıklanamayabileceği, daha kapsamlı ve çok boyutlu araştırmalara ihtiyaç duyulduğu sonucuna varılmıştır.

Keywords

Ağrı Fiziksel Aktivite İnaktivite Duygu Durumu

Ethical Statement

Araştırma protokolü Sivas Cumhuriyet Üniversitesi Girişimsel Olmayan İşlemler Etik Kurulunda 27.06.2024, 2024/06-10 tarih ve sayısıyla onaylandı. Helsinki bildirgesi kurallarına ve İyi Klinik Uygulamalar Klavuzuna uyuldu.

Supporting Institution

Destekleyen kurum yoktur.

Thanks

Bu araştırmada yer alan tüm katılımcılara teşekkür ederiz.

References

  • Altındağ, Ö., Altındağ, A., & Soran, N. (2006). Kronik ağrılı hastalarda depresyon düzeyinin ağrı şiddeti ve süresi ile ilişkisinin araştırılması. In New/Yeni Symposium Journal (Vol. 44, No. 4, pp. 178-81).
  • Arslan, M., Albaş, S., Küçükerdem, H. S., Pamuk, G., & Can, H. (2016). Vizüel analog skala ile kanser hastalarında palyatif ağrı tedavisinin etkinliğinin değerlendirilmesi. Family Practice & Palliative Care, 1(1), 5-8.
  • Aslan, S., & Nazlıel, B. (2002). Gerilim tipi baş ağrısında anksiyete, depresyon düzeyleri ve tanısal değerlendirme. In Yeni Symposium (Vol. 40, No. 1, pp. 10-4).
  • Babiss, L. A., & Gangwisch, J. E. (2009). Sports participation as a protective factor against depression and suicidal ideation in adolescents as mediated by self-esteem and social support. Journal of Developmental & Behavioral Pediatrics, 30(5), 376-384. https://doi.org/10.1097/DBP.0b013e3181b33659
  • Brønfort, G., Nilsson, N., Haas, M., Evans, R. L., Goldsmith, C. H., Assendelft, W. J., & Bouter, L. M. (2004). Non‐invasive physical treatments for chronic/recurrent headache. Cochrane Database of Systematic Reviews, (3). https://doi.org/10.1002/14651858.CD001878.pub2
  • Camacho, T. C., Roberts, R. E., Lazarus, N. B., Kaplan, G. A., & Cohen, R. D. (1991). Physical activity and depression: evidence from the Alameda County Study. American journal of epidemiology, 134(2), 220-231.
  • Cohen, S. P., Vase, L., & Hooten, W. M. (2021). Chronic pain: an update on burden, best practices, and new advances. The Lancet, 397(10289), 2082-2097. https://doi.org/10.1016/S0140-6736(21)00393-7
  • Çolak İ, Öztürk L, Balcı A. Uluslararası Fiziksel Aktivite Anketi Kısa Formu'nun Türkçe versiyonunun güvenilirliği. J Sports Sci Med. 2011;10(2):88-91.
  • Dankel, S. J., Loenneke, J. P., & Loprinzi, P. D. (2016). Mild depressive symptoms among Americans in relation to physical activity, current overweight/obesity, and self-reported history of overweight/obesity. International journal of behavioral medicine, 23, 553-560.
  • Fillingim, R. B., King, C. D., Ribeiro-Dasilva, M. C., Rahim-Williams, B., & Riley III, J. L. (2009). Sex, gender, and pain: a review of recent clinical and experimental findings. The journal of pain, 10(5), 447-485. https://doi.org/10.1016/j.jpain.2008.12.001
  • Fiske, A., Wetherell, J. L., & Gatz, M. (2009). Depression in older adults. Annual review of clinical psychology, 5(1), 363-389. https://doi.org/10.1146/annurev.clinpsy.032408.153621
  • Gatchel, R. J., McGeary, D. D., McGeary, C. A., & Lippe, B. (2014). Interdisciplinary chronic pain management: past, present, and future. American psychologist, 69(2), 119. https://doi.org/10.1037/a0035514
  • Geneen, L. J., Moore, R. A., Clarke, C., Martin, D., Colvin, L. A., & Smith, B. H. (2017). Physical activity and exercise for chronic pain in adults: an overview of Cochrane Reviews. Cochrane database of systematic reviews, (4). https://doi.org/10.1002/14651858.CD011279.pub2
  • Ghamkhar, L., & Kahlaee, A. H. (2015). Trunk muscles activation pattern during walking in subjects with and without chronic low back pain: a systematic review. PM&R, 7(5), 519-526.
  • Greist, J. H., Greden, J. F., Jefferson, J. W., & Trivedi, M. H. (2008). Depression and Pain. The Journal of Clinical Psychiatry, 69(12), 4213. https://doi.org/10.4088/JCP.v69n1217
  • Haythornthwaite, J. A., Sieber, W. J., & Kerns, R. D. (1991). Depression and the chronic pain experience. Pain, 46(2), 177-184.
  • Hisli N. Beck Depresyon Envanteri’nin Türkçe versiyonunun geçerliliği ve güvenilirliği. Psikol Derg. 1988;7(2):3-13.
  • Hisli N. Beck depresyon envanterinin üniversite öğrencileri için geçerliliği, güvenilirliği. Psikol Derg. 1989;7:3-13.
  • İncebacak, H. (2019). Kronik bel ağrısında kor stabilizasyon ve fiziksel aktivitenin değerlendirilmesi (Master's thesis, Dokuz Eylul Universitesi (Turkey)).
  • Jensen, M. P., & Turk, D. C. (2014). Contributions of psychology to the understanding and treatment of people with chronic pain: why it matters to ALL psychologists. American Psychologist, 69(2), 105. https://doi.org/10.1037/a0035641
  • Karaoğlan Y, Yılmaz F, Kaya T. Beck Depresyon Ölçeği’nin gözlemciler arası güvenilirlik testi. Ankara Üniversitesi Psikoloji Dergisi. 2016;13(4):15-8.
  • Linton, S. J. (2000). A review of psychological risk factors in back and neck pain. Spine, 25(9), 1148-1156. https://doi.org/10.1097/00007632-200005010-00017
  • Luppino, F. S., de Wit, L. M., Bouvy, P. F., Stijnen, T., Cuijpers, P., Penninx, B. W., & Zitman, F. G. (2010). Overweight, obesity, and depression: a systematic review and meta-analysis of longitudinal studies. Archives of general psychiatry, 67(3), 220-229. https://doi.org/10.1001/archgenpsychiatry.2010.2
  • Mammen, G., & Faulkner, G. (2013). Physical activity and the prevention of depression: a systematic review of prospective studies. American journal of preventive medicine, 45(5), 649-657. https://doi.org/10.1016/j.amepre.2013.08.001
  • Marley, J., Tully, M. A., Porter-Armstrong, A., Bunting, B., O’Hanlon, J., Atkins, L., ... & McDonough, S. M. (2017). The effectiveness of interventions aimed at increasing physical activity in adults with persistent musculoskeletal pain: a systematic review and meta-analysis. BMC musculoskeletal disorders, 18, 1-20.
  • Mills, S. E., Nicolson, K. P., & Smith, B. H. (2019). Chronic pain: a review of its epidemiology and associated factors in population-based studies. British journal of anaesthesia, 123(2), e273-e283. https://doi.org/10.1016/j.bja.2019.03.023
  • Mokdad, A. H., Ballestros, K., Echko, M., Glenn, S., Olsen, H. E., Mullany, E., ... & US Burden of Disease Collaborators. (2018). The state of US health, 1990-2016: burden of diseases, injuries, and risk factors among US states. Jama, 319(14), 1444-1472. https://doi.org/10.1001/jama.2018.0158
  • Ohayon, M. M., & Schatzberg, A. F. (2003). Using chronic pain to predict depressive morbidity in the general population. Archives of general psychiatry, 60(1), 39-47. https://doi.org/10.1001/archpsyc.60.1.39
  • Özdemir Y, Baysan M, Çelikoğlu A. Uluslararası Fiziksel Aktivite Anketi Kısa Formu’nun gözlemci içi güvenilirliği. Int J Sport Stud. 2014;5(3):118-23.
  • Parker, R., Bergman, E., Mntambo, A., Stubbs, S., & Wills, M. (2017). Levels of physical activity in people with chronic pain. South African Journal of Physiotherapy, 73(1), 1-7.
  • Saglam, M., Arikan, H., Savci, S., Inal-Ince, D., Bosnak-Guclu, M., Karabulut, E., & Tokgozoglu, L. (2010). International physical activity questionnaire: reliability and validity of the Turkish version. Perceptual and motor skills, 111(1), 278-284. https://doi.org/10.2466/06.08.PMS.111.4.278-284
  • Soysal, M., Bilge, K. A. R. A., & Arda, M. N. (2013). Assessment of physical activity in patients with chronic low back or neck pain. Turkish neurosurgery, 23(1).
  • Toraman, F., Taşralı, S., & Uyar, B. (2021). Osteoartrit: Esneklik, Bilişsel işlev, beden kütle indeksi ve fiziksel aktiviteye etkisi. Akdeniz University School of Physical Education and Sports, 1-7.
  • Tütüncü, R., & Günay, H. (2011). Kronik ağrı, psikolojik etmenler ve depresyon. Dicle Tıp Dergisi, 38(2), 257-262. Wenzel, H. G., Haug, T. T., Mykletun, A., & Dahl, A. A. (2002). A population study of anxiety and depression among persons who report whiplash traumas. Journal of psychosomatic research, 53(3), 831-835

Investigation of the Relationship Between Physical Activity Levels and Mood State in Patients with Chronic Musculoskeletal Pain

Year 2025, Volume: 10 Issue: 1, 27 - 32, 30.04.2025

Rabia Seva Özkan , Musa Polat

Abstract

This study aims to examine the relationship between physical activity levels and mood in patients with chronic musculoskeletal pain. The cross-sectional study conducted at Sivas Numune Hospital included 50 patients with moderate or severe musculoskeletal pain for more than 12 weeks. Participants' pain levels were assessed by Visual Analog Scale (VAS), physical activity levels by International Physical Activity Questionnaire and depressive symptoms by Beck Depression Scale.
In the study, 66% of the participants were physically inactive; however, there was no statistically significant relationship between physical activity level and depression score (p=0.96). Although it is thought that physical inactivity may be one of the factors affecting depression in individuals with chronic pain, this study showed that other psychosocial factors that affect depression may be at the forefront. In conclusion, it was concluded that the effects of chronic pain on depression may not be explained only by physical activity level and more comprehensive and multidimensional studies are needed.

Keywords

Pain Physical Activity Inactivity Mood

References

  • Altındağ, Ö., Altındağ, A., & Soran, N. (2006). Kronik ağrılı hastalarda depresyon düzeyinin ağrı şiddeti ve süresi ile ilişkisinin araştırılması. In New/Yeni Symposium Journal (Vol. 44, No. 4, pp. 178-81).
  • Arslan, M., Albaş, S., Küçükerdem, H. S., Pamuk, G., & Can, H. (2016). Vizüel analog skala ile kanser hastalarında palyatif ağrı tedavisinin etkinliğinin değerlendirilmesi. Family Practice & Palliative Care, 1(1), 5-8.
  • Aslan, S., & Nazlıel, B. (2002). Gerilim tipi baş ağrısında anksiyete, depresyon düzeyleri ve tanısal değerlendirme. In Yeni Symposium (Vol. 40, No. 1, pp. 10-4).
  • Babiss, L. A., & Gangwisch, J. E. (2009). Sports participation as a protective factor against depression and suicidal ideation in adolescents as mediated by self-esteem and social support. Journal of Developmental & Behavioral Pediatrics, 30(5), 376-384. https://doi.org/10.1097/DBP.0b013e3181b33659
  • Brønfort, G., Nilsson, N., Haas, M., Evans, R. L., Goldsmith, C. H., Assendelft, W. J., & Bouter, L. M. (2004). Non‐invasive physical treatments for chronic/recurrent headache. Cochrane Database of Systematic Reviews, (3). https://doi.org/10.1002/14651858.CD001878.pub2
  • Camacho, T. C., Roberts, R. E., Lazarus, N. B., Kaplan, G. A., & Cohen, R. D. (1991). Physical activity and depression: evidence from the Alameda County Study. American journal of epidemiology, 134(2), 220-231.
  • Cohen, S. P., Vase, L., & Hooten, W. M. (2021). Chronic pain: an update on burden, best practices, and new advances. The Lancet, 397(10289), 2082-2097. https://doi.org/10.1016/S0140-6736(21)00393-7
  • Çolak İ, Öztürk L, Balcı A. Uluslararası Fiziksel Aktivite Anketi Kısa Formu'nun Türkçe versiyonunun güvenilirliği. J Sports Sci Med. 2011;10(2):88-91.
  • Dankel, S. J., Loenneke, J. P., & Loprinzi, P. D. (2016). Mild depressive symptoms among Americans in relation to physical activity, current overweight/obesity, and self-reported history of overweight/obesity. International journal of behavioral medicine, 23, 553-560.
  • Fillingim, R. B., King, C. D., Ribeiro-Dasilva, M. C., Rahim-Williams, B., & Riley III, J. L. (2009). Sex, gender, and pain: a review of recent clinical and experimental findings. The journal of pain, 10(5), 447-485. https://doi.org/10.1016/j.jpain.2008.12.001
  • Fiske, A., Wetherell, J. L., & Gatz, M. (2009). Depression in older adults. Annual review of clinical psychology, 5(1), 363-389. https://doi.org/10.1146/annurev.clinpsy.032408.153621
  • Gatchel, R. J., McGeary, D. D., McGeary, C. A., & Lippe, B. (2014). Interdisciplinary chronic pain management: past, present, and future. American psychologist, 69(2), 119. https://doi.org/10.1037/a0035514
  • Geneen, L. J., Moore, R. A., Clarke, C., Martin, D., Colvin, L. A., & Smith, B. H. (2017). Physical activity and exercise for chronic pain in adults: an overview of Cochrane Reviews. Cochrane database of systematic reviews, (4). https://doi.org/10.1002/14651858.CD011279.pub2
  • Ghamkhar, L., & Kahlaee, A. H. (2015). Trunk muscles activation pattern during walking in subjects with and without chronic low back pain: a systematic review. PM&R, 7(5), 519-526.
  • Greist, J. H., Greden, J. F., Jefferson, J. W., & Trivedi, M. H. (2008). Depression and Pain. The Journal of Clinical Psychiatry, 69(12), 4213. https://doi.org/10.4088/JCP.v69n1217
  • Haythornthwaite, J. A., Sieber, W. J., & Kerns, R. D. (1991). Depression and the chronic pain experience. Pain, 46(2), 177-184.
  • Hisli N. Beck Depresyon Envanteri’nin Türkçe versiyonunun geçerliliği ve güvenilirliği. Psikol Derg. 1988;7(2):3-13.
  • Hisli N. Beck depresyon envanterinin üniversite öğrencileri için geçerliliği, güvenilirliği. Psikol Derg. 1989;7:3-13.
  • İncebacak, H. (2019). Kronik bel ağrısında kor stabilizasyon ve fiziksel aktivitenin değerlendirilmesi (Master's thesis, Dokuz Eylul Universitesi (Turkey)).
  • Jensen, M. P., & Turk, D. C. (2014). Contributions of psychology to the understanding and treatment of people with chronic pain: why it matters to ALL psychologists. American Psychologist, 69(2), 105. https://doi.org/10.1037/a0035641
  • Karaoğlan Y, Yılmaz F, Kaya T. Beck Depresyon Ölçeği’nin gözlemciler arası güvenilirlik testi. Ankara Üniversitesi Psikoloji Dergisi. 2016;13(4):15-8.
  • Linton, S. J. (2000). A review of psychological risk factors in back and neck pain. Spine, 25(9), 1148-1156. https://doi.org/10.1097/00007632-200005010-00017
  • Luppino, F. S., de Wit, L. M., Bouvy, P. F., Stijnen, T., Cuijpers, P., Penninx, B. W., & Zitman, F. G. (2010). Overweight, obesity, and depression: a systematic review and meta-analysis of longitudinal studies. Archives of general psychiatry, 67(3), 220-229. https://doi.org/10.1001/archgenpsychiatry.2010.2
  • Mammen, G., & Faulkner, G. (2013). Physical activity and the prevention of depression: a systematic review of prospective studies. American journal of preventive medicine, 45(5), 649-657. https://doi.org/10.1016/j.amepre.2013.08.001
  • Marley, J., Tully, M. A., Porter-Armstrong, A., Bunting, B., O’Hanlon, J., Atkins, L., ... & McDonough, S. M. (2017). The effectiveness of interventions aimed at increasing physical activity in adults with persistent musculoskeletal pain: a systematic review and meta-analysis. BMC musculoskeletal disorders, 18, 1-20.
  • Mills, S. E., Nicolson, K. P., & Smith, B. H. (2019). Chronic pain: a review of its epidemiology and associated factors in population-based studies. British journal of anaesthesia, 123(2), e273-e283. https://doi.org/10.1016/j.bja.2019.03.023
  • Mokdad, A. H., Ballestros, K., Echko, M., Glenn, S., Olsen, H. E., Mullany, E., ... & US Burden of Disease Collaborators. (2018). The state of US health, 1990-2016: burden of diseases, injuries, and risk factors among US states. Jama, 319(14), 1444-1472. https://doi.org/10.1001/jama.2018.0158
  • Ohayon, M. M., & Schatzberg, A. F. (2003). Using chronic pain to predict depressive morbidity in the general population. Archives of general psychiatry, 60(1), 39-47. https://doi.org/10.1001/archpsyc.60.1.39
  • Özdemir Y, Baysan M, Çelikoğlu A. Uluslararası Fiziksel Aktivite Anketi Kısa Formu’nun gözlemci içi güvenilirliği. Int J Sport Stud. 2014;5(3):118-23.
  • Parker, R., Bergman, E., Mntambo, A., Stubbs, S., & Wills, M. (2017). Levels of physical activity in people with chronic pain. South African Journal of Physiotherapy, 73(1), 1-7.
  • Saglam, M., Arikan, H., Savci, S., Inal-Ince, D., Bosnak-Guclu, M., Karabulut, E., & Tokgozoglu, L. (2010). International physical activity questionnaire: reliability and validity of the Turkish version. Perceptual and motor skills, 111(1), 278-284. https://doi.org/10.2466/06.08.PMS.111.4.278-284
  • Soysal, M., Bilge, K. A. R. A., & Arda, M. N. (2013). Assessment of physical activity in patients with chronic low back or neck pain. Turkish neurosurgery, 23(1).
  • Toraman, F., Taşralı, S., & Uyar, B. (2021). Osteoartrit: Esneklik, Bilişsel işlev, beden kütle indeksi ve fiziksel aktiviteye etkisi. Akdeniz University School of Physical Education and Sports, 1-7.
  • Tütüncü, R., & Günay, H. (2011). Kronik ağrı, psikolojik etmenler ve depresyon. Dicle Tıp Dergisi, 38(2), 257-262. Wenzel, H. G., Haug, T. T., Mykletun, A., & Dahl, A. A. (2002). A population study of anxiety and depression among persons who report whiplash traumas. Journal of psychosomatic research, 53(3), 831-835
There are 34 citations in total.

Details

Primary Language English
Subjects Health Services and Systems (Other)
Journal Section Research Article
Authors

Rabia Seva Özkan 0000-0001-9892-5949

Musa Polat 0000-0002-8290-3697

Publication Date April 30, 2025
Submission Date November 8, 2024
Acceptance Date January 30, 2025
Published in Issue Year 2025Volume: 10 Issue: 1

Cite

Vancouver Özkan RS, Polat M. Investigation of the Relationship Between Physical Activity Levels and Mood State in Patients with Chronic Musculoskeletal Pain. J Cumhuriyet Univ Health Sci Inst. 2025;10(1):27-32.
 Download Cover Image

The Journal of Sivas Cumhuriyet University Institute of Health Sciences is an international, peer-reviewed scientific journal published by Sivas Cumhuriyet University, Institute of Health Sciences.