Abstract
The aim of this study was to compare health related quality of life (HRQoL) and assess functional and psychological status in rheumatoid arthritis (RA), fibromyalgia syndrome (FS) patients and controls (each 30 subjects). Demographic characteristics, pain and sleep disturbance by Visual Analog Scale, depression by Beck Depression Inventory (BDI), disease impact by fibromyalgia impact questionnaire, DAS-28, and HRQoL by SF-36 were gathered. The FS group scored significantly worser than the RA group with respect to physical role, social functioning and bodily pain subscales of SF-36. The scores of all SF-36 subscales were significantly lower in FS and RA patients than controls except mental health score. All of the subscales of SF-36 were negatively correlated with BDI scores in FS patients. In RA group, the DAS-28 scores were inversely correlated with all of SF-36 subscales. In conclusion, presence of comorbid depression must be taken into account when determining HRQoL in FS and RA. Essentials improving the HRQoL are management of depression in FS and control of disease activity in RA.
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Orsel S, Akdemir A, Dag I (2004) The sensitivity of quality of life scale WHOQOL-100 to psychopathological measures in schizophrenia. Compr Psychiatry 45:57–61
Buskila D, Zaks N, Neumann L, Livneh A, Greenberg S, Pras M, Langevitz P (1997) Quality of life of patients with familial Mediterranean fever. Clin Exp Rheumatol 15:355–360
Akvardar Y, Akdede BB, Ozerdem A, Eser E, Topyaka S, Alptekin K (2006) Assessment of quality of life with the WHOQOL-BREF in a group of Turkish psychiatric patients compared with diabetic and healthy subjects. Psychiatry Clin Neurosci 60:693–699
Currey SS, Rao JK, Winfield JB, Callahan LF (2003) Performance of a generic health-related quality of life measure in a clinical population with rheumatic disease. Arthritis Rheum 49:658–664
Woolf AD (2000) The bone and joint decade 2000–2010. Ann Rheum Dis 59:81–82
Walker GJ, Littlejohn GO (2007) Measuring quality of life in rheumatic conditions. Clin Rheumatol 26:671–673
Wolfe F, Smythe HA, Yunus MB, Bennett RM, Bombardier C, Goldenberg DL, Tugwell P, Campbell SM, Abeles M, Clark P (1990) The American College of Rheumatology 1990 criteria for the classification of fibromyalgia. Report of the Multicenter Criteria Committee. Arthritis Rheum 33:160–172
Wolfe F, Ross K, Anderson J, Russell IJ, Hebert L (1995) The prevalence and characteristics of fibromyalgia in the general population. Arthritis Rheum 38:19–28
Silman AJ, MacGregor AJ (1998) Rheumatoid arthritis: classification and epidemiology In: Klippel JH, Dieppe PA (eds) Rheumatology, 2nd edn. Mosby, Philadelphia, pp 5 2.1–2.5
Sharpe L, Sensky T, Allard S (2001) The course of depression in recent onset rheumatoid arthritis: the predictive role of disability, illness perceptions, pain and coping. J Psychosom Res 51:713–719
Katz PP, Yelin EH (1993) Prevalence and correlates of depressive symptoms among persons with rheumatoid arthritis. J Rheumatol 20:790–796
Wells KB, Stewart A, Hays RD, Burnam MA, Rogers W, Daniels M, Berry S, Greenfield S, Ware J (1989) The functioning and well-being of depressed patients. Results from the medical outcomes study. JAMA 262:914–919
Ang DC, Choi H, Kroenke K, Wolfe F (2005) Comorbid depression is an independent risk factor for mortality in patients with rheumatoid arthritis. J Rheumatol 32:1013–1019
Wolfe F, Michaud K (2004) Severe rheumatoid arthritis (RA) worse outcomes, comorbid illness, and sociodemographic disadvantage characterize RA patients with fibromyalgia. J Rheumatol 31:695–700
Ortiz Z, Shea B, Dieguez MG, Boers M, Tugwell P, Bonen A, Wells G (1999) The responsiveness of generic quality of life instruments in rheumatic diseases. A systemetic review of randomized controlled trials. J Rheumatol 26:210–216
Borman P, Toy Gur G, Babaoglu S, Bodur H, Ciliz D, Allı N (2007) A comparative evaluation of quality of life and life satisfaction in patients with psoriatic and rheumatoid arthritis. Clin Rheumatol 26:330–334
Beaton DE, Hogg-Johnson S, Bombardier C (1997) Evaluating changes in health status: reliability and responsiveness of five generic health status measures in workers with musculoskeletal disorders. J Clin Epidemiol 50:79–93
Tuttleman M, Pillemer SR, Tilley BC, Fowler SE, Buckley LM, Alarcon GS, Trentham DE, Neuner R, Clegg DO, Leisen JC, Heyse SP (1997) A cross sectional assessment of health status instruments in patients with rheumatoid arthritis participating a clinical trial. Minocycline in Rheumatoid Arthritis Trial Group. J Rheumatol 24:1910–1915
Schlenk EA, Erlen JA, Dunbar-Jacob J, McDowell J, Engberg S, Sereika SM, Rohay JM, Bernier MJ (1998) Health related quality of life in chronic disorders: a comparision across studies using the MOS SF-36. Qual Life Res 7:57–65
Birtane M, Uzunca K, Tastekin N, Tuna H (2007) The evaluation of quality of life in fibromyalgia syndrome: a comparison with rheumatoid arthritis by using SF-36 health survey. Clin Rheumatol 26:679–684
Arnett FC, Edworthy SM, Bloch DA, McShane DJ, Fries JF, Cooper NS, Healey LA, Kaplan SR, Liang MH, Luthra HS (1988) The American Rheumatism Association 1987 revised criteria for the classification of rheumatoid arthritis. Arthritis Rheum 31:315–324
Demirsoy C (1990) The MOS-SF 36 health survey: a validation study with Turkish sample. Dissertation (unpublished), University of Bosphorus, Istanbul
Hisli N (1988) The reliability and validity study of the Beck Depression Inventory in a Turkish sample. Psikoloji Dergisi 6:118–122
Burckhardt CS, Clark SR, Bennett RM (1991) The fibromyalgia impact questionnaire: development and validation. J Rheumatol 18:728–733
Sarmer S, Ergin S, Yavuzer G (2000) The validity and reliability of the Turkish version of the Fibromyalgia Impact Questionnaire. Rheumatol Int 20:9–12
Leeb BF, Andel I, Sautner J, Bogdan M, Mactari A, Nothnagl T, Rintelen B (2005) Disease activity measurement of rheumatoid arthritis: comparison of simplified disease activity index (SDAI) and disease activity score including 28 joints (DAS-28) in daily routine. Arthritis Rheum 53:56–60
Zautra AC, Fasman R, Parish BP, Davis MC (2007) Daily fatigue in women with osteoarthritis, rheumatoid arthritis, and fibromyalgia. Pain 128:128–135
Ofluoglu D, Berker N, Guven Z, Canbulat N, Yilmaz TI, Kayhan O (2005) Quality of life in patients with fibromyalgia syndrome and rheumatoid arthritis. Clin Rheumatol 24:490–492
Martinez JE, Ferraz MB, Sato EI, Atra E (1995) Fibromyalgia versus rheumatoid arthritis: a longitudinal comparison of the quality of life. J Rheumatol 22:270–274
Neumann L, Berzak A, Buskila D (2000) Measuring health status in Israeli patients with fibromyalgia syndrome and widespread pain and healthy individuals: utility of the short form 36-item health survey (SF-36). Semin Arthritis Rheum 29:400–408
Walker EA, Keegan D, Gardner G, Sullivan M, Katon WJ, Bernstein D (1997) Psychosocial factors in fibromyalgia compared with rheumatoid arthritis: I. psychiatric diagnoses and functional disability. Psychosom Med 59:565–571
Strömbeck B, Ekdahl C, Manthorpe R, Wikström I, Jacobsson L (2000) Health-related quality of life in primary Sjögren’s syndrome, rheumatoid arthritis and fibromyalgia compared to normal population data using SF-36. Scand J Rheumatol 29:20–28
Hawley DJ, Wolfe F (1991) Pain, disability and pain/disability relationships in seven rheumatic disorders: a study of 1,522 patients. J Rheumatol 18:1552–1557
Clauw DJ, Crofford LJ (2003) Chronic widespread pain and fibromyalgia: what we know, and what we need to know. Best Pract Res Clin Rheumatol 17:685–701
Rupp I, Boshuizen HC, Jacobi CE, Dinant HJ, Bos GA (2004) Impact of fatigue on health-related quality of life in rheumatoid arthritis. Arthritis Rheum 15:578–585
Bedi GS, Gupta N, Handa R, Pal H, Pandey RM (2005) Quality of life in Indian patients with rheumatoid arthritis. Qual Life Res 14:1953–1958
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Tander, B., Cengiz, K., Alayli, G. et al. A comparative evaluation of health related quality of life and depression in patients with fibromyalgia syndrome and rheumatoid arthritis. Rheumatol Int 28, 859–865 (2008). https://doi.org/10.1007/s00296-008-0551-6
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DOI: https://doi.org/10.1007/s00296-008-0551-6