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Loneliness in patients with late-onset rheumatoid arthritis: Relationship with disease activity and psychosocial factors

Year 2022, Volume: 15 Issue: 2, 253 - 262, 31.08.2022
https://doi.org/10.26559/mersinsbd.1096607

Abstract

Objective: Loneliness is a very common condition that intensifies with chronic diseases and pain. The aim of this study was to investigate the loneliness in patients with late-onset rheumatoid arthritis (RA) and to analyze its relationship with disease activity and psychosocial status. Method: Forty-four patients with RA whose disease onset age was over 60 years and 44 control were included in the study. Sociodemographic characteristics, Beck Depression Inventory (BDI) and Beck Anxiety Inventory (BAI), Multidimensional Scale of Perceived Social Support, and UCLA Loneliness Scale short form (ULS-8) scores were recorded for all participants. In addition, erythrocyte sedimentation rate and C-reactive protein values, Visual Analog Scale-pain, Disease Activity Score, and Health Assessment Questionnaire (HAQ) scores of patients with RA were recorded. Results: Patients with RA had higher depression scores, ULS-8 scores, and lower perceived social support scores compared to controls, but there was no difference found between the two groups in terms of anxiety. Both loneliness and perceived social support were correlated with BDI, BAI, and HAQ scores in patients with RA. It was determined that the anxiety and depression scores were higher, perceived social support was lower, and loneliness was higher in the active disease group compared to the patients in remission. Conclusion: Loneliness is related with depression, perceived social support, functional status and disease activity in late-onset RA patients. Loneliness, a factor that increases morbidity in elderly individuals, is more severe in patients with late-onset RA.

References

  • Winkvist A, Bärebring L, Gjertsson I, Ellegård L, Lindqvist HM. A randomized controlled cross-over trial investigating the effect of anti-inflammatory diet on disease activity and quality of life in rheumatoid arthritis: the Anti-inflammatory Diet in Rheumatoid Arthritis (ADIRA) study protocol. Nutr J. 2018;17(1):44. doi: 10.1186/s12937-018-0354-x.
  • Sugihara T, Harigai M. Targeting Low Disease Activity in Elderly-Onset Rheumatoid Arthritis: Current and Future Roles of Biological Disease-Modifying Antirheumatic Drugs. Drugs Aging. 2016;33(2):97-107.
  • El-Mansoury TM, Taal E, Abdel-Nasser AM, et al. Loneliness among women with rheumatoid arthritis: a cross-cultural study in the Netherlands and Egypt. Clin Rheumatol. 2008;27(9):1109-1118.
  • Bay LT, Ellingsen T, Giraldi A, Graugaard C, Nielsen DS. "To be lonely in your own loneliness": The interplay between self-perceived loneliness and rheumatoid arthritis in everyday life: A qualitative study. Musculoskeletal Care. 2020;18(4):450-458.
  • Öksüz E, Cinar FI, Cinar M, Tekgoz E, Yilmaz S. Assessment of the effects of loneliness, perceived social support, and depression on medication adherence in patients with ankylosing spondylitis. Perspect Psychiatr Care. 2021;57(2):517-523.
  • Kool MB, Geenen R. Loneliness in patients with rheumatic diseases: the significance of invalidation and lack of social support. J Psychol. 2012;146(1):229-41.
  • Nicolson PJA, Williamson E, Morris A, et al. Musculoskeletal pain and loneliness, social support and social engagement among older adults: Analysis of the Oxford Pain, Activity and Lifestyle cohort. Musculoskeletal Care. 2021;19(3):269-277.
  • Smith TO, Dainty JR, Williamson E, Martin KR. Association between musculoskeletal pain with social isolation and loneliness: analysis of the English Longitudinal Study of Ageing. Br J Pain. 2019;13(2):82-90.
  • Özkan Tuncay F, Fertelli T, Mollaoğlu M. Effects of loneliness on illness perception in persons with a chronic disease. J Clin Nurs. 2018;27(7-8):e1494-e1500.
  • Freedman A, Nicolle J. Social isolation and loneliness: the new geriatric giants: Approach for primary care. Can Fam Physician. 2020;66(3):176-182.
  • Reijnders T, Schuler M, Jelusic D, et al. The Impact of Loneliness on Outcomes of Pulmonary Rehabilitation in Patients with COPD. COPD. 2018;15(5):446-453.
  • Gray TF, Azizoddin DR, Nersesian PV. Loneliness among cancer caregivers: A narrative review. Palliat Support Care. 2020;18(3):359-367.
  • Emmungil H, İlgen U, Turan S, Kilic O. Assessment of loneliness in patients with inflammatory arthritis. Int J Rheum Dis. 2021;24(2):223-230.
  • Aletaha D, Neogi T, Silman AJ, et al. 2010 Rheumatoid arthritis classification criteria: an American College of Rheumatology/European League Against Rheumatism collaborative initiative. Arthritis Rheum. 2010;62(9):2569-2581.
  • Price DD, McGrath P, Rafii A, et al. The validation of visual analogue scales as ratio scale measures for chronic and experimental pain. Pain. 1983;17(1):45-56.
  • Prevoo MLL, van't Hof MA, Kuper HH, et al. Modified disease activity scores that include twenty-eight-joint counts. Arthritis Rheum. 1995; 38(1):44-48.
  • Küçükdeveci AA, Sahin H, Ataman S, Griffiths B, Tennant A. Issues in Cross- Cultural Validity: Example from the adaptation, reliability, and validity testing of a Turkish version of the Stanford Health Assessment Questionnaire. Arthritis and Rheumatism. 2004;51(1):14-19.
  • Hisli N. Beck Depresyon Envanterinin Gecerligi Uzerine bir Calisma. Journal of Psychology. 1988; 6:118-122.
  • Ulusoy M, Şahin N, Erkmen H. Turkish Version of the Beck Anxiety Inventory: Psychometric Properties. Journal of Cognitive Psychotherapy. 1998;12:163-172.
  • Eker D, Arkar H, Yaldız H. Factorial structure, validity, and reliability of revised form of the Multidimensional Scale of Perceived Social Support. Turk J Psychiatry. 2001;12(1):17‐25.
  • Doğan T, Çötok NA, Tekin EG. Reliability and validity of the Turkish version of the UCLA (ULS-8) among university students. Procedia- Social and Behavioral Sciences. 15:2058-2062.
  • Oudman E, van Dam M, Postma A. Social and emotional loneliness in Korsakoff's syndrome. Cogn Neuropsychiatry. 2018;23(5):307-320.
  • Christiansen J, Lund R, Qualter P, Andersen CM, Pedersen SS, Lasgaard M. Loneliness, Social Isolation, and Chronic Disease Outcomes. Ann Behav Med. 2021;55(3):203-215.
  • Wang J, Mann F, Lloyd-Evans B, Ma R, Johnson S. Associations between loneliness and perceived social support and outcomes of mental health problems: a systematic review. BMC Psychiatry. 2018;18(1):156. doi: 10.1186/s12888-018-1736-5.
  • Kara M, Mirici A. Loneliness, depression, and social support of Turkish patients with chronic obstructive pulmonary disease and their spouses. J Nurs Scholarsh. 2004;36(4):331-336.
  • Erzen E, Çikrikci Ö. The effect of loneliness on depression: A meta-analysis. Int J Soc Psychiatry. 2018;64(5):427-435.
  • Luanaigh CO, Lawlor BA. Loneliness and the health of older people. Int J Geriatr Psychiatry. 2008 ;23(12):1213-1221.

Geç başlangıçlı romatoid artritli hastalarda yalnızlık hissi: Hastalık aktivitesi ve psikososyal faktörler ile ilişkisi

Year 2022, Volume: 15 Issue: 2, 253 - 262, 31.08.2022
https://doi.org/10.26559/mersinsbd.1096607

Abstract

Amaç: Yalnızlık hissi, kronik hastalıklar ve ağrılı durumlar ile şiddeti artan, oldukça yaygın görülen bir durumdur. Bu çalışmanın amacı, geç başlangıçlı romatoid artritli (RA) hastalarda yalnızlık hissinin araştırılması ve yalnızlık hissi ile hastalık aktivitesi ve psikososyal durum arasındaki ilişkinin incelenmesidir. Yöntem: Çalışmaya hastalık başlangıç yaşı 60 ve üzeri olan 44 RA'lı hasta ve 44 kontrol dahil edildi. Tüm katılımcıların sosyodemografik özellikleri, Beck Depresyon Ölçeği (BDÖ) ve Beck Anksiyete Ölçeği (BAÖ), Çok Boyutlu Algılanan Sosyal Destek Ölçeği ve UCLA Yalnızlık Ölçeği kısa formu (ULS-8) skorları kaydedildi. Ek olarak RA’lı hastaların eritrosit sedimantasyon hızı ve C-reaktif protein değerleri, Görsel Analog Skala-ağrı, Hastalık Aktivite Skoru ve Sağlık Değerlendirme Anketi (HAQ) skorları kaydedildi. Bulgular: RA’lı hastalarda kontrollerle karşılaştırıldığında depresyon skorları ile ULS-8 skorları daha yüksek ve algılanan sosyal destek skorları daha düşüktü ancak anksiyete açısından iki grup arasında fark yoktu. RA'lı hastalarda hem yalnızlık hem de algılanan sosyal destek BDÖ, BAÖ ve HAQ skorları ile korelasyon göstermekteydi. Aktif hastalığı olan grupta remisyona giren hastalara göre anksiyete ve depresyon puanlarının daha yüksek, algılanan sosyal desteğin daha düşük ve yalnızlık hissinin daha fazla olduğu belirlendi. Sonuç: Geç başlangıçlı RA hastalarında yalnızlık hissi; depresyon, algılanan sosyal destek, fonksiyonel durum ve hastalık aktivitesi ile ilişkilidir. Yaşlı bireylerde morbiditeyi artıran bir faktör olan yalnızlık, geç başlangıçlı RA’lı hastalarda daha şiddetli olmaktadır.

References

  • Winkvist A, Bärebring L, Gjertsson I, Ellegård L, Lindqvist HM. A randomized controlled cross-over trial investigating the effect of anti-inflammatory diet on disease activity and quality of life in rheumatoid arthritis: the Anti-inflammatory Diet in Rheumatoid Arthritis (ADIRA) study protocol. Nutr J. 2018;17(1):44. doi: 10.1186/s12937-018-0354-x.
  • Sugihara T, Harigai M. Targeting Low Disease Activity in Elderly-Onset Rheumatoid Arthritis: Current and Future Roles of Biological Disease-Modifying Antirheumatic Drugs. Drugs Aging. 2016;33(2):97-107.
  • El-Mansoury TM, Taal E, Abdel-Nasser AM, et al. Loneliness among women with rheumatoid arthritis: a cross-cultural study in the Netherlands and Egypt. Clin Rheumatol. 2008;27(9):1109-1118.
  • Bay LT, Ellingsen T, Giraldi A, Graugaard C, Nielsen DS. "To be lonely in your own loneliness": The interplay between self-perceived loneliness and rheumatoid arthritis in everyday life: A qualitative study. Musculoskeletal Care. 2020;18(4):450-458.
  • Öksüz E, Cinar FI, Cinar M, Tekgoz E, Yilmaz S. Assessment of the effects of loneliness, perceived social support, and depression on medication adherence in patients with ankylosing spondylitis. Perspect Psychiatr Care. 2021;57(2):517-523.
  • Kool MB, Geenen R. Loneliness in patients with rheumatic diseases: the significance of invalidation and lack of social support. J Psychol. 2012;146(1):229-41.
  • Nicolson PJA, Williamson E, Morris A, et al. Musculoskeletal pain and loneliness, social support and social engagement among older adults: Analysis of the Oxford Pain, Activity and Lifestyle cohort. Musculoskeletal Care. 2021;19(3):269-277.
  • Smith TO, Dainty JR, Williamson E, Martin KR. Association between musculoskeletal pain with social isolation and loneliness: analysis of the English Longitudinal Study of Ageing. Br J Pain. 2019;13(2):82-90.
  • Özkan Tuncay F, Fertelli T, Mollaoğlu M. Effects of loneliness on illness perception in persons with a chronic disease. J Clin Nurs. 2018;27(7-8):e1494-e1500.
  • Freedman A, Nicolle J. Social isolation and loneliness: the new geriatric giants: Approach for primary care. Can Fam Physician. 2020;66(3):176-182.
  • Reijnders T, Schuler M, Jelusic D, et al. The Impact of Loneliness on Outcomes of Pulmonary Rehabilitation in Patients with COPD. COPD. 2018;15(5):446-453.
  • Gray TF, Azizoddin DR, Nersesian PV. Loneliness among cancer caregivers: A narrative review. Palliat Support Care. 2020;18(3):359-367.
  • Emmungil H, İlgen U, Turan S, Kilic O. Assessment of loneliness in patients with inflammatory arthritis. Int J Rheum Dis. 2021;24(2):223-230.
  • Aletaha D, Neogi T, Silman AJ, et al. 2010 Rheumatoid arthritis classification criteria: an American College of Rheumatology/European League Against Rheumatism collaborative initiative. Arthritis Rheum. 2010;62(9):2569-2581.
  • Price DD, McGrath P, Rafii A, et al. The validation of visual analogue scales as ratio scale measures for chronic and experimental pain. Pain. 1983;17(1):45-56.
  • Prevoo MLL, van't Hof MA, Kuper HH, et al. Modified disease activity scores that include twenty-eight-joint counts. Arthritis Rheum. 1995; 38(1):44-48.
  • Küçükdeveci AA, Sahin H, Ataman S, Griffiths B, Tennant A. Issues in Cross- Cultural Validity: Example from the adaptation, reliability, and validity testing of a Turkish version of the Stanford Health Assessment Questionnaire. Arthritis and Rheumatism. 2004;51(1):14-19.
  • Hisli N. Beck Depresyon Envanterinin Gecerligi Uzerine bir Calisma. Journal of Psychology. 1988; 6:118-122.
  • Ulusoy M, Şahin N, Erkmen H. Turkish Version of the Beck Anxiety Inventory: Psychometric Properties. Journal of Cognitive Psychotherapy. 1998;12:163-172.
  • Eker D, Arkar H, Yaldız H. Factorial structure, validity, and reliability of revised form of the Multidimensional Scale of Perceived Social Support. Turk J Psychiatry. 2001;12(1):17‐25.
  • Doğan T, Çötok NA, Tekin EG. Reliability and validity of the Turkish version of the UCLA (ULS-8) among university students. Procedia- Social and Behavioral Sciences. 15:2058-2062.
  • Oudman E, van Dam M, Postma A. Social and emotional loneliness in Korsakoff's syndrome. Cogn Neuropsychiatry. 2018;23(5):307-320.
  • Christiansen J, Lund R, Qualter P, Andersen CM, Pedersen SS, Lasgaard M. Loneliness, Social Isolation, and Chronic Disease Outcomes. Ann Behav Med. 2021;55(3):203-215.
  • Wang J, Mann F, Lloyd-Evans B, Ma R, Johnson S. Associations between loneliness and perceived social support and outcomes of mental health problems: a systematic review. BMC Psychiatry. 2018;18(1):156. doi: 10.1186/s12888-018-1736-5.
  • Kara M, Mirici A. Loneliness, depression, and social support of Turkish patients with chronic obstructive pulmonary disease and their spouses. J Nurs Scholarsh. 2004;36(4):331-336.
  • Erzen E, Çikrikci Ö. The effect of loneliness on depression: A meta-analysis. Int J Soc Psychiatry. 2018;64(5):427-435.
  • Luanaigh CO, Lawlor BA. Loneliness and the health of older people. Int J Geriatr Psychiatry. 2008 ;23(12):1213-1221.
There are 27 citations in total.

Details

Primary Language Turkish
Subjects Health Care Administration
Journal Section Articles
Authors

Mustafa Erkut Önder 0000-0001-9349-9530

Adem Yıldırım 0000-0002-8291-0248

Publication Date August 31, 2022
Submission Date March 31, 2022
Acceptance Date May 31, 2022
Published in Issue Year 2022 Volume: 15 Issue: 2

Cite

APA Önder, M. E., & Yıldırım, A. (2022). Geç başlangıçlı romatoid artritli hastalarda yalnızlık hissi: Hastalık aktivitesi ve psikososyal faktörler ile ilişkisi. Mersin Üniversitesi Sağlık Bilimleri Dergisi, 15(2), 253-262. https://doi.org/10.26559/mersinsbd.1096607
AMA Önder ME, Yıldırım A. Geç başlangıçlı romatoid artritli hastalarda yalnızlık hissi: Hastalık aktivitesi ve psikososyal faktörler ile ilişkisi. Mersin Univ Saglık Bilim derg. August 2022;15(2):253-262. doi:10.26559/mersinsbd.1096607
Chicago Önder, Mustafa Erkut, and Adem Yıldırım. “Geç başlangıçlı Romatoid Artritli Hastalarda yalnızlık Hissi: Hastalık Aktivitesi Ve Psikososyal faktörler Ile ilişkisi”. Mersin Üniversitesi Sağlık Bilimleri Dergisi 15, no. 2 (August 2022): 253-62. https://doi.org/10.26559/mersinsbd.1096607.
EndNote Önder ME, Yıldırım A (August 1, 2022) Geç başlangıçlı romatoid artritli hastalarda yalnızlık hissi: Hastalık aktivitesi ve psikososyal faktörler ile ilişkisi. Mersin Üniversitesi Sağlık Bilimleri Dergisi 15 2 253–262.
IEEE M. E. Önder and A. Yıldırım, “Geç başlangıçlı romatoid artritli hastalarda yalnızlık hissi: Hastalık aktivitesi ve psikososyal faktörler ile ilişkisi”, Mersin Univ Saglık Bilim derg, vol. 15, no. 2, pp. 253–262, 2022, doi: 10.26559/mersinsbd.1096607.
ISNAD Önder, Mustafa Erkut - Yıldırım, Adem. “Geç başlangıçlı Romatoid Artritli Hastalarda yalnızlık Hissi: Hastalık Aktivitesi Ve Psikososyal faktörler Ile ilişkisi”. Mersin Üniversitesi Sağlık Bilimleri Dergisi 15/2 (August 2022), 253-262. https://doi.org/10.26559/mersinsbd.1096607.
JAMA Önder ME, Yıldırım A. Geç başlangıçlı romatoid artritli hastalarda yalnızlık hissi: Hastalık aktivitesi ve psikososyal faktörler ile ilişkisi. Mersin Univ Saglık Bilim derg. 2022;15:253–262.
MLA Önder, Mustafa Erkut and Adem Yıldırım. “Geç başlangıçlı Romatoid Artritli Hastalarda yalnızlık Hissi: Hastalık Aktivitesi Ve Psikososyal faktörler Ile ilişkisi”. Mersin Üniversitesi Sağlık Bilimleri Dergisi, vol. 15, no. 2, 2022, pp. 253-62, doi:10.26559/mersinsbd.1096607.
Vancouver Önder ME, Yıldırım A. Geç başlangıçlı romatoid artritli hastalarda yalnızlık hissi: Hastalık aktivitesi ve psikososyal faktörler ile ilişkisi. Mersin Univ Saglık Bilim derg. 2022;15(2):253-62.

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