FRI0036 EFFECTS OF DISEASE ACTIVITY, ILLNESS PERCEPTION, SOCIAL SUPPORT AND COPING METHODS ON QUALITY OF LIFE IN THE PATIENTS WITH RHEUMATOID ARTHRITIS AND FIBROMYALGIA SYNDROME

Abstract

Background: In chronic diseases, social support, illness perception and coping methods have important effect on quality of life. Objectives: In the present study, we aimed to compare the quality of life (QOL) of the patients with rheumatoid arthritis (RA) with fibromyalgia (FMS) patients and healthy controls and to assess the relationship between QOL and illness perception, social support, disease coping methods in the patients with RA and FMS. Methods: Fifty-eight patients with RA, 50 patients with FMS and 50 healthy controls were enrolled in the study. Pain (Visual Analogue Scale, VAS), QOL (Short Form SF-36), illness perception (Revised Illness Perception Scale, IPQ-R), social support (Multidimensional Perceived Social Support Scale, MSPSS) were assessed in the patients. In RA patients, disease activity was evaluated with DAS 28 and Clinical Disease Activity (CDAI), and functional status was evaluated with Health Assessment Questionnaire (HAQ). Fibromyalgia Impact Questionnaire (FIQ) scale was used in the clinical assessment of FMS patients. Results: While RA and FMS patients had higher COPE-emotional and COPE–problem scores than the healthy controls (p 0.05). Regarding the all MSPSS scores, there was no significant difference between the three groups (p>0.05). FMS patients had lower scores than the RA patients and healthy controls regarding the physical function, pain, social functioning and mental health subscales of SF-36 (p In RA patients, MSPSS-friend and MSPSS-special one scores were positively correlated with all subscales of SF-36. IPQ-R consecuences scores were negatively associated with all subscales of SF-36 (p In FMS patients, IPQ-R-timeline acute\chronic score was negatively correlated with physical function, pain and social function subscales (p Conclusion: In RA and FMS patients, QOL and physical functions were found to be related with illness perception, social support and coping methods as much as disease activity. Disclosure of Interestss: None declared