Client-centered lifestyle intervention for men with fibromyalgia syndrome: Is efficacy independent of gender?

AIM: Fibromyalgia syndrome (FMS) has a significant impact on daily life, but the fact that most diagnosed individuals are women makes it difficult to understand the occupational needs and lifestyle choices of male patients. The purpose of this study was to examine the effectiveness of a client-centered lifestyle intervention program in men with fibromyalgia and compare it with women. METHODS: The client-centered lifestyle intervention program was applied to 15 men with fibromyalgia in two sessions per week for 4 weeks in individual sessions and compared with data from 15 women who had previously participated in the same program. The Revised Fibromyalgia Questionnaire, the Canadian Occupational Performance Measure, the Hospital Anxiety and Depression Scale, and the Satisfaction with Life Scale were used as outcome measures. RESULTS: When comparing results between baseline and 4 weeks later, statistically significant differences were found in the male group in the areas of fibromyalgia severity (p = .001), occupational performance (p = .001), occupational satisfaction (p = .001), anxiety (p = .002), depression (p = .005), and life satisfaction (p = .002). It was found that occupational performance and occupational satisfaction increased significantly more in women than in men (p = .004 and p = .001, respectively). CONCLUSION: The client-centered lifestyle intervention was shown to be effective in fibromyalgia severity, occupational performance, occupational satisfaction, anxiety, depression, and life satisfaction of both men and women with FMS. Levels of progress in occupational participation could show gender-based differences. The study suggests that more attention should be paid to psychosocial factors when assessing men's occupational participation and planning appropriate interventions.

The effectiveness of a client-centered lifestyle intervention in women with fibromyalgia syndrome: A quasi-experimental controlled study.

In this study, the authors aimed to investigate the effects of a client-centered lifestyle intervention for women with fibromyalgia syndrome on the levels of disease severity, occupational participation, anxiety, depression, and life satisfaction. The quasi-experimental controlled study was conducted at Occupational Therapy Department of Hacettepe University in Turkey between January 2018 and May 2018. Based on the literature review and basic assessments, a lifestyle intervention program was designed focusing both on the participants' occupational goals and the effects of fibromyalgia symptoms. The results were measured using the Revised Fibromyalgia Impact Questionnaire (FIQR), The Canadian Occupational Performance Measure (COPM), Hospital Anxiety and Depression Scale (HADS), and Satisfaction with Life Scale (SWLS). Significant differences were found in intervention group compared to control in terms of COPM-Performance (p = .001), COPM-Satisfaction (p = .001), HADS-Anxiety (p = .009), and HADS-Depression (p = .001). Although FIQR and SWLS levels improved positively in the intervention group (respectively; p = .001 and p =.012), there was no difference between the groups. According to these results, the client-centered and occupation-based lifestyle intervention applied to individuals with fibromyalgia could be effective on occupational participation and psychological symptoms.

Investigation of the relationship between kinesiophobia and sensory processing in fibromyalgia patients.

Purpose/aim: The aims of this study are to investigate the relationship between kinesiophobia and sensory processing in fibromyalgia (FM) patients and obtain new information about kinesiophobia in light of these results.Materials and methods: This study has been conducted with 82 literate subjects aged 18-65 years and diagnosed with FM based on ACR 2010 diagnostic criteria. Fibromyalgia Impact Questionnaire was used for measuring functional status in FM patients, The Tampa Scale of Kinesiophobia was used for determine the levels of kinesiophobia and Adolescent/Adult Sensory Profile was used for determine the characteristics of sensory process patterns of the individuals.Results: Among the participants, sensory sensitivity scores of 65.85% and sensation avoiding scores of 40.24% were higher than that in the general population. Sensation seeking scores of 48.78% the subjects were lower compared to the general population. A significant and weak positive correlation was found between the kinesiophobia scores and responses of sensory sensitivity and sensation avoiding (r = 0.23, p = 0.04; z = 0.29, p = 0.01)Conclusion: This is the first study conducted to investigate the relationship between kinesiophobia and sensory processing in fibromyalgia patients. However, different studies investigating this subject are warranted in order to be able to generalize the findings and increase the value of evidence.

Validity of the Turkish Occupational Self Assessment for Elderly Individuals.

Occupational therapy practices in Turkey are increasing each year, but rehabilitation practitioners working in the occupational therapy field have limited instruments. The aim of this study was to analyze the validity of the Turkish version of the Occupational Self Assessment (OSA), which is based on the Model of Human Occupation. The data were analyzed using exploratory and confirmatory factor analyses to determine construct validity. The Turkish OSA was administered with the World Health Organization Quality of Life-Old (WHOQOL-OLD) and the Functional Autonomy Measurement System (SMAF) to 117 elderly individuals to determine convergent validity. The Turkish OSA has acceptable construct validity scores (exploratory and confirmatory factor analyses). SMAF and WHOQOL-OLD Scales showed a moderately significant relationship with OSA competence total scores ( p < .01). The results indicate that the OSA is a valid instrument for determining occupational competence and values in elderly Turkish individuals.

DEVELOPMENT OF A TURKISH VERSION OF THE SENSORY PROFILE: TRANSLATION, CROSS-CULTURAL ADAPTATION, AND PSYCHOMETRIC VALIDATION.

The purpose of this study was to translate and culturally adapt the Sensory Profile (SP), which is used to measure sensory processing abilities of children ages of 3-10 years, and test its reliability and validity for use with Turkish children with autism. A cross-cultural adaptation process was carried out by bilingual experts, following typical guidelines. The test-retest reliability, internal consistency, and construct validity studies of the Turkish SP were done for 144 children with autism. A comparison was also made between results of children with autism and 101 healthy children to test the validity of the Turkish SP. There were significant differences between results of autistic and healthy children on all subsections of the test. The Cronbach's as ranged from .63 to .97 for all subsections except I, J, and N, which had poor internal consistency reliability. Test-retest reliability over a one-week period was excellent (ICC > .90).