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BackgroundRegarding to determine pain-related anxiety of patients in clinical trials, there are sufficient number of tools in the literature (1). On the other hand there is a lack of internationally accepted measures which adapted in Turkish population to assess pain-related anxiety.ObjectivesThe aim of this study was to translate the short version of the Pain Anxiety Symptom Scale (PASS-20) into Turkish, assess its test-retest reliability and validate the use of PASS-20 among patients.Methods47 patients with different rheumatic diseases (ankylosing spondylitis, rheumatoid arthritis…) aged between 21-71 years (mean 47.91±48.00 years) participated in this study. Translation/re trans-lation of the English version of the PASS-20 was done blindly and independently by four different individuals and adapted by a team. After the translation, 34 patients was performed Turkish PASS-20 with an interval of a week for the test/retest reliability. And also, all patients were asked to fill Tampa Kinesiophobia Scale (TKS) (2)and Beck Anxiety Scale (BAS) (3)for validation.ResultsThere was no difference between test and retest results (p>0.05). The test-retest reliability was found to be 0.864 (95% CI=0.706-0.937). Cronbach's alpha was 0.864. Construct validity, tested by determining the correlation between the Turkish PASS-20 and the Turkish adaptation of the TKS (r=0.554, p<0.01), and BAS (r=0.545, p<0.01).ConclusionsTest-retest reliability of the Turkish version of the PASS-20 was found to be good in our study and it was seen that this scale could be used in clinics for patients with rheumatic diseases. This study is considered as a preliminary report in terms of validation of the PASS-20 because of the lack of participated patients number. However, pre-results indicates that PASS-20 scale is usefull for rheumatic patients with pain in Turkey.ReferencesMcCracken LM, Dhingra L. A short version of the Pain Anxiety Symptoms Scale (PASS-20): preliminary development and validity. Pain research & management: the journal of the Canadian Pain Society = journal de la societe canadienne pour le traitement de la douleur. 2002;7(1):45-50.Tunca Yılmaz Ö, Yakut Y, Uygur F, Uluğ N. Tampa Kinezyofobi Ölçeği'nin Türkçe versiyonu ve test-tekrar test güvenirliği Fizyoter Rehabil 2011;22(1):44-9.Ulusoy M, Sahin NH, Erkmen H. Turkish Version of the Beck Anxiety Inventory: Psychometric Properties. Journal of Cognitive Psychotherapy. 1998;12(2):163.Disclosure of InterestNone declared

BackgroundJuvenile idiopathic arthritis (JIA) is a chronic inflammatory childhood disease with symptoms such as joint inflammation, pain and loss of quality of life.1 Types of disease and the presence of pain can impact the child psychosocially, as well as affecting functional activity.2 ObjectivesThe aim of this study is to examine the results of functional and psychosocial status according to the disease type and the presence of pain symptoms in children with JIA.MethodsThe study included 71 children diagnosed with JIA who applied to the Hacettepe University İhsan Doğramacı Children’s Hospital Rheumatology Department. Following the collection of demographic information, functional status was assessed with the Child Health Assessment Questionnaire (CHAQ) and psychosocial and functional status was assessed with the scale developed in Hacettepe University Faculty of Health Sciences Department of Physiotherapy and Rehabilitation for functional and psychosocial status of children with rheumatism by Edibe Ünal.3 Children were divided into groups according to disease type as oligoarthritis or polyarthritis and the presence or absence of pain.ResultsTable 1 shows the mean age and numbers of children. There was no difference between the groups according to disease type (p>0,05). On the other hand, comparing scores for the CHAQ total, CHAQ general VAS assessment, functional and psychosocial status according to the presence or absence of pain revealed significant differences (p<0,05).Abstract AB1452HPR – Table 1Assessment values and comparison statisticsDisease TypePain Oligoarthritis(n=51)Polyarthritis(n=20) pPresent(n=21)Absent(n=50) p Age (years)10,88±3,8113,50±3,92001611,71±3,7711,58±4,120885CHAQ Total0,28±0,290,46±0,4101270,51±0,40,26±0,270012CHAQ (General VAS)2,49±2,433,93±300684,46±2,862,24±2,30002Function (range 0–30)4,72±4,855,05±6,3207667,85±6,63,54±4,020004Psychosocial (range 0–30)23±5,6714,5±5,82036316±5,7412,34±5,40012Function; Psychosocial; Functional and Psychosocial subscales of Ünal’s scale.3 ConclusionsWe conclude that pain has a greater effect on functional, psychosocial and overall disease assessment in children with JIA when compared to the disease type. Thus, it must be taken into consideration that child’s ability to cope with pain should be improved.References[1] Angelo Ravelli, Alberto Martini. Juvenile idiopathic arthritis.The Lancet2007, 369(9563); 767–778.[2] Laura E Schanberga, John C Lefebvreb, et al. Pain coping and the pain experience in children with juvenile chronic arthritis. Pain1997, 73(2); 181–189.[3] Kısacık Pınar,Ünal Edibe, et al. Juvenil İdiyopatik Artritli Hastalarda Çok Yönlü Bir Değerlendirme Sistemi Oluşturulması Delphi Çalışması. 2016, Annals Of Paediatric Rheumatology Disclosure of InterestNone declared

BackgroundStudies show that patients’ biopsychosocial characteristics may be affected by various factors such as inpatient, outpatients, exercise intervention regularly. [1]. No studies have been found to examine this situation in the literature.ObjectivesThe aim of this study was to investigate the biopsychosocial characteristics of patients with rheumatic diseases who were inpatients, outpatients and participated in an exercise intervention regularly.MethodsA total of 105 patients were included in the study (inpatient, outpatient, exercise intervention) (Table 1). For exercise intervention group, BETY as a biopsychosocial exercise model was applied 3 days a week for 3 months [2]. Biopsychosocial characteristics of the patients included in the study were evaluated by BETY- Biopsychosocial Questionnaire (BETY-BQ) [3]. In addition to the total score of BETY-BQ, the same time pain, functionality and fatigue, sexuality, emotional status and socialization subcategory of this questionnaire were evaluated on item basis among each patients.ResultsThe demographics variables and BETY-BQ scores of the patients were shown in Table 1. There were a statistically significant differences among three groups. After post-hoc analysis, it was determined that there is no difference between the BETY-BQ scores of the outpatients and inpatients (p> 0.05), whereas the BETY-BQ scores of the patients who participated in the group exercise were lower (p<0.05). When the items were analyzed, it was found that pain (items 2, 3, 5, and 12), functionality and fatigue (items 6, 7, 11, 26, and 28), emotional status (items 16 and 17), and sleep (item 30) subcategory scores were also lower in patients who participated in BETY programme (p<0.05).Abstract Table 1 Demographic statistics and BETY-BQ scores Inpatient (n= 30) Outpatıent (n= 44) Exercıse ınterventıon (BETY) (n= 31) Female Male Female Male Female Male Gender (%) 61.337.887.212.853.77.4 XSD XSD XSD Age (year) 46.3514.5646.0613.2648.67 11.89 BMI (kg/m2) 24.19 5.1728.98 18.8526.94 3.84 BETY-BQ (0- 120) p XSD XSD XSD 0.027 49.1017.9445.6427.9333.8121.73ConclusionIt is surprising that the biopsychosocial characteristics of the inpatients and outpatients were similar. According to this result, inpatients shouldnt be thought as worse than outpatients. On the other hand, the patients who participated in exercise intervention were improved in terms of biopsychosocial aspects. The positive effects of the BETY program on the biopsychosocial status of individuals have been demonstrated formerly [4]. It was concluded that inpatients should be supported to exercise in terms of their biopsychosocial needs during hospitalization period as well as rheumatic outpatients need.References[1] Saketkoo, L.A. and J.D. Pauling, Qualitative methods to advance care, diagnosis, and therapy in rheumatic diseases. Rheumatic Disease Clinics of North America, 2018.[2] Kisacik, P., et al., Investigating the effects of a multidimensional exercise program on symptoms and antiinflammatory status in female pa...

We studied the intra- and inter-rater reliability of muscle thickness and cross-sectional area measurements of thenar muscles with a water bath ultrasonography technique in eight healthy volunteers and 16 patients with trapeziometacarpal osteoarthritis. Thickness and cross-sectional area of the opponens pollicis, abductor pollicis brevis, flexor pollicis brevis, first dorsal interosseous and adductor pollicis muscle were measured. The results showed changes in the morphometric properties of the thenar muscles in patients with trapeziometacarpal osteoarthritis (TMC OA) compared with the healthy volunteers. In the dominant-sided patients ( n = 14), there were lower cross-sectional area values for the abductor pollicis brevis and opponens pollicis muscles. In the non-dominant-sided patients ( n = 10), there were lower cross-sectional area values for the abductor pollicis brevis and flexor pollicis brevis and lower muscle thickness of the abductor pollicis brevis. The water bath ultrasonography technique could be used to diagnose and treat diseases where changes in thenar muscle thickness and cross-sectional area can be expected. Level of evidence: III

BackgroundRheumatic diseases have biopsychosocial effects on individiuals.1 This affection includes the combination of anxiety, depression, and participation in daily living activities. It can be thought that individuals can be affected from different diseases in different ways.ObjectivesThe aim of this study is to compare the biopsychosocial status of patients with Rheumatoid Arthritis (RA) and Fibromyalgia (FMS).MethodsIndividuals diagnosed with Rheumatoid Arthritis (RA) and Fibromyalgia (FMS) who applied to the Rheumatology Department of the Medical Faculty of Hacettepe University were included in the study. After the demographic characteristics of the individuals were recorded; daily living activities were assessed with the Health Assessment Questionnaire (HAQ), quality of life with Short Form 36 (SF-36) scale, anxiety and depression levels with Hospital Anxiety and Depression Scale (HADS) and disease related biopsychosocial status with the Cognitive Exercise Therapy Approach Scale (BETY) which is a newly developed scale in rheumatic patients (the authors request that the abbreviation stay as “BETY” as the original in Turkish).2 Results120 RA and 99 FMS patients were included in the study. The scores of individuals on scales are shown in Table 1. When analysed in terms of differences according to RA and FMS, the anxiety and depression scores of the HADS scale and the SF-36 quality of life scale of the individuals were found to differ between the Physical Functioning, Social Functioning, General Mental Health, Role Limitations Due to Emotional Problems, Vitality Energy or Fatigue and General Health Perception subparametric scores.Abstract AB1450HPR – Table 1Comparison of two groups.RA (n=120)FMS (n=99)p Age51,91±11,3943,03±8,420,00BMI28,47±6,5527,46±5,670227HAQ13,48±11,8611,7±9,470229HADS-A7,07±5,49,59±4,820000HADS-D5,62±4,399,23±4,460000BETY60,64±29,7467,14±22,70075SF36-FF45,12±26,0938,44±22,450046SF36-FR28,54±43,6320,95±34,570162SF36-A39,87±25,7642,06±20,250492SF36-SI36,67±45,8250,63±25,90008SF36-RS73,15±19,8253,87±20,250000SF36-ER55,1±24,9130,03±41,830000SF36-EC70,41±30,427,27±19,990000SF36-GS50,08±24,7638,38±16,610000PF: Physical Functioning, RL: Role Limitations, RLE: Role Limitations Due to Emotioal, VEF: Vitality, Energy or Fatigue, GMH: General Mental Health, SF: Social Functioning, P: Pain, GHP: General Health PerceptionConclusionsPhysical function, mental health, emotional role strength, energy vitality and general health perception, anxiety and depression levels in RA patients were found to be better than FMS patients. The activities of daily living were thought to be unaffected by the changing parameters of pain and biopsychosocial status.References[1] van Middendorp H, Evers AWM. The role of psychological factors in inflammatory rheumatic diseases: From burden to tailored treatment. Best Practice & Research Clinical Rheumatology. 2016;30(5):932–45.[2] Ünal E, Arin G, Karaca Nb, Kiraz S, Akdoğan A, Kalyoncu U, et al. Romatizmalı hastalar için bir yaşam kalitesi ölçeğinin geliştirilmesi: madde havuzu...

BackgroundJuvenile Idiopathic Arthritis (JIA) is the most frequent chronic rheumatic disease during childhood. It can result in disabilities, loss of quality of life and mood changes.1 Furthermore, literature reviewing the effects of arthritis on children and family is inonsistent, with studies showing significant difference or not, compared to healthy children.2 ObjectivesThe purpose of this study is to present results regarding the functional status, psychosocial status and disease activity of children with JIA and their effects on the child’s family. The second aim is to present the correlations between these parameters.MethodsThe study included children diagnosed with JIA who applied to Hacettepe University İhsan Doğramacı Children’s Hospital Rheumatology Department. After demographic data was collected, all children were assessed with Child Health Assessment Questionnaire (CHAQ) for daily living activities, with the Juvenile Arthritis Disease Activity Score (JADAS) for disease activity and with a newly developed scale from Hacettepe University Faculty of Health Sciences Department of Physiotherapy and Rehabilitation for children with rheumatism by Edibe Ünal(3 for functional and psychosocial status. Cut-off point was accepted as ≤2.7 for disease activity.4 The Family Impact Scale (FIS) was used to assess perspective of parents.ResultsA hundred and ninety-six children were included in the study. The mean age of children was 12,44±3,97 and female/male ratio was 55,6/44,4. Although the mean JADAS score was 3,33±4,21, it only detected active disease in 81 children. There was a moderate correlation between CHAQ (Pain) and functional scores of Ünal’s scale and JADAS score. CHAQ total score was well correlated with function and psychosocial scores. The correlation between FIS and other scales was very low.Abstract AB1447HPR – Table 1DescriptivesMean±SD JADAS3,33±4,21CHAQ (Total)0,32±0,38CHAQ (Pain)2,31±3,01CHAQ (General VAS)3,52±2,99Function (range: 0–30)4,09±5,85Psychosocial (range: 0–30)13,25±5,76FIS43,6±10.12Function; Psychosocial; Functional and Psychosocial subscales of Ünal’s scale.3 Abstract AB1447HPR – Table 2CorrelationsConclusionsOur results show that pain and function alter disease activity in children with JIA. It is seen that psychosocial states of children and their functional states expressed by their own knowledges also affect their daily life. These changes did not affect the wievpoint of the family.References[1] Spiegel L, Kristensen KD, et al. Juvenile idiopathic arthritis characteristics: Etiology and pathophysiology. Seminars in Orhodontics2015, 21(2); 77–83[2] Susan T. Reisine. Arthritis and the Family. Arthritis Rheum1995, 8(4);265–271.[3]. Kısacık Pınar,Ünal Edibe, et al. Juvenil İdiyopatik Artritli Hastalarda Çok Yönlü Bir Değerlendirme SistemiOluşturulması Delphi Çalışması. 2016, Annals Of Paediatric Rheumatology.[4] Bulasovic Calasan M, De Vries LD, et al. Interpretation of the Juvenile Arthritis Disease Activity Socre: responsiveness, clinically important differences and levels of disease...

JAB-Q is a valid and reliable multidimensional biopsychosocial outcome tool that can be used routinely in clinical practice of pediatric rheumatology. The main advantage of this tool is incorporation of patients' and parents' perspectives separately while providing a practical and standard setting for the clinician's evaluation. However, further validation of this tool in an independent cohort is needed to improve its applicability.