The Impact of Perceived Social Support on Anxiety, Depression and Severity of Pain and Burnout Among Turkish Females With Fibromyalgia

Abstract

Objectives: This study aims to assess the impact of perceived social support on burnout, severity of pain and comorbid anxiety and depression among Turkish females with fibromyalgia syndrome (FMS). Patients and methods: A total of 117 females including 65 patients with FMS (mean age 33.5±8.1 years; range 20 to 60 years) and 52 healthy controls (mean age 33.6±7.3 years; range 23 to 48 years) were included between January 2017 and May 2017. Following a semi-structured psychiatric interview by a psychiatrist, Sociodemographic Data Form, Mood and Anxiety Disorders Modules of Structured Clinical Interview for Diagnostic and Statistical Manual of Mental Disorders fourth edition Axis I Disorders (SCID-I), Hamilton Depression Rating Scale (HDRS), Hamilton Anxiety Rating Scale (HARS), visual analog scale (VAS), Maslach Burnout Inventory (MBI) and Multidimensional Scale of Perceived Social Support (MSPSS) were applied to participants. Results: As a result of the semi-structured clinical interview conducted by a psychiatrist, the prevalence of any mood or anxiety disorder was found to be significantly more common in the FMS group. The proportion of patients diagnosed with any mood or anxiety disorder using SCID-I was significantly different among FMS (n=50, 76.92%) and healthy control (n=14, 33.33%) groups (p<0.001). Correlations between these variables were examined within the FMS group. There was a significant negative correlation between VAS and MSPSS. There were significant negative correlations between MSPSS and HDRS, HARS, all subscales of MBI. There were significant positive correlations between VAS and HDRS, HARS, all subscales of MBI. Conclusion: In conclusion, perceived social support was found to be strongly associated with depression, anxiety, burnout and severity of pain in patients with FMS. Our study provided support to emphasize the importance of perceived social support among females with FMS. Considering that FMS is associated with many physical and cognitive complaints in addition to pain, it can be considered as a multi-systemic disease requiring a multidisciplinary approach.

The effect on the anxiety level of the social support given to multiple sclerosis patients

“…It is reported in the literature that anxiety decreased as perceived social support increased. 31,32 Similar to the results of this study, the study by Rajastka et al (2020) and that by Henry et al 19 found that there was a negative relationship between perceived social support and anxiety.…”

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“…It is not surprising that the participants' QOL had decreased after the second wave of the COVID-19 outbreak. Many factors, including inaccurate information about virus transmission, limited social support, financial uneasiness, and an unstable situation can increase anxiety, resulting in significant decreases in the psychological QOL [13][14][15]. Hence, we initially considered that the anxiety subdomain would be the most affected among the five EQ-5D subdomains.…”

Coronaphobia in Patients With Fibromyalgia.

“…Previous studies have shown that FMS patients are affected more than healthy individuals by concerns and anxiety triggered by stress factors. 16 Several studies have shown that the majority of patients with FMS have various psychosocial problems and psychiatric disorders including depression, anxiety, somatization and phobias. 17 It has been stated in literature that 19.4%-34.8% of FMS patients have emotional disorders, and 11.6 %-32.2% have anxiety and anxiety disorders.…”