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Affective temperament profile in ankylosing spondylitis patients using TEMPS-A
Tulay Yildirim1, Dilek Solmaz2, Murat Emul3
1Department of Physical Medicine and Rehabilitation, Inonu University, Turkey.
Journal of Physical Therapy Science
|March 31, 2017
Summary
Affective temperaments like depressive and anxious types correlate with increased pain and disease activity in Ankylosing Spondylitis patients, impacting their quality of life.
Area of Science:
- Rheumatology
- Psychiatry
- Psychology
Background:
- Ankylosing Spondylitis (AS) is a chronic inflammatory disease affecting the spine.
- The role of affective temperaments in AS patient outcomes is not well understood.
Purpose of the Study:
- To compare dominant affective temperaments in AS patients versus controls.
- To investigate the relationship between temperaments and pain, disease activity, quality of life, depression, and anxiety in AS.
Main Methods:
- 51 AS patients and 42 controls were assessed.
- Standardized questionnaires measured pain (VAS), disease activity (BASDAI), function (BASFI), psychological status (BDI, BAI), quality of life (ASQoL), and dominant affective temperament.
Main Results:
- No significant difference in temperament distribution between AS patients and controls.
- Higher depressive, anxious, and cyclothymic scores correlated with increased pain (VAS) and functional impairment (BASFI).
- Anxious temperament correlated with reduced quality of life (ASQoL); depressive, cyclothymic, irritable, and anxious temperaments related to psychiatric symptoms.
Conclusions:
- Affective temperament may influence depression and anxiety symptoms in AS.
- Temperament traits might exacerbate AS disease activity and diminish quality of life.