AB1374-HPR THE EFFECTIVENESS OF BIOPSYCHOSOCIAL EXERCISE PROGRAM ON PAIN COPING IN PATIENTS WITH ANKYLOSING SPONDYLITIS AND FIBROMYALGIA

Background Ankylosing spondylitis (AS) and fibromyalgia (FM) are rheumatic diseases with a high incidence in the community. Although many studies have been done on pain in these patient groups, the studies on coping with pain are very limited (1, 2). Bilissel Egzersiz Terapi Yaklasimi (BETY) is an exercise approach that developed in rheumatic patients. This approach has its own Biopsychosocial Questionnaire (BETY-BQ). This scale that assesses patients biopsychosocial status and includes the question about pain coping skill (3). Objectives The aim of this study is to the effectiveness of biopsychosocial exercise program on pain coping in with patients AS and FM. Methods Patients with AS and FM were included in the study and demographic data were recorded. Patients attended the BETY sessions for 8 weeks, 3 times a week for sixty minutes. BETY-BQ (3) was applied to individuals before and after 8 weeks. The answers to the question I don’t know how to control my pain, which is the 5th question of the BETY-BQ scale, was recorded as 5-point Likert, ranging between yes-always to no-never. Results 47 women with AS (n = 30) and FM (n = 17) included in the study. The mean age was 41.83 11.24 and 43.35 8.86 and the body mass indexes were 26.385.15and 26.325.15 for the AS and FM patients, respectively. There was a statistically significant difference in the ability of AS subjects to cope with pain before and after the BETY intervention (p 0.05) (Table 1). Conclusion Although both AS and FM are rheumatic diseases, it is known that FM patients experience more intense psychosocial stress. They are, therefore, resistant to change (4). We found that the positive change in pain coping skill seen in the AS group is not seen in FM group. It is concluded that FM patients regarding in pain coping strategies they need to attend exercise programs and need to be educated about pain coping skills for a longer period. References [1] Dean, L.E., et al., Global prevalence of ankylosing spondylitis. Rheumatology (Oxford), 2014. 53(4): p. 650-7. [2] Cabo-Meseguer, A., G. Cerda-Olmedo, andJ.L. Trillo-Mata, Fibromyalgia: Prevalence, epidemiologic profiles and economic costs. Med Clin (Barc), 2017. 149(10): p. 441-448. [3] NAL, E., et al., Romatizmali hastalar iin bir yasam kalitesi leginin gelistirilmesi: madde havuzunun olusturulmasi. Journal of Exercise Therapy and Rehabilitation, 2017. 4(2): p. 67-75. [4] Clauw, D.J., Fibromyalgia and related conditions. Mayo Clin Proc, 2015. 90(5): p. 680-92. Disclosure of Interests None declared