Pos1400-hpr comparison of body awareness, physical activity, kinesiophobia, pain catastrophizing, and psychosocial status in individuals with rheumatoid arthritis and ankylosing spondylitis

Background Rheumatoid arthritis (RA) and ankylosing spondylitis (AS) are among the most common rheumatic (joint) conditions. RA and AS are different types of arthritis. Living with RA or AS can significantly affect your quality of life, mental health, and emotional well-being. Objectives We report the preliminary results of an ongoing prospective observational study that compare the body awareness, physical activity, kinesiophobia, pain catastrophizing and psychosocial status in individuals with RA and AS. Methods A total of 78 individuals (RA=48; AS=30; women/men=48/30) recruited from two university hospitals in Turkey. All individuals were assessed regarding physical characteristics (age, BMI, duration of disease, BASDAI, DAS-28); body awareness by Body Awareness Questionnaire, physical activity level by International Physical Activity Questionnaire Short Form, fear of movement by Tampa Scale of Kinesiophobia, pain catastrophizing by Pain Catastrophizing Scale and psychosocial status by Beck Depression Inventory. Results Individuals’ characteristics and outcome measures are presented in Table 1. As expected, there were statistical differences between age and gender in study groups (p<0.001). However, disease duration and disease activity, mild depression level were similar between groups. Individuals with AS were significantly more physically active compared to individuals with RA (p<0.005). Body awareness, kinesiophobia, pain catastrophizing and psychosocial status were similar between groups (p>0.05). In addition, disease activity was moderately correlated with body awareness, pain catastrophizing and kinesiophobia individuals with AS (r=-0.529; r=0.613; r=0.427, p<0.05). Conclusion Treatment of RA and AS is similar, but there are key differences. According to our results, individuals with AS is more physically active than individuals with RA regardless of disease duration and disease activity. Health professionals can also focus on correlation between disease activity and higher body awareness, pain catastrophizing and kinesiophobia in individuals with AS. References [1]Oskay D, Tuna Z, Düzgün İ, Elbasan B, Yakut Y, Tufan A. Relationship between kinesiophobia and pain, quality of life, functional status, disease activity, mobility, and depression in patients with ankylosing spondylitis. Turk J Med Sci. 2017 Nov 13;47(5):1340-1347. doi: 10.3906/sag-1702-93. PMID: 29151302. [2]Baday-Keskin D, Ekinci B. The relationship between kinesiophobia and health-related quality of life in patients with rheumatoid arthritis: A controlled cross-sectional study. Joint Bone Spine. 2022 Mar;89(2):105275. doi: 10.1016/j.jbspin.2021.105275. Epub 2021 Sep 15. PMID: 34536623. Table 1. Characteristics of patients and outcome measures Patients’ characteristics RA n=48 AS n=30 p * Age (year): mean ± SD 51.34 ± 11.0 40.27 ± 10.38 0.000* BMI (kg/m 2 ): mean ± SD 28.21 ± 4.47 26.66 ± 5.78 0.101 Gender (n, %) Female 41 (85.4%) 7 (23.3%) 0.000* Male 7 (14.6%) 23 (76.7%) Duration of disease (year): mean ± SD 7.20 ± 9.39 5.91 ± 7.28 0.488 ESR (mm/h) 13 (2-58) 9 (3-54) 0.115 CRP (mg/dl) 3.65 (0.18-37.70) 5.2 (0.60-49.06) 0.300 BASDAI (0-10) n (%) Active disease 18 (60) Inactive disease 12 (40) DAS-28 n (%) Remission 24 (50) Low activity 12 (25) Moderate activity 12 (25) Outcome measures BDI (0-29) 14.5 (0-45) 14 (0-42) 0.991 IPAQ-SF 594 (0-4380) 1188 (66-5805) 0.005 * PCS (0-52) 29 (4-51) 27 (7-50) 0.610 TSK (0-68) 39 (23-56) 42.5 (25-57) 0.102 BAQ (18-126) 94 (50-126) 91.5 (49-1200) 0.463 RA= Rheumatoid arthritis; AS= Ankylosing spondylitis; SD= Standard deviation; BMI= Body mass index; ESR= Erythrocyte sedimentation rate; CRP= C reactive protein; Bath Ankylosing Spondylitis Disease Activity Index, BDI= Beck Depression Inventory. IPAQ-SF= International Physical Activity Questionnaire-Short Form; PCS= Pain Catastrophizing Scale; TSK= Tampa Scale for Kinesiophobia; BAQ: Body Awareness Questionnaire. * Mann-Whitney U test. Acknowledgements: NIL. Disclosure of Interests None Declared.