Akademik Veri Yönetim Sistemi
17th Congress of the European Forum for Research in Rehabilitation (EFRR), Antalya, Türkiye, 1 - 04 Kasım 2023, cilt.1, sa.1, ss.1
BACKGROUND AND AIM:The history of fractures in osteoporosis (OP) is a problem that keeps
attention because it evolves high levels of stress and anxiety in patients. However, there are no
adequate studies on the psychosocial histories of OP patients who get a diagnosis at later ages, usually
as a secondary disorder. These data presented here are the preliminary results of a long-term scientific
project that includes a comprehensive field study supported by TÜBİTAK (The Scientific and
Technological Research Council of Türkiye). Despite the studies (eg, Catalano et al., 2018) showing
that psychosocial factors such as stress, anxiety and social support are predictive of possible fracture
experience and bone health of OP patients, these factors are still only considered from an etiological
point of view. Up to date detailed studies evaluating illness experience of OP patients still not have been
carried out and this constitutes a deficiency in the psychology field, so this study wants to draw attention
to these points. Therefore, the present study aims to evaluate the stress, anxiety and social support
levels of OP patients according to their past fracture experiences. Besides another aim of this study is
to acquire the correlation values of these variables in order to design the psychological modelling study
which will constitute the final stage of this long-term scientific project.
METHODS:The Fracture Information Form developed by the researchers, the Perceived Stress Scale,
the Brief Symptom Inventory-Anxiety, and The Multidimensional Scale of Perceived Social Support
were used in the study. Past fracture frequency information in the Fracture Information Form was
categorized according to median scores and divided into three groups: patients without a history of
fracture, patients with one or two fractures, and patients with three or more fractures. The data were
collected at Istanbul University Istanbul Faculty of Medicine between May-August 2023. Ethical
permissions and patient consents from the participants were obtained. These preliminary results
present a cross-sectional evaluation, and the data collection process continues according to the plan
of this long-term scientific project. Statistical analysis was done using SPSS 23. One Way Anova was
used to achieve the first aim; Pearson Correlation Analysis was used for the second.
RESULTS:According to the One-Way Anova results performed in the first aim test, it is seen that the
past fracture frequency differs significantly only in the mean anxiety level (F2.83= 4.59, p <.05). Tukey
test, one of the Post Hoc analyses, was used to evaluate between groups. According to the results of
the analysis, the difference in the mean anxiety level between those who have never experienced
fractures (M=7.21) and those who have experienced it once or twice (M=4.12) is significant, and those
with three or more fractures (M=7.60). The difference between the others was not found statistically
significant. Stress and social support scores of OP patients do not differ in terms of previous fracture
levels (p >.05). But it was also noted that the difference between social support scores could gain
significance as the number of participants increases. The results of the correlation within the scope of
the second aim, the fracture history of patients showed a significant relationship only with the level of
anxiety (r=-.23; p <.05).