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Journal of Health Sciences and Medicine

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Original Article
Evaluation of the physical and emotional effects of the earthquake in fibromyalgia patients
Abstract
Aims: Fibromyalgia (FMS) is a soft tissue disease characterized by widespread pain and tenderness. Poor living conditions and stress can cause the symptoms of the disease to aggravate. Natural disasters such as earthquakes can also increase the severity of symptoms such as pain and sleep disturbance in fibromyalgia patients by creating physical and psychological stress. In this study, we aimed to show the physical and psychological effects of the earthquake on fibromyalgia patients.
Methods: Our study is of prospective type and was conducted between 01.09.2023 and 01.11.2023. 59 earthquake victims and 50 non-earthquake victims FMS patients diagnosed with FMS according to the ACR2016 diagnostic criteria were included. All patients filled out four forms: Perceived Stress Scale (PSS) showing psychological states, Fibromyalgia Impact Questionnaire (FIQ) showing physical states, EuroQol Group (EQ5D3L) general quality of life scale showing quality of life, EQ5D3L-VAS scale showing pain conditions and Pittsburgh Sleep Quality Index showing sleep quality.
Results: ASD, FIQ, EQ5D3L, EQ5D3L-VAS and Pittsburg scores of fibromyalgia patients who were earthquake victims were statistically significantly higher than FMS patients who were non earthquake victims (respectively p=0.008, p<0.001, p=0.008, p=0.008, p=0.008).
Conclusion: It is known that the risk of developing chronic pain syndromes and psychological distress increases after unexpected natural disasters such as earthquakes. In this study, we showed that the earthquake negatively affected pain, fatigue, sleep and quality of life in fibromyalgia patients. Thus, we tried to draw attention to the importance of appropriate screening, management, emotional support and mental health services for post-earthquake fibromyalgia patients.

Keywords : Fibromyalgia, pain, natural disaster, earthquake

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1. SBB. 2023 Kahramanmaraş ve Hatay depremleri raporu. Strat ve B&uuml;t&ccedil;e Başkanlığı Raporu. Published online 2023:140. https://www.sbb.gov.tr/wp-content/uploads/2023/03/2023-Kahramanmaras-ve-Hatay-Depremleri-Raporu.pdf
2. Turkiye earthquake: external situation report no.7: 3-16 April 2023. https://www.who.int/europe/publications/i/item/WHO-EURO-2023- 7145-46911-69105
3. Yunus MB. Fibromyalgia and overlapping disorders: the unifying concept of central sensitivity syndromes. Semin Arthritis Rheum. 2007; 36(6):339-356. doi:10.1016/j.semarthrit.2006.12.009
4. Clauw DJ. Fibromyalgia: a clinical review. JAMA. 2014;311(15):1547-1555. doi:10.1001/jama.2014.3266
5. Haviland MG, Morton KR, Oda K, Fraser GE. Traumatic experiences, major life stressors, and self-reporting a physician-given fibromyalgia diagnosis. Psychiatry Res. 2010;177(3):335-341. doi:10.1016/j.psychres. 2009.08.017
6. Usui C, Hatta K, Aratani S, et al. Vulnerability to traumatic stress in fibromyalgia patients: 19-month follow-up after the great East Japan disaster. Arthritis Res Ther. 2013;15(5):R130. doi:10.1186/ar4310
7. Cohen S, Kamarck T, Mermelstein R. Cohen 1983. J Health Soc Behav. 1983;24(4):385-396. doi:10.2307/2136404
8. Eskin M, Harlak H, Demirkıran F, Dereboy &Ccedil;. Algılanan stres &ouml;l&ccedil;eğinin T&uuml;rk&ccedil;e&rsquo;ye uyarlanması: g&uuml;venirlik ve ge&ccedil;erlik analizi. 2014;(January 2013).
9. Burckhardt CS, Clark SR, Bennett RM. The fibromyalgia impact questionnaire: development and validation. J Rheumatol. 1991;18(5):728-733.
10. Ediz L, Hiz O, Toprak M, Tekeoglu I, Ercan S. The validity and reliability of the Turkish version of the Revised Fibromyalgia Impact Questionnaire. Clin Rheumatol. 2011;30(3):339-346. doi:10.1007/s10067-010-1546-8
11. Group TE. EuroQol - a new facility for the measurement of health-related quality of life. Health Policy (New York). 1990;16(3):199-208. doi: 10.1016/0168-8510(90)90421-9
12. Buysse DJ, Reynolds CF 3<sup>rd</sup>, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res. 1989;28(2):193-213. doi:10.1016/0165-1781 (89)90047-4
13. Ağar İ, Malakcıoğlu C, Mutlu HH. Uykusuzluk şikayetleri ve uyku kalitesi temel &ouml;l&ccedil;eğinin T&uuml;rk&ccedil;e ge&ccedil;erlilik g&uuml;venirliği. Turkish J Fam Med Prim Care. 2021;15(4):846-852. doi:10.21763/tjfmpc.971532
14. Aloush V, Gurfinkel A, Shachar N, Ablin JN, Elkana O. Physical and mental impact of COVID-19 outbreak on fibromyalgia patients. Clin Exp Rheumatol. 2021;39 Suppl 1(3):108-114. doi:10.55563/clinexprheumatol/rxk6s4
15. Nagata S, Matsunaga A, Teramoto C. Follow-up study of the general and mental health of people living in temporary housing at 10 and 20 months after the Great East Japan earthquake. Jpn J Nurs Sci. 2015;12(2):162-165. doi:10.1111/jjns.12051
16. Yabuki S, Ouchi K, Kikuchi S, Konno S. Pain, quality of life and activity in aged evacuees living in temporary housing after the Great East Japan earthquake of 11 March 2011: a cross-sectional study in Minamisoma City, Fukushima prefecture. BMC Musculoskelet Disord. 2015;16:246. doi:10.1186/s12891-015-0711-2
17. Sudaryo MK, Besral, Endarti AT, et al. Injury, disability and quality of life after the 2009 earthquake in Padang, Indonesia: a prospective cohort study of adult survivors. Glob Health Action. 2012;5:1-11. doi:10.3402/gha.v5i0.11816
18. Valenti M, Masedu F, Mazza M, et al. A longitudinal study of quality of life of earthquake survivors in L&rsquo;Aquila, Italy. BMC Public Health. 2013; 13:1143. doi:10.1186/1471-2458-13-1143
19. Cammack F, Shipton EA. The Christchurch earthquake: crush injury, neuropathic pain, and posttraumatic stress disorder. Case Rep Med. 2013;2013:973234. doi:10.1155/2013/973234
20. Angeletti C, Guetti C, Papola R, et al. Pain after earthquake. Scand J Trauma Resusc Emerg Med. 2012;20:43. doi:10.1186/1757-7241-20-43
21. McEwen BS, Karatsoreos IN. Sleep deprivation and circadian disruption stress, allostasis, and allostatic load. Sleep Med Clin. 2022;17(2):253-262. doi:10.1016/j.jsmc.2022.03.005
22. Itoh Y, Takeshima M, Kaneita Y, et al. Associations between the 2011 Great East Japan earthquake and tsunami and the sleep and mental health of Japanese people: a 3-wave repeated survey. Nat Sci Sleep. 2022; 14(September 2021):61-73. doi:10.2147/NSS.S338095
23. Lai TJ, Chang CM, Connor KM, Lee LC, Davidson JRT. Full and partial PTSD among earthquake survivors in rural Taiwan. J Psychiatr Res. 2004;38(3):313-322. doi:10.1016/j.jpsychires.2003.08.005
24. Varela E, Koustouki V, Davos CH, Eleni K. Psychological consequences among adults following the 1999 earthquake in Athens, Greece. Disasters. 2008;32(2):280-291. doi:10.1111/j.1467-7717.2008.01039.x
25. Akbaş E, Ko&ccedil;yiğit A, Erdem EU. Depremzedelerde vestib&uuml;ler etkilenimin, emosyonel durumun ve uyku kalitesinin değerlendirilmesi. IGUSABDER. 2024:1175-1185. doi:10.38079/igusabder.1375643
26. Van Den Berg B, Grievink L, Yzermans J, Lebret E. Medically unexplained physical symptoms in the aftermath of disasters. Epidemiol Rev. 2005;27(1):92-106. doi:10.1093/epirev/mxi001
27. Guimaro MS, Steinman M, Kernkraut AM, Santos OFP dos, Lacerda SS. Psychological distress in survivors of the 2010 Haiti earthquake. Einstein (Sao Paulo). 2013;11(1):11-14. doi:10.1590/s1679-45082013000100004
28. Karaarslan İ, Yavuz B, &Ouml;zdemir S, &Ccedil;akar S, Tatlı M. 6 Şubat Kahramanmaraş depremleri sonrası ilkokul &ouml;ğretmenlerinin durumluk kaygı d&uuml;zeylerinin incelenmesi. Int J Soc Humanit Sci Res. 2023;10(97): 1560-1564. doi:10.35341/afet.1326948
29. Kirman F. Traumatic stress reactions after earthquake and its reflections on social media. Hatay Mustafa Kemal &Uuml;ni İlah Fak Derg. 2023;6(1):15-30.
30. Ekşi A, Braun KL, Ertem-Vehid H, et al. Risk factors for the development of PTSD and depression among child and adolescent victims following a 7.4 magnitude earthquake. Int J Psychiatry Clin Pract. 2007;11(3):190-199. doi:10.1080/13651500601017548
31. Marthoenis M, Ilyas A, Sofyan H, Schouler-Ocak M. Prevalence, comorbidity and predictors of post-traumatic stress disorder, depression, and anxiety in adolescents following an earthquake. Asian J Psychiatr. 2019;43(February):154-159. doi:10.1016/j.ajp.2019.05.030
32. C&eacute;nat JM, McIntee SE, Blais-Rochette C. Symptoms of posttraumatic stress disorder, depression, anxiety and other mental health problems following the 2010 earthquake in Haiti: a systematic review and meta-analysis. J Affect Disord. 2020;273(April):55-85. doi:10.1016/j.jad.2020. 04.046
33. Gupta A, Silman AJ. Psychological stress and fibromyalgia: a review of the evidence suggesting a neuroendocrine link. Arthritis Res Ther. 2004; 6(3):98-106. doi:10.1186/ar1176
34. Malt EA, Olafsson S, Lund A, Ursin H. Factors explaining variance in perceived pain in women with fibromyalgia. BMC Musculoskelet Disord. 2002;3:12. doi:10.1186/1471-2474-3-12
35. Salaffi F, Atzeni F, Talotta R, Di Carlo M, Sarzi-Puttini P. Earthquake vulnerability of fibromyalgia patients: six-month follow-up after the catastrophic disasters in central Italy. Clin Exp Rheumatol. 2017;35 Suppl 1(3):93-99.
36. Christensen MV, Kessing LV. Clinical use of coping in affective disorder, a critical review of the literature. Clin Pract Epidemiol Ment Health. 2005;1(1):20. doi:10.1186/1745-0179-1-20
37. Conversano C, Rotondo A, Lensi E, Della Vista O, Arpone F, Reda MA. Optimism and its impact on mental and physical well-being. Clin Pract Epidemiol Ment Health. 2010;6:25-29. doi:10.2174/1745017901006010025
38. Tang B, Ge Y, Liu Z, et al. Health-related quality of life for medical rescuers one month after Ludian earthquake. Health Qual Life Outcomes. 2015;13:88. doi:10.1186/s12955-015-0286-5
39. Khachadourian V, Armenian HK, Demirchyan A, Goenjian A. Loss and psychosocial factors as determinants of quality of life in a cohort of earthquake survivors. Health Qual Life Outcomes. 2015;13:13. doi:10.1186/s12955-015-0209-5
40. &Ouml;ztekin GG, &Ouml;rki H. Effects of depression, anxiety, and stress on disaster preparedness: evidence from the February 6 Turkiye earthquakes. Afet Risk Derg. 2023;6(4):1332-1347. doi:10.35341/afet.1326948
Article available in :
Volume 8, Issue 2, 2025
Page : 174-179
https://doi.org/10.32322/jhsm.1589687
Article Information
Received : 22 Kas 2024
Accepted : 24 Oca 2025
Published : 21 Mar 2025
Corresponding Author :

Hatice Zehra Ferhatlar: Department of Physical Medicine and Rehabilitation, Viranşehir State Hospital, Şanlıurfa, Turkiye

[email protected]
Citation : Ferhatlar HZ, Tuna M, Demirhan E. Evaluation of the physical and emotional effects of the earthquake in fibromyalgia patients. J Health Sci Med. 2025;8(2):174-179.

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