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    Client-centered lifestyle intervention for men with fibromyalgia syndrome: Is efficacy independent of gender?
    (Wiley, 2023) Salar, Sinem; Bulbul, Ozgur; Alatas, Duygu Mine; Ekici, Gamze
    Aim: Fibromyalgia syndrome (FMS) has a significant impact on daily life, but the fact that most diagnosed individuals are women makes it difficult to understand the occupational needs and lifestyle choices of male patients. The purpose of this study was to examine the effectiveness of a client-centered lifestyle intervention program in men with fibromyalgia and compare it with women.Methods: The client-centered lifestyle intervention program was applied to 15 men with fibromyalgia in two sessions per week for 4 weeks in individual sessions and compared with data from 15 women who had previously participated in the same program. The Revised Fibromyalgia Questionnaire, the Canadian Occupational Performance Measure, the Hospital Anxiety and Depression Scale, and the Satisfaction with Life Scale were used as outcome measures.Results: When comparing results between baseline and 4 weeks later, statistically significant differences were found in the male group in the areas of fibromyalgia severity (p = .001), occupational performance (p = .001), occupational satisfaction (p = .001), anxiety (p = .002), depression (p = .005), and life satisfaction (p = .002). It was found that occupational performance and occupational satisfaction increased significantly more in women than in men (p = .004 and p = .001, respectively).Conclusion: The client-centered lifestyle intervention was shown to be effective in fibromyalgia severity, occupational performance, occupational satisfaction, anxiety, depression, and life satisfaction of both men and women with FMS. Levels of progress in occupational participation could show gender-based differences. The study suggests that more attention should be paid to psychosocial factors when assessing men's occupational participation and planning appropriate interventions.
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    The effectiveness of a client-centered lifestyle intervention in women with fibromyalgia syndrome: A quasi-experimental controlled study
    (Taylor & Francis Inc, 2022) Salar, Sinem; Ilhan, Elif; Bulbul, Ozgur; Ekici, Gamze
    In this study, the authors aimed to investigate the effects of a client-centered lifestyle intervention for women with fibromyalgia syndrome on the levels of disease severity, occupational participation, anxiety, depression, and life satisfaction. The quasi-experimental controlled study was conducted at Occupational Therapy Department of Hacettepe University in Turkey between January 2018 and May 2018. Based on the literature review and basic assessments, a lifestyle intervention program was designed focusing both on the participants' occupational goals and the effects of fibromyalgia symptoms. The results were measured using the Revised Fibromyalgia Impact Questionnaire (FIQR), The Canadian Occupational Performance Measure (COPM), Hospital Anxiety and Depression Scale (HADS), and Satisfaction with Life Scale (SWLS). Significant differences were found in intervention group compared to control in terms of COPM-Performance (p= .001), COPM-Satisfaction (p= .001), HADS-Anxiety (p= .009), and HADS-Depression (p= .001). Although FIQR and SWLS levels improved positively in the intervention group (respectively;p= .001 andp=.012), there was no difference between the groups. According to these results, the client-centered and occupation-based lifestyle intervention applied to individuals with fibromyalgia could be effective on occupational participation and psychological symptoms.