The effects of balneotherapy on depression and anxiety scale scores in patients with osteoarthritis

Year 2021, Volume: 6 Issue: 3, 148 - 155, 30.10.2021

Arzu Dinç Yavaş , Ebru Umay , Mustafa Tezelli

Abstract

Backround: Osteoarthritis is a chronic, degenerative condition that causes increased pain, decreased functioning, disability and also socioeconomic burden. It has a huge impact on patients' health, well-being and quality of life, and is associated with depressive and anxiety disorders. The aim of this study was to evaluate the effectiveness of balneotherapy and exercise on depression, anxiety and mental health scale scores, and their possible role in the management of patients with osteoarthritis.
Materials and Methods: A total of 131 patients with osteoarthritis were included the study. The following scales were assessed: Beck Depression Inventory (BDI), Beck Anxiety Inventory (BAI), and 36-item Short Form Survey (SF-36). Patients received standardized balneotherapy and an exercise schedule.
Results: Mean age was 57.99 ± 6.19 years and most of them had gonarthrosis (51.0%). The mean BAI and BDI scores were significantly decreased, while the SF-36 physical health and mental health scores were significantly increased following treatment. Negative correlations were found between pre-treatment BDI scores and SF-36 scores before and after treatment. Regression analysis revealed that pre-treatment BDI score was an effective factor on patients' pre-treatment and post-treatment health status.
Conclusion: In conclusion, a combination of balneotherapy and exercise improved psychological scale scores in addition to beneficial effects on osteoarthritis-related anxiety, depression and impaired quality of life. The efficacy of balneotherapy on psychological and physical health may show that utilizing a multi-dimensional, individualized and integrated perspective in the treatment of osteoarthritis provides important advantages.

Keywords

Anxiety, Balneotherapy, Depression, Osteoarthritis, Physical therapy

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