Page 256 - EJMO-9-1
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Eurasian Journal of
            Medicine and Oncology                              Quality of life, somatosensory amplification, and stress in ADPKD



            emotional challenges such as anxiety and depression,   50 in each group. A total of 48 PKD patients and 50 healthy
            which can further compromise self-management and   volunteers aged 18  years and older showed interest to
            overall quality of life.                           participate in this study. Those who participated in the study
              Despite these potential links, research examining the   signed the informed consent form and then completed the
            direct effects of perceived stress on PKD progression   survey questionnaires. Subjects in the study were randomly
            remains limited. Longitudinal studies investigating how   selected. The study was conducted by face-to-face interviews
            stress interacts with biological and behavioral factors   with individuals. Subjects in this study were selected according
            to  influence  renal  outcomes  in  PKD  are needed.  Such   to the following criteria: no missing data for perceived stress;
            research could inform the development of targeted stress-  diagnosed with PKD; aged 18 years or above; and completion
            management interventions aimed at improving both   of scales. Finally, a total of 98 subjects were included in the
            physiological outcomes and patient-reported quality-of-  present study. All participants provided informed consent
            life measures in individuals with PKD. Understanding   prior to inclusion. The study was carried out in compliance
            these relationships is vital for enhancing comprehensive   with the principles of the Declaration of Helsinki.
            care and mitigating the substantial burden of this chronic   2.2. Data collection tools
            genetic condition.
                                                               2.2.1. Socio-demographic form
            2. Materials and methods
                                                               The researcher prepared the questionnaire to obtain
            2.1. Sample                                        information from the participants. Socio-demographic
                                                               characteristics of the patients and healthy volunteers were
            This study was conducted at the Nephrology Clinic of   obtained by using this questionnaire.
            Erciyes University Research Hospital as a single-center
            investigation. A  cross-sectional, descriptive, and survey-  2.2.2. 12-item Short Form Healthy survey version 2
            based research design was employed. Inclusion criteria of   (SF-12v2)
            this study include: (1) a confirmed diagnosis of ADPKD
            based on family history and clinical findings, (2) provision   The  Health  Questionnaire survey  version  2 form is a
            of signed informed consent, and (3) being over 18 years   questionnaire that consists of 12 items and is widely used to
            of age. Exclusion criteria comprise: use of psychotropic   measure HRQOL. This version of short and practical form
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            medications, the presence of other conditions that could   was developed by Ware et al.  With this form, the scores of
            cause renal cyst formation in the patient or their family,   the physical and mental components of the participants can
            pregnancy, cerebrovascular disease, dementia, severe head   be obtained. The form, which has 8 sub-scales, measures the
            trauma  resulting  in cognitive  impairment,  alcohol  use   participants’ general health; physical function; role – physical,
            disorder, and a diagnosis of intellectual disability.  bodily pain, vitality; and role – emotional, mental health,
                                                               and social function. Most items are evaluated with Likert-
              In this study, a healthy group was matched to the patient   type questions except for some items and data from the last
            group based on specific criteria to ensure comparability.   4  weeks are taken into consideration. Sub-scales evaluate
            All participants in the healthy group were required to be   health between 0 and 100, with 0 indicating poor health and
            18 years of age or older. Efforts were made to match the   100 indicating good health. Turkish validity and reliability
            groups in terms of age, gender, and basic sociodemographic   study was done by Koçyiğit et al.  A shorter form, SF-12 Brief
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            characteristics. To minimize  confounding  variables,   Health Scale, was created by taking 12 different items from 8
            individuals in the healthy group were excluded if they   different sub-headings of SF-36. Comparisons of SF-12 and
            had  a  history  of  chronic  medical  conditions,  including   SF-36 have been made and it has been reported that SF-12
            renal, cardiovascular, or psychiatric disorders. In addition,   is more  advantageous in terms of its  ease of application
            participants using psychotropic medications or with a   and shorter completion time. The Cronbach’s alpha values
            history of substance use disorder were not included in the   calculated for the internal consistency of the scale were 0.70
            healthy group. These criteria were implemented to ensure   in the physical functionality area, 0.72 in the physical role
            that differences observed between the groups could be   area, 0.67 in the pain area, 0.68 in the general health area,
            more accurately attributed to the presence of ADPKD.  0.70 in the mental role area, and 0.70 in the mental role area,
              The data were collected from each participant through   0.66 for social functionality, and 0.70 for vitality.
            different survey questionnaires. G* power analysis was done
            to calculate the sample size. The alpha and beta errors were   2.3. The Somatosensory Amplification Scale (SSAS)
            stated, respectively, as 0.05 and 0.20. The minimum number   The SSAS is a scale used to measure the sensitivity to
            of patients needed to obtain 80% power was calculated as   disturbing bodily sensations. It consists of 10 questions


            Volume 9 Issue 1 (2025)                        248                              doi: 10.36922/ejmo.7550
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