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Vol. 3. Núm. 2.
Páginas 67-72 (Marzo - Abril 2007)
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Vol. 3. Núm. 2.
Páginas 67-72 (Marzo - Abril 2007)
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Factores relacionados con la incapacidad temporal en pacientes con fibromialgia
Factors related to temporal incapacity in patients with fibromyalgia
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Marina Salidoa,
Autor para correspondencia
msalidolivares@yahoo.es

Correspondencia: Dra. M. Salido. Departamento de Reumatología. CLINISAS. Castelló, 58. 28001 Madrid. España.
, Pilar Navarroa, Enrique Judeza, Rosa Hortalb
a Departamento de Reumatología. CLINISAS. Madrid. España
b Sección de Reumatología. Hospital Universitario Dr. Peset. Valencia. España
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Estadísticas
Objetivo

Conocer las variables sociodemográficas, clínicas y laborales que se relacionan con procesos de incapacidad temporal (IT) en pacientes con fibromialgia (FM).

Pacientes y método

Se incluyó a los pacientes diagnosticados de FM, según los criterios de ACR, que acudieron a consulta durante un período de 3 meses. Se realizó un protocolo clínico estándar con datos sociodemográficos, clínicos y laborales y los procesos de IT del último año. Todos los pacientes completaron un cuestionario con 40 ítems (cuestionario de impacto de la FM [FIQ] incluido).

Resultados

Participaron 51 mujeres con FM, 32 de ellas necesitaron en una o más ocasiones baja laboral durante el último año. La duración media±desviación estándar (DE) fue de 83,73±98 días. En el estudio bivariable no encontramos asociación entre IT y las características sociodemográficas, pero sí una tendencia no significativa con profesiones que requieren esfuerzo físico y presencia de factores desencadenantes. Hay relación estadísticamente significativa entre IT y ausencia de respuesta a inhibidores selectivos de la recaptación de serotonina (ISRS). Observamos que los valores de FIQ más altos mantenían una relación directa con pacientes en situación de IT.

Conclusiones

La ausencia de respuesta a ISRS se relaciona con procesos de IT. Las personas en situación de IT tienen FIQ más altos. Parece que hay una tendencia al incremento de IT en profesiones que requieren esfuerzo físico.

Palabras clave:
Fibromialgia
Discapacidad laboral
Esfuerzo físico
Dolor
Objective

To know the sociodemographic, clinical and working conditions characteristics related with temporary disability (TWD) in patients with fibromyalgia syndrome (FS).

Patients and method

Patients diagnosed with FS who met the American College of Rheumatology's criteria, attending an outpatient clinic for at least three months prior were included. We performed a standard clinical protocol with sociodemographic, clinical and working conditions, dates and number of TWD during the last year. All patients were asked to complete a questionnaire with 40 items [Fibromyalgia impact questionnaire (FIQ) inclusive].

Results

The participants were 51 women with FS, 32 of whom needed one or more TWD during the last year. The mean TWD was 83.73 days (DS 98). There was not a statistically significant relationship between the TWD and sociodemographic characteristics in a bivariate analysis. There is a significant trend with hard physical work and with the presence of triggering factors. There was evidence of a significant statistical relationship between TWD with a lack of response to selective serotonin re-uptake inhibitors (SSRIs). We noticed that the highest marks in the FIQ have a direct relationship with patients in a TWD situation.

Conclusions

The lack of response to SSRIs was related with TWD process. The patients in TWD situation scored the highest FIQ. There is a trend towards an increase in the TWD with jobs that required physical effort.

Keywords:
Fibromyalgia
Work disability
Physical effort
Pain
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Copyright © 2007. Elsevier España S.L Barcelona
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