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Vol. 3. Issue 2.
Pages 67-72 (March - April 2007)
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Vol. 3. Issue 2.
Pages 67-72 (March - April 2007)
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Factors Related to Temporal Incapacity in Patients With Fibromyalgia
Factores relacionados con la incapacidad temporal en pacientes con fibromialgia
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Marina Salidoa,
Corresponding author
msalidolivares@yahoo.es

Correspondence: Departamento de Reumatología. CLINISAS. Castelló, 58. 28001 Madrid. España.
, Pilar Navarroa, Enrique Judeza, Rosa Hortalb
a Departamento de Reumatología, CLINISAS, Madrid, Spain
b Sección de Reumatología, Hospital Universitario Dr. Peset, Valencia, Spain
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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 3 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 (SD, 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.

Palabras clave:
Fibromialgia
Discapacidad laboral
Esfuerzo físico
Dolor
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.

Key words:
Fibromyalgia
Work disability
Physical effort
Pain
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References
[1.]
Vancouver Fibromyalgia Consensus Group and the Physical Medicine Research Foundation.
The Fibromyalgia syndrome: a consensus report on fibromyalgia and disability.
J Rheumatol, 23 (1996), pp. 534-539
[2.]
L. Carmona, J. Ballina, R. Gabriel, A. Laffon.
The burden of musculoskeletal diseases in the general population of Spain: results from a national survey.
Ann Rheum Dis, 60 (2001), pp. 1040-1045
[3.]
M. Mufson, Q.R. Regestein.
The spectrum of fibromyalgia disorders.
Arthritis Rheum, 26 (1993), pp. 647-650
[4.]
C.S. Burkhardt, S.R. Clark, R.M. Bennett.
Fibromyalgia and quality of life. A comparative analysis.
J Rheumatol, 20 (1993), pp. 475-479
[5.]
S. Greenfild, M. Fitzcharles, J.M. Esdaile.
Reactive fibromyalgia syndrome.
Arthritis Rheum, 35 (1992), pp. 678-681
[6.]
F. Wolfe, J. Anderson, R.M. Harkness, R.M. Bennett, X.J. Carp, D.L. Goldenberg, et al.
Health status and disease severity in fibromyalgia: results of a six-center longitudinal study.
[7.]
D.C. Turk, A. Okifuji, J.D. Sinclair, T.W. Starz.
Pain, disability and functioning in subgroups of patients with fibromyalgia.
J Rheumatol, 23 (1996), pp. 1255-1262
[8.]
C. Henriksson, G. Liedberg.
Factors of importance for work disability in women with fibromyalgia.
J Rheumatol, 27 (2000), pp. 1271-1276
[9.]
A. Boonen, R. van den Heuvel, A. van Tubergen, M. Goossens, J.L. Severens, D. van der Heijde, et al.
Large differences in cost of illness and wellbeing between patients with fibromyalgia, chronic low back pain, or ankylosing spondylitis.
Ann Rheum Dis, 64 (2005), pp. 396-402
[10.]
R.L. Robinson, H.G. Birnbaum, M.A. Morley, T. Sisitsky, P.E. Greenberg, F. Wolfe.
Depression and fibromyalgia: treatment and cost when diagnosed separetely or concurrently.
J Rheumatol, 31 (2004), pp. 1621-1629
[11.]
F. Wolfe, H.A. Smythe, M.B. Yunus, R.M. Bennett, C. Bombardier, D.L. Goldenberg, et al.
The American College of Rheumatology 1990 criteria for classification of fibromyalgia.
Arthritis Rheum, 3333 (1990), pp. 160-172
[12.]
S. Carette, M.J. Bell, W.S. Reynolds, B. Haraowi, G.A. McCain, V.P. Bykeerk, et al.
Comparison of amitriptyline, cyclobenzaprine, and placebo in the treatment of fibromyalgia. A randomised double-blinded clinical trial.
Arthritis Rheum, 37 (1994), pp. 32-40
[13.]
J. Crook, H. Moldofsky, H. Shannon.
Determinants of disability after a work related musculetal injury.
J Rheumatol, 25 (1998), pp. 1570-1577
[14.]
R.W. Teasell, H. Merskey.
Chronic pain disability in the work place.
Pain Forum, 6 (1997), pp. 228-238
[15.]
R.W. Teasell, H.M. Finestone.
Socioeconomic factors and work disability: clues to managing chronic pain disorders.
Pain Res Manage, 4 (1999), pp. 89-92
[16.]
D.G. Goldenberg, C.J. Morssey, C.H. Schmid.
A model to assess severity and impact of fibromyalgia.
J Rheumatol, 22 (1995), pp. 2313-2318
[17.]
R.M. Bennett.
Disabling fibromyalgia: Appearance versus reality.
J Rheumatol, 20 (1993), pp. 1821-1824
[18.]
S.H. Rodgers.
A functional job analysis technique.
Occup Med, 7 (1992), pp. 679-711
[19.]
D. Buskila, L. Neumann.
Assessing functional disability and health status of women with fibromyalgia: validation of a Hebrew version of the Fibromyalgia Impact Questionaire.
J Rheumatol, 23 (1996), pp. 903-906
[20.]
P.J. Friedman.
Predictors of work disability in work-related upper-extremity disorders.
J Occcup Med, 39 (1997), pp. 339-343
[21.]
D. Buskila, L. Neumann, G. Vaisberg, D. Alkalay, F. Wolfe.
Increased rates of fibromyalgia following cervical injury: a controlled study of 161 cases of traumatic injury.
Arthritis Rheum, 40 (1997), pp. 446-452
[22.]
C. Ross, J. Mirowsky.
Does employment affect health?.
J Health Soc Behav, 36 (1995), pp. 230-243
[23.]
C.M. Henriksson, G.M. Liedberg, B. Gerdle.
Women with fibromyalgia: work and rehabilitation.
Disab Rehab, 27 (2005), pp. 685-694
[24.]
M. Gunilla, L. Henriksson, C. Henriksson.
Factors of importance for work disability in women with fibromyalgia: An interview stufy.
Arthritis Rheum, 47 (2002), pp. 266-274
[25.]
M.A. Cathey, F. Wolfe, F.K. Roberts, et al.
Demographic, work disability, service utilitation and treatment characteristics of 620 fibromyalgia patients in rheumatologic practice [resumen].
Arthritis Rheum, 33 (1990),
[26.]
G.A. McCain, R. Cameron, J.C. Kennedy.
The problem of long term term disability payments and litigation in primary fibromyalgia: the Canadian perspective.
J Rheumatol, 168 (1989), pp. 174-176
[27.]
D. Bruusgaard, A.R. Evensen, T. Bjerkedal.
Fibromyalgia–A new cause for disability pension.
Scand J Soc Med, 21 (1993), pp. 116-119
[28.]
K.P. White, M. Harth, R.W. Teasell.
Work disability evaluation and the fibromyalgia syndrome.
Semin Arthritis Rheum, 24 (1995), pp. 371-381
[29.]
K. Mannerkorpi, M. Ahlmen, C. Ekdahl.
Six-and 24-month follow-up of pool exercise therapy and education for patients with fibromyalgia.
Scand J Rheumatol, 31 (2002), pp. 306-310
Copyright © 2007. Sociedad Española de Reumatología and Colegio Mexicano de Reumatología
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