Functional ability and work status in patients with fibromyalgia

Cathey, M A; Wolfe, Frederick; Kleinheksel, Sue M.

doi:10.1002/art.1790010205

Cited by 89 publications

(20 citation statements)

References 12 publications

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“…Pain intensity and global severity were assessed by the use of 15-cm visual analog scales (VAS). Functional ability was measured by the use of the Stanford Health Assessment Questionnaire (HAQ) Disability Index (19,201. Self-assessments of current health ("health status") were rated on a &3 scale, where 0 = "excellent" and 3 = poor."…”

Section: Methodsmentioning

confidence: 99%

The prevalence and characteristics of fibromyalgia in the general population

Wolfe

Ross

Anderson

et al. 1995

Arthritis & Rheumatism

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Objective. To determine the prevalence and characteristics of fibromyalgia in the general population.Methods. A random sample of 3,006 persons in Wichita, KS, were characterized according to the presence of no pain, non-widespread pain, and widespread pain. A subsample of 391 persons, including 193 with widespread pain, were examined and interviewed in detail.Results. The prevalence of fibromyalgia was 2.0% (95% confidence interval [95% CI] 1.4, 2.7) for both sexes, 3.4% (95% CI 2.3, 4.6) for women, and 0.5% (95% CI 0.0, 1.0) for men. The prevalence of the syndrome increased with age, with highest values attained between 60 and 79 years (>7.0% in women). Demographic, psychological, dolorimetry, and symptom factors were associated with fibromyalgia.Conclusion. Fibromyalgia is common in the population, and occurs often in older persons. Characteristic features of fibromyalgia-pain threshold and symptoms-are similar in community and clinic populations, but overall severity, pain, and functional disability are more severe in the clinic population.Fibromyalgia, a disorder of widespread pain, tenderness, fatigue, sleep disturbance, and psychological distress, is a common condition in the clinic. In rheumatology clinics, the proportion of new patients with the syndrome ranges from 10% to 20%, while in

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Section: Methodsmentioning

confidence: 99%

The prevalence and characteristics of fibromyalgia in the general population

Wolfe

Ross

Anderson

et al. 1995

Arthritis & Rheumatism

Self Cite

2,111

1,260

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“…Cathey et a1 used a computerized workstation to physically stress shoulders, cervical/thoracic/lumbar spine, wrists, and elbows in a simulated work environment (66). FMS patients (n = 28) were compared with RA patients (n = 26) and healthy controls (n = 11).…”

Section: What Is the Cause Of Disability In Fibromyalgia Patients?mentioning

confidence: 99%

Fibromyalgia and the disability dilemma. A new era in understanding a complex, multidimensional pain syndrome

Bennett

1996

Arthritis & Rheumatism

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Fibromyalgia syndrome (FMS) is a common syndrome of chronic pain that is increasingly seen in rheumatology practice (1-6). According to a recent epidemiology survey from Kansas, FMS affects 2% of the total population: 3.4% of all women and 0.5% of men (7). Most FMS patients report that chronic pain and fatigue adversely affect the quality of their life and negatively impact their ability to be competitively employed (8-10). The extent of reported disability in FMS varies greatly from country to country (1 1-14), probably reflecting differences in political philosophies and socioeconomic realities. A recent survey of the work and disability status of 1,668 FMS patients from 7 centers in the US found that 25.3% had received disability payments (Social Security Disability [SSD] in 14.8%) (15). Interestingly fewer than 25% of the SSD awards were specifically for the diagnosis of FMS. Of patients who considered themselves disabled, the majority were receiving disability payments. On the other hand, 66% of FMS patients reported that they could work on all or most days.Rheumatologists, when asked to assess disability issues in FMS patients, have difficulty in distinguishing between their FMS patients who continue to work and the patients who claim disability. It seems that it is only the patient's self-perception of disability that distinguishes the able from the would-be-disabled. There is often a mismatch between what we find on clinical examination and the amount of alleged dysfunction. Instinctively we suspect that there is nothing really wrong with the patient-FMS patients usually look normal. Thus, the problem must be in the psyche. Is

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“…A review of the literature on rheumatoid arthritis, diabetes mellitus, and hearing loss revealed few such studies (6). With respect to rheumatoid arthritis, most studies focused on the expert's evaluation of the patient's functional ability and task performance (7)(8)(9). Only one study addressed the perspective of employees with rheumatoid arthritis, the challenges they face at work, and the adaptations they need (10).…”

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confidence: 99%