The Effects of Employment Status and Daily Routines on Fibromyalgia

Abstract

Introduction Fibromyalgia (FM) is a complex and debilitating condition characterised by chronic pain, fatigue, sleep and mood disturbances. This study aimed to investigate the impact of employment status and daily routines on FM symptoms.

Methods This cross-sectional study included female FM patients meeting the diagnostic criteria of the American College of Rheumatology. Participants’ employment status, daily routines, FM symptoms, and psychological well-being were assessed using various scales. The relationship between the variables was also examined.

Results Of the 74 female FM patients included, those who were employed exhibited better health outcomes, including reduced symptom severity and improved functionality. Engaging in exercise and reading books were associated with less severe FM symptoms. The frequency of going out during lockdown was positively correlated with FM symptom severity. House cleaning was linked to improved emotional well-being, while social media use, watching TV, and household size had no significant impact on the FM burden.

Conclusion This study highlights the positive effects of employment, exercise, and reading on FM symptoms and emphasises the importance of a multi-modal approach to FM management. The findings also suggest that external stressors such as the frequency of going out during a pandemic may influence the course of FM. These insights may inform strategies to enhance the quality of life for individuals living with FM.

Key words

employment - fibromyalgia - symptoms - pain - daily routines

Schlüsselwörter

Fibromyalgie - Beschäftigung - Schmerzen - Symptome - Tagesabläufe

Publikationsverlauf

Artikel online veröffentlicht:
09. August 2024

• References

• 1 Wolfe F, Smythe HA, Yunus MB. et al. The American College of Rheumatology 1990 criteria for the classification of fibromyalgia. Arthritis Rheum Off J Am Coll Rheumatol 1990; 33: 160-72
• 2 Wolfe F, Clauw DJ, Fitzcharles MA. et al. 2016 Revisions to the 2010/2011 fibromyalgia diagnostic criteria. Semin Arthritis Rheum 2016; 46: 319-329
• 3 Schmidt-Wilcke T, Clauw DJ. Fibromyalgia: from pathophysiology to therapy. Nat Rev Rheumatol 2011; 7: 518-27
• 4 Dymon T, Pharm D, Rogers S. et al. Fibromyalgia. ACSAP Neurol Psychiatr Care 2015; 5-18
• 5 Bennett RM, Jones J, Turk DC. et al. An internet survey of 2,596 people with fibromyalgia. BMC Musculoskelet Disord 2007; 8: 1-11
• 6 Carville S, Buskila D, Choy E. Generalized pain syndromes-including fibromyalgia and chronic fatique syndrome. In: Eular compendium on rheumatic diseases 2009; p. 509-22
• 7 Fitzcharles MA, Ste-Marie PA, Goldenberg DL. et al. 2012 Canadian guidelines for the diagnosis and management of fibromyalgia syndrome: executive summary. Pain Res Manag 2013; 18: 119-26
• 8 Rossy LA, Buckelew SP, Dorr N. et al. A meta-analysis of fibromyalgia treatment interventions. Ann Behav Med 1999; 21: 180-91
• 9 Sarzi-Puttini P, Atzeni F, Salaffi F. et al. Multidisciplinary approach to fibromyalgia: what is the teaching?. Best Pract Res Clin Rheumatol 2011; 25: 311-9
• 10 Fink L, Lewis D. Exercise as a treatment for fibromyalgia: a scoping review. J Nurse Pract 2017; 13: 546-51
• 11 Reisine S, Fifield J, Walsh SJ. et al. Do employment and family work affect the health status of women with fibromyalgia?. J Rheumatol 2003; 30: 2045-53
• 12 Bennett R. The Fibromyalgia Impact Questionnaire (FIQ): a review of its development, current version, operating characteristics and uses. Clin Exp Rheumatol 2005; 23: S154
• 13 Zigmond AS, Snaith RP. The hospital anxiety and depression scale. Acta Psychiatr Scand 1983; 67: 361-70
• 14 Bjelland I, Dahl AA, Haug TT. et al. The validity of the Hospital Anxiety and Depression Scale. An updated literature review. J Psychosom Res 2002; 52: 69-77
• 15 Unal-Ulutatar C, Ozsoy-Unubol T. Psychometric properties of Turkish version of Jenkins sleep scale in fibromyalgia syndrome. Adv Rheumatol 2020; 60
• 16 Krupp LB, LaRocca NG, Muir-Nash J. et al. The fatigue severity scale: application to patients with multiple sclerosis and systemic lupus erythematosus. Arch Neurol 1989; 46: 1121-3
• 17 Gencay-Can A, Can SS. Validation of the Turkish version of the fatigue severity scale in patients with fibromyalgia. Rheumatol Int 2012; 32: 27-31
• 18 Evcik D, Ketenci A, Sindel D. The Turkish Society of Physical Medicine and Rehabilitation (TSPMR) guideline recommendations for the management of fibromyalgia syndrome. Turk J Phys Med Rehabil 2019; 65: 111
• 19 Bellato E, Marini E, Castoldi F. et al. Fibromyalgia syndrome: etiology, pathogenesis, diagnosis, and treatment. Pain Res Treat 2012; 2012
• 20 Epstein SA, Kay G, Clauw D. et al. Psychiatric disorders in patients with fibromyalgia: a multicenter investigation. Psychosomatics 1999; 40: 57-63
• 21 Martínez-Lavín M. Fibromyalgia in women: somatisation or stress-evoked, sex-dimorphic neuropathic pain. Clin Exp Rheumatol 2021; 39: 422-5
• 22 Cohen H, Neumann L, Haiman Y. et al. Prevalence of post-traumatic stress disorder in fibromyalgia patients: overlapping syndromes or post-traumatic fibromyalgia syndrome?. In Elsevier 2002; 38-50
• 23 Jennings EM, Okine BN, Roche M. et al. Stress-induced hyperalgesia. Prog Neurobiol 2014; 121: 1-18
• 24 Iannuccelli C, Lucchino B, Gioia C. et al. Mental health and well-being during the COVID-19 pandemic: stress vulnerability, resilience and mood disturbances in fibromyalgia and rheumatoid arthritis. Clin Exp Rheumatol 2021; 39: 153-60
• 25 Palstam A, Bjersing JL, Mannerkorpi K. Which aspects of health differ between working and nonworking women with fibromyalgia? A cross-sectional study of work status and health. BMC Public Health 2012; 12: 1-7
• 26 Clauw DJ. Fibromyalgia: a clinical review. Jama. 2014; 311: 1547-55
• 27 Bombardier CH, Buchwald D. Chronic fatigue, chronic fatigue syndrome, and fibromyalgia: disability and health-care use. Med Care 1996; 924-30
• 28 Guymer E, Littlejohn G, Brand C. et al. Fibromyalgia onset has a high impact on work ability in Australians. Intern Med J 2016; 46: 1069-74
• 29 Liedberg GM, Henriksson CM. Factors of importance for work disability in women with fibromyalgia: an interview study. Arthritis Care Res 2002; 47: 266-74
• 30 Rakovski C, Zettel-Watson L, Rutledge D. Association of employment and working conditions with physical and mental health symptoms for people with fibromyalgia. Disabil Rehabil 2012; 34: 1277-83
• 31 Lavergne MR, Cole DC, Kerr K. et al. Functional impairment in chronic fatigue syndrome, fibromyalgia, and multiple chemical sensitivity. Can Fam Physician 2010; 56: e57-65
• 32 Macfarlane GJ, Kronisch C, Dean LE. et al. EULAR revised recommendations for the management of fibromyalgia. Ann Rheum Dis 2017; 76: 318-28
• 33 Estévez-López F, Maestre-Cascales C, Russell D. et al. Effectiveness of exercise on fatigue and sleep quality in fibromyalgia: a systematic review and meta-analysis of randomized trials. Arch Phys Med Rehabil 2021; 102: 752-61