Quality of life issues for fibromyalgia patients

Bernard, A; Prince, Alice; Edsall, Patricia A.

doi:10.1002/1529-0131(200002)13:1<42::aid-art7>3.0.co;2-r

Cited by 114 publications

(16 citation statements)

References 34 publications

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“…Lifestyle factors including smoking and alcohol consumption have been found to be used as coping strategies to deal with the negative impact of disability [11]. This is not surprising since depression has been shown to be positively associated with mobility disabilities [24], and smoking and alcohol consumption are often used to deal with emotional problems or stressful situations [16,25,26].…”

Section: Discussionmentioning

confidence: 99%

“…Having two or more unhealthy lifestyle factors was found to be a strong predictor of mobility limitation among non-obese older adults [10]. Current research also indicates that lifestyle factors, including smoking and alcohol consumption, may be used as coping strategies to deal with the negative impact of disability including stress experienced by individuals with mobility-limited conditions such as fibromyalgia syndrome [11,12]. Smoking and alcohol consumption were found to be directly correlated with the socioeconomic resources of individuals [13], however individuals with mobility disabilities had different socioeconomic patterns compared to the general population [14,15].…”

Section: Introductionmentioning

confidence: 99%

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Smoking and alcohol consumption patterns among elderly Canadians with mobility disabilities

et al. 2013

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BackgroundMobility disability is a major adverse health outcome associated with aging and an impediment to older adults’ well-being and behaviors in social and leisure activities. It has been shown that lifestyle factors, including smoking and alcohol consumption, have been used as coping strategies to deal with the negative impact of disability. The aim of this study was to determine the prevalence of smoking and alcohol consumption among older Canadians with different levels of mobility disabilities and to examine factors associated with these two lifestyle patterns among those with disabilities.MethodsSecondary data analysis was performed using individuals (n = 6,038) aged 65 years and older from both the 2001 Participation and Activity Limitation Survey and the 2003 Canadian Community Health Survey. Multivariate logistic regressions examined the relationship between disability severity and smoking as well as alcohol consumption while controlling for potential confounding socioeconomic factors.ResultsThe proportion of current smokers among seniors with less-severe and more-severe mobility disabilities and those in the general population was comparable with 12.55%, 11.57% and 11.93%, respectively. Forty-eight percent of seniors in the general population consumed alcohol regularly, compared to only 12.85% with more-severe mobility disabilities. No significant association was shown between the severity level of mobility disabilities and smoking (odds ratio = 0.90, 95% confidence interval: 0.75, 1.08). However, seniors having more-severe disability were less likely to consume alcohol regularly (odds ratio = 0.76, 95% confidence interval: 0.65, 0.89). Other variables including age, gender, income, living status, and social participation also impacted these lifestyle patterns among the study population.ConclusionsSmoking and alcohol patterns present different associations with the severity level of mobility disabilities. Compared with the general population, elderly Canadians with mobility disabilities had similar smoking prevalence but differ significantly in terms of alcohol consumption. Results from this research will be relevant to decision makers involved in program planning, health education, and policy development as it pertains to the prevention and management of age-related disability.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Smoking and alcohol consumption patterns among elderly Canadians with mobility disabilities

et al. 2013

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“…Like many functional disorders, FMS negatively impacts personal relationships, social support systems, and careers. FMS patient populations have strained mental health with higher documented levels of depression, anxiety, and lower overall physical health compared to the general population [117]. FMS patients report physical limitations that are similar to those reported by patients with osteoarthritis or RA, leading to reduced work productivity and forcing some to leave the workforce entirely [118,119,120].…”

Section: Clinical Manifestation Diagnosis and Management Of Inflmentioning

confidence: 99%

Illuminating an Invisible Epidemic: A Systemic Review of the Clinical and Economic Benefits of Early Diagnosis and Treatment in Inflammatory Disease and Related Syndromes

Wylezinski

Gray

Polk

et al. 2019

JCM

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Healthcare expenditures in the United States are growing at an alarming level with the Centers for Medicare and Medicaid Services (CMS) projecting that they will reach $5.7 trillion per year by 2026. Inflammatory diseases and related syndromes are growing in prevalence among Western societies. This growing population that affects close to 60 million people in the U.S. places a significant burden on the healthcare system. Characterized by relatively slow development, these diseases and syndromes prove challenging to diagnose, leading to delayed treatment against the backdrop of inevitable disability progression. Patients require healthcare attention but are initially hidden from clinician’s view by the seemingly generalized, non-specific symptoms. It is imperative to identify and manage these underlying conditions to slow disease progression and reduce the likelihood that costly comorbidities will develop. Enhanced diagnostic criteria coupled with additional technological innovation to identify inflammatory conditions earlier is necessary and in the best interest of all healthcare stakeholders. The current total cost to the U.S. healthcare system is at least $90B dollars annually. Through unique analysis of financial cost drivers, this review identifies opportunities to improve clinical outcomes and help control these disease-related costs by 20% or more.

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“…The importance of each symptom has not been fully established, though generalized skeletal muscle pain, and particularly pain on digital palpation in certain points is considered by the American College of Rheumatology (ACR) to constitute a diagnostic criterion [1]. The presence of sleep disturbances and other somatic symptoms [2], together with emotional alterations [3], define a clinical condition with an important impact upon patient life [4]. In fact, fibromyalgia variably affects patient behaviour in the context of daily life activities and family, occupational and personal life, and in the way the patient copes with the limitations imposed by the disease [5].…”

Section: Introductionmentioning

confidence: 99%

Development of a self-reporting tool to obtain a Combined Index of Severity of Fibromyalgia (ICAF*)

Vallejo

Rivera

Esteve-Vives

et al. 2010

Health and Quality of Life Outcomes

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BackgroundFibromyalgia is a syndrome with heterogeneous symptoms. The evaluation in the clinical setting usually fails to cover the complexity of the syndrome. This study aims to determine how different aspects of fibromyalgia are inter-related when measured by means of a self-reporting tool. The objective is to develop a more complete evaluation model adjusted to the complexity and multi-dimensional nature of the syndrome.MethodsApplication was made of the Fibromyalgia Impact Questionnaire, the Hospital Anxiety and Depression Scale, the Brief Pain Inventory, the Fatigue Assessment Scale, the Health Assessment Questionnaire, the General Health Questionnaire (GHQ-28), the Chronic Pain Coping Inventory, the Arthritis Self-efficacy Scale and the Sleep Quality Scale. An assessment was made, on the basis of clinical interviews, case histories and specific tests, of the patient sociodemographic data, comorbidity, physical exploration and other clinical indexes. An exploratory factor analysis was made, with comparisons of the clinical index scores in extreme groups of patients.ResultsThe ICAF composed of 59 items was obtained, offering four factors that explain 64% of the variance, and referred to as Emotional Factor (33.7%), Physical-Activity (15%), Active Coping (9%) and Passive Coping (6.3%). A t-test between the extreme scores of these factors in the 301 patients revealed statistically significant differences in occupational status, medically unexplained syndromes, number of tender points, the six-minutes walk test, comorbidity and health care costs.ConclusionsThis study offers a tool allowing more complete and rapid evaluation of patients with fibromyalgia. The test intrinsically evaluates the emotional aspects: anxiety and depression, and their impact upon social aspects. It also evaluates patient functional capacity, fatigue, sleep quality, pain, and the way in which the patient copes with the disease. This is achieved by means of a self-assessment questionnaire based on elements from well known tests.

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Quality of life issues for fibromyalgia patients

Cited by 114 publications

References 34 publications

Smoking and alcohol consumption patterns among elderly Canadians with mobility disabilities

Smoking and alcohol consumption patterns among elderly Canadians with mobility disabilities

Illuminating an Invisible Epidemic: A Systemic Review of the Clinical and Economic Benefits of Early Diagnosis and Treatment in Inflammatory Disease and Related Syndromes

Development of a self-reporting tool to obtain a Combined Index of Severity of Fibromyalgia (ICAF*)

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