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The correlation between occupation type and fibromyalgia severity.
Mohabbat, A B; Wight, E C; Mohabbat, N M L; Nanda, S; Ferguson, J A; Philpot, L; Adusumalli, J.
Afiliación
  • Mohabbat AB; Division of General Internal Medicine, Section of Integrative Medicine and Health, Mayo Clinic, Rochester, MN 55905, USA.
  • Wight EC; Division of General Internal Medicine, Section of Integrative Medicine and Health, Mayo Clinic, Rochester, MN 55905, USA.
  • Mohabbat NML; Department of Physical Medicine and Rehabilitation, Mayo Clinic, Rochester, MN 55905, USA.
  • Nanda S; Division of General Internal Medicine, Section of Integrative Medicine and Health, Mayo Clinic, Rochester, MN 55905, USA.
  • Ferguson JA; Department of Medicine, Mayo Clinic, Rochester, MN 55905, USA.
  • Philpot L; Department of Medicine, Mayo Clinic, Rochester, MN 55905, USA.
  • Adusumalli J; Division of General Internal Medicine, Section of Integrative Medicine and Health, Mayo Clinic, Rochester, MN 55905, USA.
Occup Med (Lond) ; 73(5): 257-262, 2023 06 26.
Article en En | MEDLINE | ID: mdl-37227425
BACKGROUND: Fibromyalgia (FM) is a chronic pain disorder associated with financial burden, decreased work productivity and absenteeism. Occupational stressors and specific employment factors may contribute to the severity of FM. AIMS: To determine if occupation type or employment status correlates with FM diagnostic and severity parameters, as assessed via validated instruments including tender points (TP), Widespread Pain Index (WPI), Symptom Severity (SS) and pain regions. METHODS: We performed a cross-sectional study of 200 adult patients diagnosed with FM at a single-centre FM clinic. Demographic and clinical data were extracted from the electronic medical records. Occupations were manually grouped in an iterative modified-Delphi approach and participants were grouped by employment status (Working, Not Working/Disabled or Retired) for analysis. RESULTS: In our cohort, 61% were employed and 24% were not working/disabled, while the remainder were students, homemakers or retired. SS score was significantly higher (P < 0.001) in not working/disabled patients compared to those employed. Business owners had the lowest TP count (median = 14) and the lowest median SS score (median = 7). WPI was highest for Others (Arts/Entertainment, Driver/Delivery and Housekeeper/Custodian workers; median=16) and the lowest for Retail/Sales/Wait Staff (median = 11). CONCLUSIONS: Work-related factors, occupation type and employment status correlate with diagnostic and severity parameters of FM. Employed participants had significantly lower SS scores suggesting that work loss correlates with SS. Participants employed in entry-level jobs or jobs with higher physical or financial stressors may experience greater FM symptoms. Further studies are required to explore work-related factors and their impact on the diagnostic and severity parameters of FM.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Fibromialgia / Dolor Crónico Tipo de estudio: Diagnostic_studies / Observational_studies / Prevalence_studies / Risk_factors_studies Aspecto: Determinantes_sociais_saude Límite: Adult / Humans Idioma: En Revista: Occup Med (Lond) Asunto de la revista: MEDICINA OCUPACIONAL Año: 2023 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Fibromialgia / Dolor Crónico Tipo de estudio: Diagnostic_studies / Observational_studies / Prevalence_studies / Risk_factors_studies Aspecto: Determinantes_sociais_saude Límite: Adult / Humans Idioma: En Revista: Occup Med (Lond) Asunto de la revista: MEDICINA OCUPACIONAL Año: 2023 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido