TY - JOUR
T1 - Fibromyalgia syndrome in chronic disabling occupational musculoskeletal disorders
T2 - Prevalence, risk factors, and posttreatment outcomes
AU - Howard, Krista J.
AU - Mayer, Tom G.
AU - Neblett, Randy
AU - Perez, Yoheli
AU - Cohen, Howard
AU - Gatchel, Robert J.
PY - 2010/12
Y1 - 2010/12
N2 - Objective: To identify the prevalence, risk factors, and treatment outcomes of patients with chronic disabling occupational musculoskeletal disorders (CDOMD) who met criteria for fibromyalgia. Methods: This was a prospective prognostic study of a consecutive cohort of CDOMD patients (n = 449) admitted for treatment. Patients were assessed for chronic widespread pain and fibromyalgia. The measures included demographic, injury-related and occupational information, psychosocial measures, and 1-year work status follow-up. Results: The CDOMD patients with fibromyalgia reported higher-level psychosocial distress. Women with fibromyalgia were 9.6 times less likely to return to work 1-year posttreatment and, of those who did, were 4.3 times less likely to retain work. Conclusions: Of this cohort, 23.2% patients met criteria for fibromyalgia. Patients with fibromyalgia were found to show greater psychosocial distress and significantly poorer rates of work return and work retention 1-year postrehabilitation.
AB - Objective: To identify the prevalence, risk factors, and treatment outcomes of patients with chronic disabling occupational musculoskeletal disorders (CDOMD) who met criteria for fibromyalgia. Methods: This was a prospective prognostic study of a consecutive cohort of CDOMD patients (n = 449) admitted for treatment. Patients were assessed for chronic widespread pain and fibromyalgia. The measures included demographic, injury-related and occupational information, psychosocial measures, and 1-year work status follow-up. Results: The CDOMD patients with fibromyalgia reported higher-level psychosocial distress. Women with fibromyalgia were 9.6 times less likely to return to work 1-year posttreatment and, of those who did, were 4.3 times less likely to retain work. Conclusions: Of this cohort, 23.2% patients met criteria for fibromyalgia. Patients with fibromyalgia were found to show greater psychosocial distress and significantly poorer rates of work return and work retention 1-year postrehabilitation.
UR - http://www.scopus.com/inward/record.url?scp=78650968332&partnerID=8YFLogxK
U2 - 10.1097/JOM.0b013e3181fc838d
DO - 10.1097/JOM.0b013e3181fc838d
M3 - Article
C2 - 21124244
AN - SCOPUS:78650968332
SN - 1076-2752
VL - 52
SP - 1186
EP - 1191
JO - Journal of Occupational and Environmental Medicine
JF - Journal of Occupational and Environmental Medicine
IS - 12
ER -