Fibromyalgia syndrome in chronic disabling occupational musculoskeletal disorders: Prevalence, risk factors, and posttreatment outcomes

Krista J. Howard, Tom G. Mayer, Randy Neblett, Yoheli Perez, Howard Cohen, Robert J. Gatchel

Research output: Contribution to journalArticle

17 Scopus citations

Abstract

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.

Original languageEnglish
Pages (from-to)1186-1191
Number of pages6
JournalJournal of Occupational and Environmental Medicine
Volume52
Issue number12
DOIs
StatePublished - 1 Dec 2010

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