J Multidiscip Healthc. 2009 Jan 21;2:23-37. doi: 10.2147/jmdh.s4659.
Long-term sick-leavers with fibromyalgia: Comparing their multidisciplinarily assessed characteristics with those of others with chronic pain conditions and depression.
Journal of multidisciplinary healthcare
Jürgen Linder, Kristina Schüldt Ekholm, Göran Lundh, Jan Ekholm
Affiliations
Affiliations
- Diagnostic Centre, Division of Psychiatry, Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden;
PMID: 21197344
PMCID: PMC3004556 DOI: 10.2147/jmdh.s4659
Abstract
OBJECTIVE: The aim was to gain knowledge of fibromyalgia (FM) patients on long-term sick leave and with particular difficulties in resuming work, and to compare them with patients with myalgia, back or joint diagnoses, and depression.
METHODS: Patients were identified by and referred from social insurance offices and were multidisciplinarily examined by three board-certified specialists in psychiatry, orthopedic surgery and rehabilitation medicine. Ninety-two women were diagnosed with FM only. Three female comparison groups were chosen: depression, back/joint diagnoses, and myalgia.
RESULTS AND CONCLUSIONS: Ceaseless pain was reported by 73% of FM patients, 54% of back/joint diagnoses patients, 43% of myalgia patients, and 35% of depression patients. The distribution of pain (>50%) in FM patients was to almost all regions of the body, and in depression patients to the lower dorsal neck, upper shoulders and lumbosacral back but not in the anterior body. Reduced sleep was more evident in FM patients. FM patients did not meet more criteria for personality disorder than patients with the other somatic pain conditions. The most common dimension of "personality traits" of somatic pain conditions was the "obsessive compulsive" but at a level clearly below that indicating a personality disorder. More FM patients experienced disabilities, the most common being in the mobility and domestic-life areas.
Keywords: chronic pain conditions; depression; disability; fibromyalgia; long-term sick-leave; multidisciplinary assessment; pain distribution
References
- Arthritis Rheum. 1997 Mar;40(3):446-52 - PubMed
- Pain. 2003 Mar;102(1-2):87-95 - PubMed
- Cochrane Database Syst Rev. 2000;(2):CD001984 - PubMed
- Clin J Pain. 2002 Sep-Oct;18(5):324-36 - PubMed
- Clin J Pain. 2005 Mar-Apr;21(2):166-74 - PubMed
- Scand J Rheumatol. 1986;15(3):340-7 - PubMed
- J Rehabil Med. 2003 May;(41 Suppl):89-94 - PubMed
- Z Rheumatol. 1998;57 Suppl 2:77-80 - PubMed
- J Rehabil Med. 2001 Sep;33(5):216-24 - PubMed
- Acta Psychiatr Scand. 1994 Jan;89(1):21-8 - PubMed
- J Clin Epidemiol. 1998 Nov;51(11):1105-13 - PubMed
- Pain. 1996 Mar;64(3):415-423 - PubMed
- J Rehabil Med. 2004 May;36(3):97-103 - PubMed
- Curr Rheumatol Rep. 2002 Aug;4(4):306-12 - PubMed
- Arthritis Rheum. 2004 Sep;50(9):2974-84 - PubMed
- Pain. 2008 Jun;136(3):419-431 - PubMed
- Work. 2008;31(2):195-208 - PubMed
- Clin J Pain. 1997 Jun;13(2):116-37 - PubMed
- Clin J Pain. 2008 May;24(4):291-8 - PubMed
- Arthritis Rheum. 1990 Feb;33(2):160-72 - PubMed
- Eur J Pain. 2008 Jul;12(5):600-10 - PubMed
- J Rheumatol. 1998 Jan;25(1):152-5 - PubMed
- Disabil Rehabil. 2005 Jun 17;27(12):685-94 - PubMed
- Int J Rehabil Res. 2007 Sep;30(3):255-60 - PubMed
- Arthritis Rheum. 2002 Jun 15;47(3):266-74 - PubMed
- Nord J Psychiatry. 2003;57(4):291-6 - PubMed
- JAMA. 2004 Nov 17;292(19):2388-95 - PubMed
- J Rehabil Med. 2002 May;34(3):119-27 - PubMed
- BMC Musculoskelet Disord. 2007 Mar 09;8:27 - PubMed
- Int J Rehabil Res. 2009 Mar;32(1):20-35 - PubMed
- Disabil Rehabil. 2006 Apr 15;28(7):447-55 - PubMed
- Disabil Rehabil. 1996 May;18(5):241-8 - PubMed
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