ProHealth health Vitamin and Natural Supplement Store and Health
Home  |  Log In  |  My Account  |  View Cart  View Your ProHealth Vitamin and Supplement Shopping Cart
800-366-6056  |  Contact Us  |  Help

|
|
|
|

Trending News

7 Best Foods You Can Eat

Repair Damaged Mitochondria and Reduce Fatigue Up to 45%

Study: Doubling saturated fat in the diet does not increase saturated fat in blood

The Gut Microbiome and the Brain

Fight Inflammation and Promote Cognitive Health with High-OPC Grape Seed

CoQ10 supplementation reduces statin-related muscle pain in randomized trial

Plant used in traditional Chinese medicine may treat metabolic diseases and obesity

Controlling obesity with potato extract

Natural Gut Viruses Join Bacterial “Cousins” in Maintaining Health and Fighting Infections

Proton pump inhibitors decrease diversity in gut microbiome, increase risk for complications

 
Print Page
Email Article

Does Education Level Play a Role in Patient Perception of Fibromyalgia Symptom Severity?

  [ 3 votes ]   [ 1 Comment ]
www.ProHealth.com • June 21, 2014


The Association of Socioeconomic Status and Symptom Severity in Persons with Fibromyalgia.

By Mary-Ann Fitzcharles, et al.

Abstract:

OBJECTIVE: Although persons with lower socioeconomic status (SES) generally have poorer health status for many medical conditions, the association of SES with symptom severity in fibromyalgia (FM) is unknown. The subjective symptoms of FM may be influenced by personal perceptions, and environmental and psychosocial factors. Therefore SES may influence symptom expression and severity.

METHODS: Data for this cross-sectional analysis were obtained from a real-life prospective cohort of 246 patients with FM categorized according to level of education: high school graduates or less (Group 1; n = 99), college graduates (Group 2; n = 84), and university graduates (Group 3; n = 63). The association between level of education, a well-validated measure of SES, and disease severity, functional status, and quality of life were examined.

RESULTS: Lower education was significantly associated with older age (p = 0.039), current unemployment (p < 0.001), and more severe disease, as measured by patient global assessment disease activity (p = 0.019), McGill Pain Questionnaire (p = 0.026), Pain Disability Index (p = 0.031), Pain Catastrophizing Scale (p = 0.015), Health Assessment Questionnaire (p = 0.001), and Fibromyalgia Impact Questionnaire (p = 0.002), but not pain level, anxiety, or depression. These associations remained significant even upon adjusting for age and sex differences.

CONCLUSION: Patients with FM and lower SES, as assessed by education level, reported greater symptom severity and functional impairment, despite reporting similar levels of pain, depression, and anxiety. Although FM spans all socioeconomic groups, factors other than specific disease characteristics or mental status, appear to play an important role in patients' perception of illness.

Source: The Journal of Rheumatology, June 15, 2014. By Mary-Ann Fitzcharles, Emmanouil Rampakakis, Peter A. Ste-Marie, John S. Sampalis and Yoram Shir. From the Division of Rheumatology, McGill University Health Centre, Montreal; JSS Medical Research, St-Laurent; Jewish General Hospital, McGill University, Montreal; and Alan Edwards Pain Management Unit, McGill University Health Centre, Montreal, Quebec, Canada.



Please Discuss This Article:   Post a Comment 

Questionable Study
Posted by: IanH
Jun 22, 2014
" Patients with FM and lower SES, as assessed by education level, reported greater symptom severity and functional impairment, despite reporting similar levels of pain, depression, and anxiety. Although FM spans all socioeconomic groups, factors other than specific disease characteristics or mental status, appear to play an important role in patients’ perception of illness. "

This is unreliable.
Firstly SES is assessed only by Ed. status. While Ed. status is correlated to SES it is NOT SES. for example, there are many spouses of high educational individuals who themselves are not Hi Ed. Status but are living in high SES.
Secondly, how do you report more severe symptom severity but similar pain levels in FM???
what symptoms are they that dont relate to pain in FM?
Thirdly, to go from such weak associations to "perception" of illness is very spurious.

In summary: on the basis of this study, I doubt that patient's perception of the illness is a function of SES. ie I doubt that people from lower SES percieve their illness worse than those from higher SES.

To some degree I do believe that lower SES may cause worse symptoms of the illness, Why?
Because people in a lower SES work more physically than people in a higher SES. People in a lower SES might find it harder to reduce their work/workload than those in a higher SES so therefore exacerbate their illness.
Reply Reply
 
Free Chronic Fatigue Syndrome and Fibromyalgia Newsletters
Subscribe to
Our FREE
Newsletter
Subscribe Now!
Receive up-to-date ME/CFS & Fibromyalgia treatment and research news
 Privacy Guaranteed  |  View Archives

Save on Nutritional Supplement Orders

Featured Products

Ultra ATP+, Double Strength Ultra ATP+, Double Strength
Get energized with malic acid & magnesium
Mitochondria Ignite™ with NT Factor® Mitochondria Ignite™ with NT Factor®
Reduce Fatigue up to 45%
FibroSleep™ by ProHealth FibroSleep™ by ProHealth
The All-in-One Natural Sleep Aid
Optimized Curcumin Longvida® by ProHealth Optimized Curcumin Longvida® by ProHealth
Supports Cognition, Memory & Overall Health
Energy NADH™ 12.5mg Energy NADH™ 12.5mg
Improve Energy & Cognitive Function

Natural Remedies

Could a B-12 Deficiency Be Causing Your Symptoms? Could a B-12 Deficiency Be Causing Your Symptoms?
Natural Support for Mood, Sleep and Mental Focus? L-theanine Natural Support for Mood, Sleep and Mental Focus? L-theanine
Preserving Cognitive Function with Aging Preserving Cognitive Function with Aging
Broad Spectrum Protection Against Brain Aging Broad Spectrum Protection Against Brain Aging
Sunshine Vitamin Has D-lightful Health Benefits Sunshine Vitamin Has D-lightful Health Benefits

FIBROMYALGIA RESOURCES
What is Fibromyalgia?
Fibromyalgia Diagnosis
Fibromyalgia Symptoms
Fibromyalgia Treatments
| CFS RESOURCES
What is CFS?
ME/CFS Diagnosis
ME/CFS Symptoms
ME/CFS Treatments
| FORUMS
Fibromyalgia
ME/CFS
ADVANCED MEDICAL LABS
WHOLESALE  |  AFFILIATES
GUARANTEE  |  PRIVACY
CONTACT US
LIBRARY
RSS
SITE MAP
ProHealth on Facebook  ProHealth on Twitter  ProHealth on Pinterest  ProHealth on Google Plus
Credit Card Processing