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Fibromyalgia (FM) outcome: the predictive values of symptom duration, physical activity, disability pension, & critical lifeevents--a 4.5 year prospective study

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www.ProHealth.com • September 6, 1996


Forty-four fibromyalgia patients were followed through 4.5 years to
assess the extent to which symptom duration, physical activity
level, disability pensions, and the occurrence of critical
lifeevents would predict long-term outcome. Outcome measures
includedpressure tenderness (dolorimeter score), work
capacity (ergometercycle test), global subjective
improvement (verbal rating scale),and visual analogue scale
ratings of pain, disturbed sleep, lack of energy, and
depression. Significant outcome predictors were identified by
means of separate multiple regression analyses oneach
outcome measure at follow-up, using symptom duration,
physical activity level, disability pension status, and
occurrence of critical life events as independent variables,
together with baseline symptom intensity and age, which were
adjusted for. An adequate physical activity level and
increasing age predicted a positive outcome, while receiving
a permanent disability pension or having experienced an
excess of major negative life events predicted a negative
outcome. Symptom duration did not affect outcome.

MCM: Prospective study of 44 pts w FM.Good outcomes were
associated with adequate physical activity and increasing age;
worse outcomes were associated with permanent disability
pension and excess major negative life events. {MCMStrSt}

Wigers SH




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