Assessment of predictors of the impact of fibromyalgia on health-related quality of life 12 months after the end of an interdisciplinary treatment
Abstract
Objective Fibromyalgia is a chronic pain disorder with a range of comorbid symptoms, including anxiety. We aimed to prospectively identify predictors of the long-term impact of fibromyalgia on health-related quality of life after the end of an interdisciplinary intervention.Methods 138 patients with fibromyalgia, selected from a hospital pain management unit, participated in a 6-week interdisciplinary treatment that combined coordinated psychological, medical, educational, and physiotherapeutic interventions. Participants completed the Fibromyalgia Impact Questionnaire and the Hospital Anxiety and Depression Scale at baseline and 6 weeks, 6 months, and 12 months after the intervention. Multivariable generalized linear mixed models were developed, using the Fibromyalgia Impact Questionnaire score as a continuous variable.Results Variables that were significant predictors of the long-term impact of fibromyalgia on health-related quality of life in patients who completed a 6-week interdisciplinary treatment were marital status, the number of concurrent conditions, years since the onset of pain, and symptoms of anxiety. In the longitudinal analysis, patients with symptoms of anxiety had lower rates of improvement than those without symptoms of anxiety.Discussion Our results suggest that patients with lower level of anxiety have less impact on their HRQoL. The results also provide evidence that starting interventions as soon as possible is an important factor for improving health-related quality of life.
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Several studies point to the importance of early interventions to prevent pain from becoming chronic.
“As encouraging as it is that the present study showed significant effects despite the long pain duration, several studies instead point to the importance of early interventions in order to prevent the pain from becoming chronic [76, 77].”
From ACTsmart: Guided Smartphone-Delivered Acceptance and Commitment Therapy for Chronic Pain—A Pilot Trial. (2021) · cites this paper as [77]
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- Authors
- Martín, J., Torre, F., Aguirre, U., Padierna, A., Matellanes, B., & Quintana, J. M.
- Affiliations
- Hospital de Galdakao (ES)
- Universidad de Deusto (ES)
- Corresponding author
- Martín, Josune
- Venue
- Journal of Affective Disorders
- Publisher
- Elsevier BV
- Published
- 2017-01
- Volume
- 208
- Pages
- 76-81
- ISSN
- 0165-0327 (ISSN-L)
- OpenAlex
- W2530355735
- Cited by
- 10
- References
- 41
- Citations by year
- 2026: 1 · 2022: 1 · 2021: 1 · 2020: 4 · 2019: 1 · 2018: 1 · 2017: 1
- FWCI
- 0.89
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Affective Disorders (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Department of Health of the Basque Country (2006111057)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Fibromyalgia and Chronic Fatigue Syndrome Research
- Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
- Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
- Keywords
- fibromyalgia, health-related quality of life, anxiety, interdisciplinary treatment, Fibromyalgia Impact Questionnaire, predictors of treatment outcome, marital status, comorbidities, chronic pain, early intervention, Hospital Anxiety and Depression Scale
- MeSH terms
- Adult, Aged, Aged, 80 and over, Female, Fibromyalgia, Follow-Up Studies, Health Status Indicators, Humans, Male, Middle Aged, Pain Measurement, Prospective Studies, Quality of Life, Multivariate Analysis, Linear Models, Treatment Outcome, Young Adult, Pain Management
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