Daily fatigue in women with osteoarthritis, rheumatoid arthritis, and fibromyalgia
Abstract
We examined between and within-person variability, affective correlates, and diagnostic differences in daily fatigue in women with rheumatoid arthritis (RA), osteoarthritis (OA), and fibromyalgia syndrome (FMS). Two hundred and fifty-five female patients recruited from the community served as participants for this project. The patients had a physician-confirmed diagnosis of RA (n=89), OA (n=76), or FMS (n=90). Individuals completed an initial questionnaire and up to 32 daily diaries assessing illness symptoms and psychosocial variables (i.e., fatigue, pain, sleep problems, depression, and affect). The primary outcome for the current project was variability in fatigue. We examined affective, pain, and sleep correlates of fatigue, and tested whether these relations varied by diagnosis. Results indicated that FMS patients had higher overall levels of and greater daily variability in fatigue compared with the other pain groups. For all patients, fatigue correlated highly with lower positive affect (PA). Moreover, day-to-day increases in fatigue were associated with decreases in PA, particularly among FMS patients, and with increases in negative affect (NA). Daily pain was associated with increased fatigue in all groups, although OA patients showed less pain reactivity than either FMS or RA patients. These findings indicate that fatigue is a common feature of rheumatologic conditions. Nonetheless, there are important differences between RA, OA, and FM patients in both the everyday manifestations and the biopsychosocial correlates of fatigue.
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Fibromyalgia patients had greater fatigue variability than patients with rheumatoid arthritis.
“Other studies found that fibromyalgia patients had higher pain scores (3, 4) and greater fatigue variability (5) than patients with rheumatoid arthritis.”
Cites
The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research
Buysse, D. J., Reynolds, C. F., Monk, T. H., Berman, S. R., & Kupfer, D. J. (1989) · Psychiatry Research · doi:10.1016/0165-1781(89)90047-4 · Cited by 35,234 · see citing works
(1992) · PubMed · Cited by 33,716 · see citing works
The MOS 36-ltem Short-Form Health Survey (SF-36): I. Conceptual Framework and Item Selection
Ware, J. E., & Sherbourne, C. D. (1992) · Medical Care · doi:10.1097/00005650-199206000-00002 · Cited by 30,033 · see citing works
Littell, R. C. (1996) · Medical Entomology and Zoology · Cited by 10,345 · see citing works
The PANAS-X: Manual for the Positive and Negative Affect Schedule - Expanded Form
Watson, D., & Clark, L. A. (1994) · doi:10.17077/48vt-m4t2 · Cited by 3,697 · see citing works
The measurement of clinical pain intensity: a comparison of six methods
Jensen, M. P., Karoly, P., & Braver, S. (1986) · Pain · doi:10.1016/0304-3959(86)90228-9 · Cited by 3,275 · see citing works
On Energy, Personality, and Health: Subjective Vitality as a Dynamic Reflection of Well‐Being
Ryan, R. M., & Frederick, C. (1997) · Journal of Personality · doi:10.1111/j.1467-6494.1997.tb00326.x · Cited by 2,755 · see citing works
The prevalence and characteristics of fibromyalgia in the general population
Wolfe, F., Ross, K., Anderson, J., Russell, I. J., & Hebert, L. E. (1995) · Arthritis & Rheumatism · doi:10.1002/art.1780380104 · Cited by 2,394 · see citing works
Using SAS PROC MIXED to Fit Multilevel Models, Hierarchical Models, and Individual Growth Models
Singer, J. D. (1998) · Journal of Educational and Behavioral Statistics · doi:10.2307/1165280 · Cited by 1,092 · see citing works
Cytokine-induced sickness behavior
Kelley, K. W., Bluthé, R.-M., Dantzer, R., Zhou, J.-H., Shen, W.-H., Johnson, R. W., & Broussard, S. R. (2003) · Brain, Behavior, and Immunity · doi:10.1016/s0889-1591(02)00077-6 · Cited by 716 · see citing works
The prevalence and meaning of fatigue in rheumatic disease.
Wolfe, F., Hawley, D. J., & Wilson, K. (1996) · PubMed · Cited by 639 · see citing works
Thieme, K., Turk, D. C., & Flor, H. (2004) · Psychosomatic Medicine · doi:10.1097/01.psy.0000146329.63158.40 · Cited by 465 · see citing works
Swain, M. G. (2000) · Clinical Science · doi:10.1042/cs0990001 · Cited by 383 · see citing works
Benyamini, Y., Idler, E. L., Leventhal, H., & Leventhal, E. A. (2000) · The Journals of Gerontology Series B · doi:10.1093/geronb/55.2.p107 · Cited by 368 · see citing works
Comparison of self-reported fatigue in rheumatoid arthritis and controls.
Bl, B. (1995) · PubMed · Cited by 357 · see citing works
Paper or plastic? Data equivalence in paper and electronic diaries.
Green, A. S., Rafaeli, E., Bolger, N. P., Shrout, P. E., & Reis, H. T. (2006) · Psychological Methods · doi:10.1037/1082-989x.11.1.87 · Cited by 352 · see citing works
Examinations of chronic pain and affect relationships: Applications of a dynamic model of affect.
Zautra, A., Smith, B. W., Affleck, G. G., & Tennen, H. A. (2001) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.69.5.786 · Cited by 311 · see citing works
Self-citationWolfe, F. (1999) · British journal of rheumatology · doi:10.1093/rheumatology/38.4.355 · Cited by 276 · see citing works
Impact of fatigue on health-related quality of life in rheumatoid arthritis.
Rupp, I., Boshuizen, H., Jacobi, C. E., Dinant, H., & van den Bos, G. V. D. (2004) · Arthritis & Rheumatism · doi:10.1002/art.20539 · Cited by 244 · see citing works
The contribution of pain, reported sleep quality, and depressive symptoms to fatigue in fibromyalgia
Nicassio, P. M., Moxham, E. G., Schuman, C., & Gevirtz, R. (2002) · Pain · doi:10.1016/s0304-3959(02)00300-7 · Cited by 242 · see citing works
Stone, A. A., Broderick, J. E., Porter, L. S., & Kaell, A. T. (1997) · Arthritis & Rheumatism · doi:10.1002/art.1790100306 · Cited by 240 · see citing works
Ambulatory monitoring of physical activity and symptoms in fibromyalgia and chronic fatigue syndrome
Kop, W. J., Lyden, A., Berlin, A. A., Ambrose, K., Olsen, C. H., Gracely, R. H., Williams, D. A., & Clauw, D. J. (2005) · Arthritis & Rheumatism · doi:10.1002/art.20779 · Cited by 218 · see citing works
Zautra, A. (2003) · Choice Reviews Online · doi:10.5860/choice.41-0626 · Cited by 208 · see citing works
Self-citationChronic Pain, Stress, and the Dynamics of Affective Differentiation
Davis, M. C., Zautra, A. J., & Smith, B. W. (2004) · Journal of Personality · doi:10.1111/j.1467-6494.2004.00293.x · Cited by 200 · see citing works
Self-citationFibromyalgia: evidence for deficits in positive affect regulation.
Zautra, A. J., Fasman, R., Reich, J. W., Harakas, P., Johnson, L. M., Olmsted, M. E., & Davis, M. C. (2005) · Psychosomatic Medicine · doi:10.1097/01.psy.0000146328.52009.23 · Cited by 152 · see citing works
Self-citationADDINGTON, A. M., GALLO, J. J., FORD, D. E., & EATON, W. W. (2001) · Psychological Medicine · doi:10.1017/s0033291701004214 · Cited by 148 · see citing works
Is Pain Fatiguing? A Structured Evidence-Based Review
Fishbain, D. A., Cole, B., Cutler, R. B., Lewis, J. E., Rosomoff, H. L., & Fosomoff, R. S. (2003) · Pain Medicine · doi:10.1046/j.1526-4637.2003.03008.x · Cited by 133 · see citing works
Evidence for Abnormal Pain Processing in Fibromyalgia Syndrome
Staud, R. M., & Domingo, M. (2001) · Pain Medicine · doi:10.1046/j.1526-4637.2001.01030.x · Cited by 121 · see citing works
Unique genetic and environmental determinants of prolonged fatigue: a twin study
Hickie, I. B., Kirk, K. M., & Martin, N. G. (1999) · Psychological Medicine · doi:10.1017/s0033291798007934 · Cited by 115 · see citing works
Schanberg, L. E., Gil, K. M., Anthony, K. K., Yow, E. S., & Rochon, J. (2005) · Arthritis & Rheumatism · doi:10.1002/art.20952 · Cited by 112 · see citing works
Landis, C. A., Frey, C. A., Lentz, M. J., Rothermel, J., Buchwald, D., & Shaver, J. L. F. (2003) · Nursing Research · doi:10.1097/00006199-200305000-00002 · Cited by 92 · see citing works
Tennen, H. A., Affleck, G. G., Coyne, J. C., Larsen, R. J., & DeLongis, A. (2006) · Psychological Methods · doi:10.1037/1082-989x.11.1.112 · Cited by 89 · see citing works
Kurtze, N., & Svebak, S. (2001) · British Journal of Medical Psychology · doi:10.1348/000711201161163 · Cited by 76 · see citing works
History of affective disorder and the experience of fatigue in rheumatoid arthritis
Jump, R. L., Fifield, J., Tennen, H. A., Reisine, S., & Giuliano, A. J. (2004) · Arthritis Care & Research · doi:10.1002/art.20243 · Cited by 54 · see citing works
Aspects of diurnal rhythmicity in pain, stiffness, and fatigue in patients with fibromyalgia.
Bellamy, N., Sothern, R. B., & Campbell, J. (2004) · PubMed · Cited by 52 · see citing works
Subjective fatigue and self-care in individuals with chronic illness.
Ej, E., & Wickstrom, B. (1999) · PubMed · Cited by 31 · see citing works
Significance of fatigue in patients with rheumatoid arthritis
Singh, G., Bennett, M. V., Lingala, B., et al. (2003) · Arthritis Research · doi:10.1186/ar923 · Cited by 20 · see citing works
Roth, S. H. (2001) · JCR Journal of Clinical Rheumatology · doi:10.1097/00124743-200104000-00001 · Cited by 2 · see citing works
Flagged first, then by citations
Cited by
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Avlund, K. (2010) · Aging Clinical and Experimental Research · doi:10.1007/bf03324782 · Cited by 226 · see citing works
Davis, M. C., Zautra, A. J., Younger, J., Motivala, S. J., Attrep, J., & Irwin, M. R. (2008) · Brain, Behavior, and Immunity · doi:10.1016/j.bbi.2007.06.013 · Cited by 177 · see citing works
Self-citationSomers, T. J., Keefe, F. J., Godiwala, N., & Hoyler, G. H. (2009) · Current Opinion in Rheumatology · doi:10.1097/bor.0b013e32832ed704 · Cited by 135 · see citing works
The impact of momentary pain and fatigue on physical activity in women with osteoarthritis
Murphy, S. L., Smith, D. M., Clauw, D. J., & Alexander, N. B. (2008) · Arthritis Care & Research · doi:10.1002/art.23710 · Cited by 134 · see citing works
Beyond pain in fibromyalgia: Insights into the symptom of fatigue
Vincent, A., Benzo, R. P., Whipple, M. O., McAllister, S. J., Erwin, P. J., & Saligan, L. N. (2013) · Arthritis Research & Therapy · doi:10.1186/ar4395 · Cited by 133 · see citing works
Tander, B., Cengiz, K., Alayli, G., İlhanli, İ., Canbaz, S., & Canturk, F. (2008) · Rheumatology International · doi:10.1007/s00296-008-0551-6 · Cited by 110 · see citing works
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Bartley, E. J., Robinson, M. E., & Staud, R. (2018) · The Journal of Pain · doi:10.1016/j.jpain.2017.11.014 · Cited by 83 · see citing works
Diaz-Piedra, C., Di Stasi, L. L., Baldwin, C. M., Buela-Casal, G., & Catena, A. (2015) · Sleep Medicine Reviews · doi:10.1016/j.smrv.2014.09.001 · Cited by 74 · see citing works
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Kleinman, N., Harnett, J., Melkonian, A., Lynch, W., Kaplan-Machlis, B., & Silverman, S. L. (2009) · Journal of Occupational & Environmental Medicine · doi:10.1097/jom.0b013e3181bb808b · Cited by 62 · see citing works
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Nijrolder, I., van der Windt, D., de Vries, H., & van der Horst, H. (2009) · Canadian Medical Association Journal · doi:10.1503/cmaj.090647 · Cited by 51 · see citing works
McAllister, S. J., Vincent, A., Hassett, A. L., Whipple, M. O., Oh, T. H., Benzo, R. P., & Toussaint, L. L. (2015) · Stress and Health · doi:10.1002/smi.2555 · Cited by 40 · see citing works
- Authors
- Zautra, A. J., Fasman, R., Parish, B. P., & Davis, M. C.
- Affiliations
- Arizona State University (US)
- Corresponding author
- Zautra, Alex J.
- ORCID
- Davis, Mary C.
- Venue
- Pain
- Published
- 2007-03
- Volume
- 128
- Issue
- 1
- Pages
- 128-135
- ISSN
- 0304-3959 (ISSN-L)
- OpenAlex
- W2141535552
- Cited by
- 210
- References
- 38
- Citations by year
- 2026: 2 · 2025: 6 · 2024: 4 · 2023: 6 · 2022: 7 · 2021: 8 · 2020: 9 · 2019: 13 · 2018: 6 · 2017: 11 · 2016: 23 · 2015: 15 · 2014: 12 · 2013: 12 · 2012: 13
- FWCI
- 7.03
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Pain (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Arthritis Foundation
- National Institute of Arthritis and Musculoskeletal and Skin Diseases (R01AR041687, R01AR046034)
- 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 › Rheumatology › Rheumatoid Arthritis Research and Therapies
- Keywords
- rheumatoid arthritis, osteoarthritis, fibromyalgia, women, within-person variability, positive affect, negative affect, pain reactivity, sleep disorders, depression, biopsychosocial model, chronic pain
- MeSH terms
- Activities of Daily Living, Adult, Aged, Arizona, Arthritis, Rheumatoid, Depression, Fatigue, Female, Fibromyalgia, Humans, Middle Aged, Osteoarthritis, Pain, Risk Factors, Sleep Wake Disorders, Comorbidity, Prevalence, Risk Assessment
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