Fibromyalgia onset has a high impact on work ability in Australians
Abstract
Background: Although the disabling effects of fibromyalgia ( FM ) are well recognised, there are no published data regarding the impact of FM on work ability in Australians. The impact of the development of FM symptoms on ability to work in Australians was explored in a pilot survey project. Method: Members of the Fibromyalgia Support Network of Western Australia were invited to undertake an anonymous online survey. Information was gathered regarding demographics, symptom onset, the timing of diagnosis, employment status and changes in the ability to work. Results: Two hundred and eighty‐seven responses were analysed. Of the respondents, 90.6% were female, with a mean age of 51.1 ± 10.6 years and had experienced symptoms between 2 and 20 years; 52.8% were diagnosed less than 5 years previously. Of the participants, 54.2% were working full time and 21.5% working part time at symptom onset; however, only 15.6% were currently working full time, with 44.8% not currently working at all. Because of FM , 24.3% stopped and 32.6% reduced paid work directly within 5 years of symptom development, with 15.3% ceasing and an additional 17.4% reducing work because of symptoms before diagnosis. Due to FM symptoms, 35.1% currently received financial support because they were unable to work. While 24.3% reported FM medication increased their ability to work, 20.8% reported it reduced their ability to work. Conclusion: A community pilot survey of Australians with FM indicates a high impact on work ability. This occurs from symptom onset and often before diagnosis. Early diagnosis and intervention may provide a window of opportunity to prevent work disability in FM .
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Between 35% and 50% of patients with fibromyalgia were not working.
“questionnaire-based studies have found that between 35% and 50% of patients with fibromyalgia were not working.2–5”
From Does work have to be so painful? A review of the literature examining the effects of fibromyalgia on the working experience from the patient perspective (2020) · cites this paper as [3]
Previous research has demonstrated that FM can have a high impact on work ability.
“even though previous research has demonstrated that FM can have a high impact on work ability [45].”
From Mindfulness- And acceptance-based interventions for patients with fibromyalgia - A systematic review and meta-analyses (2019) · cites this paper as [45]
Cites
Lawrence, R. C., Felson, D. T., Helmick, C. G., Arnold, L. M., Choi, H. K., Deyo, R. A., Gabriel, S. E., Hirsch, R., Hochberg, M. C., Hunder, G. G., et al. (2007) · Arthritis & Rheumatism · doi:10.1002/art.23176 · Cited by 5,500 · 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
Psychological and physical well-being during unemployment: a meta-analytic study
McKee-Ryan, F., Song, Z., Wanberg, C. R., & Kinicki, A. J. (2005) · Journal of Applied Psychology · doi:10.1037/0021-9010.90.1.53 · Cited by 2,269 · see citing works
Estimates of the prevalence of arthritis and other rheumatic conditions in the United States: Part I
Helmick, C. G., Felson, D. T., Lawrence, R. C., Gabriel, S. E., Hirsch, R., Kwoh, C. K., Liang, M. H., Kremers, H. M., Mayes, M. D., Merkel, P. A., et al. (2007) · Arthritis & Rheumatism · doi:10.1002/art.23177 · Cited by 2,054 · see citing works
Worldwide epidemiology of fibromyalgia
Queiroz, L. P. (2013) · Current Pain and Headache Reports · doi:10.1007/s11916-013-0356-5 · Cited by 826 · see citing works
Work ability—a comprehensive concept for occupational health research and prevention
Ilmarinen, J. (2009) · Scandinavian Journal of Work Environment & Health · doi:10.5271/sjweh.1304 · Cited by 663 · see citing works
Central pain mechanisms in chronic pain states – Maybe it is all in their head
Phillips, K., & Clauw, D. J. (2011) · Best Practice & Research Clinical Rheumatology · doi:10.1016/j.berh.2011.02.005 · Cited by 331 · see citing works
Clauw, D. J., Arnold, L. M., & McCarberg, B. H. (2011) · Mayo Clinic Proceedings · doi:10.4065/mcp.2011.0206 · Cited by 314 · see citing works
A patient survey of the impact of fibromyalgia and the journey to diagnosis
Choy, E., Perrot, S., Leon, T., Kaplan, J., Petersel, D., Ginovker, A., & Kramer, E. (2010) · BMC Health Services Research · doi:10.1186/1472-6963-10-102 · Cited by 305 · see citing works
The Prevalence and Characteristics of Fibromyalgia in the 2012 National Health Interview Survey
Walitt, B., Nahin, R., Katz, R., Bergman, M., & Wolfe, F. (2015) · PLoS ONE · doi:10.1371/journal.pone.0138024 · Cited by 274 · see citing works
Disability and quality of life in patients with fibromyalgia
Verbunt, J. A., Pernot, D. H., & Smeets, R. J. (2008) · Health and Quality of Life Outcomes · doi:10.1186/1477-7525-6-8 · Cited by 245 · see citing works
Improving the Recognition and Diagnosis of Fibromyalgia
Arnold, L. M., Clauw, D. J., & McCarberg, B. H. (2011) · Mayo Clinic Proceedings · doi:10.4065/mcp.2010.0738 · Cited by 226 · see citing works
Branco, J., Rodrigues, A. M., Gouveia, N., Eusébio, M., Ramiro, S., Machado, P., da Costa, L. P., Mourão, A. F., da Silva, I. P., Laires, P. A., et al. (2016) · RMD Open · doi:10.1136/rmdopen-2015-000166 · Cited by 226 · see citing works
Boonen, A., van den Heuvel, R., van Tubergen, A., Goossens, M., Severens, J. L., van der Heijde, D., & van der Linden, S. (2005) · Annals of the Rheumatic Diseases · doi:10.1136/ard.2003.019711 · Cited by 219 · see citing works
Employees With Fibromyalgia: Medical Comorbidity, Healthcare Costs, and Work Loss
White, L. A., Birnbaum, H. G., Kaltenboeck, A., Tang, J., Mallett, D., & Robinson, R. L. (2008) · Journal of Occupational & Environmental Medicine · doi:10.1097/jom.0b013e31815cff4b · Cited by 168 · see citing works
Schaefer, C. P., Chandran, A., Hufstader, M. A., Baik, R., McNett, M., Goldenberg, D. L., Gerwin, R. D., & Zlateva, G. (2011) · Health and Quality of Life Outcomes · doi:10.1186/1477-7525-9-71 · Cited by 150 · see citing works
Birtane, M., Uzunca, K., Taştekin, N., & Tuna, H. (2006) · Clinical Rheumatology · doi:10.1007/s10067-006-0359-2 · Cited by 134 · see citing works
Wolfe, F., Michaud, K. D., Li, T. M. W. Y., & Katz, R. S. (2009) · The Journal of Rheumatology · doi:10.3899/jrheum.090778 · Cited by 118 · see citing works
Mental health effects of job loss in women
Dew, M. A., Bromet, E. J., & Penkower, L. (1992) · Psychological Medicine · doi:10.1017/s0033291700038198 · Cited by 106 · see citing works
‘A constant struggle’: Successful strategies of women in work despite fibromyalgia
Löfgren, M., Ekholm, J., & Öhman, A. (2006) · Disability and Rehabilitation · doi:10.1080/09638280500197891 · Cited by 96 · see citing works
Communicating the Experience of Chronic Pain and Illness Through Blogging
Ressler, P. K., Bradshaw, Y. S., Gualtieri, L. N., & Chui, K. K. H. (2012) · Journal of Medical Internet Research · doi:10.2196/jmir.2002 · Cited by 96 · see citing works
Fibromyalgia: Disease Synopsis, Medication Cost Effectiveness and Economic Burden
Skaer, T. L. (2014) · PharmacoEconomics · doi:10.1007/s40273-014-0137-y · Cited by 91 · see citing works
Chandran, A., Schaefer, C. P., Ryan, K. J., Baik, R., McNett, M., & Zlateva, G. (2012) · Journal of Managed Care Pharmacy · doi:10.18553/jmcp.2012.18.6.415 · Cited by 88 · see citing works
Krantz, G., & Östergren, P.-O. (2000) · Journal of Epidemiology and Community Health · doi:10.1136/jech.54.3.192 · Cited by 83 · see citing works
Nilsen, K. B., Sand, T., Westgaard, R. H., Stovner, L. J., White, L. R., Leistad, R. B., Helde, G., & Rø, M. (2007) · European Journal of Pain · doi:10.1016/j.ejpain.2006.11.004 · Cited by 82 · see citing works
Kwiatek, R. (2017) · Australian Prescriber · doi:10.18773/austprescr.2017.056 · Cited by 81 · see citing works
Self-citationMerolli, M., Gray, K. M., Martin-Sanchez, F. J., & López–Campos, G. (2015) · Journal of Medical Internet Research · doi:10.2196/jmir.3915 · Cited by 72 · see citing works
Work Ability in Fibromyalgia: An Update in the 21st Century
Palstam, A., & Mannerkorpi, K. (2017) · Current Rheumatology Reviews · doi:10.2174/1573397113666170502152955 · Cited by 61 · see citing works
The relative impact of 13 chronic conditions across three different outcomes
Perruccio, A. V., Power, J. D., & Badley, E. M. (2007) · Journal of Epidemiology & Community Health · doi:10.1136/jech.2006.047308 · Cited by 60 · see citing works
Work Disability and Health System Utilization in Patients With Fibromyalgia Syndrome
Al‐Allaf, A. W. (2007) · JCR Journal of Clinical Rheumatology · doi:10.1097/rhu.0b013e31812e6b0c · Cited by 49 · see citing works
Factors promoting sustainable work in women with fibromyalgia
Palstam, A., Gard, G., & Mannerkorpi, K. (2013) · Disability and Rehabilitation · doi:10.3109/09638288.2012.748842 · Cited by 43 · see citing works
Social Security Work Disability and Its Predictors in Patients With Fibromyalgia
Wolfe, F., Walitt, B. T., Katz, R. S., & Häuser, W. (2014) · Arthritis Care & Research · doi:10.1002/acr.22305 · Cited by 39 · see citing works
Work disability and state benefit claims in early rheumatoid arthritis: the ERAN cohort
McWilliams, D. F., Varughese, S., Young, A., Kiely, P. D. W., & Walsh, D. A. (2013) · Lara D. Veeken · doi:10.1093/rheumatology/ket373 · Cited by 31 · see citing works
Influence of rheumatoid arthritis on work participation in Australia
Shanahan, E. M., Smith, M. J., Roberts‐Thomson, L., Esterman, A., & Ahern, M. J. (2007) · Internal Medicine Journal · doi:10.1111/j.1445-5994.2007.01432.x · Cited by 24 · see citing works
Guymer, E. K., Maruff, P. T., & Littlejohn, G. O. (2012) · International Journal of Rheumatic Diseases · doi:10.1111/j.1756-185x.2012.01767.x · Cited by 16 · see citing works
Self-citationLiedberg and, G. M., & Björk, M. (2014) · Work · doi:10.3233/wor-131607 · Cited by 12 · see citing works
Health Status After Job Loss: Does the Reason for Job Change Matter?
Voss, M., & Chen, J. (2015) · Journal of Occupational and Environmental Medicine · doi:10.1097/jom.0000000000000558 · Cited by 6 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Fibromyalgia: an update on clinical characteristics, aetiopathogenesis and treatment
Sarzi‐Puttini, P., Giorgi, V., Marotto, D., & Atzeni, F. (2020) · Nature Reviews Rheumatology · doi:10.1038/s41584-020-00506-w · Cited by 837 · see citing works
AAPT Diagnostic Criteria for Fibromyalgia
Arnold, L. M., Bennett, R. M., Crofford, L. J., Dean, L. E., Clauw, D. J., Goldenberg, D. L., Fitzcharles, M., Paiva, E. S., Staud, R. M., Sarzi‐Puttini, P., et al. (2018) · Journal of Pain · doi:10.1016/j.jpain.2018.10.008 · Cited by 437 · see citing works
Haugmark, T., Hagen, K. B., Smedslund, G., & Zangi, H. A. (2019) · PLoS ONE · doi:10.1371/journal.pone.0221897 · Cited by 149 · see citing works
Kwiatek, R. (2017) · Australian Prescriber · doi:10.18773/austprescr.2017.056 · Cited by 81 · see citing works
Self-citationWork Ability in Fibromyalgia: An Update in the 21st Century
Palstam, A., & Mannerkorpi, K. (2017) · Current Rheumatology Reviews · doi:10.2174/1573397113666170502152955 · Cited by 61 · see citing works
Fibromyalgia and Risk of Dementia—A Nationwide, Population-Based, Cohort Study
Tzeng, N., Chung, C., Liu, F., Chiu, Y., Chang, H., Yeh, C., Huang, S., Lu, R., Yeh, H., Kao, Y., et al. (2017) · The American Journal of the Medical Sciences · doi:10.1016/j.amjms.2017.09.002 · Cited by 58 · see citing works
Heightened interoception in adults with fibromyalgia
Todd, J., Plans, D., Lee, M., Bird, J. M., Morelli, D., Cunningham, A. C., Ponzo, S., Murphy, J., Bird, G., & Aspell, J. E. (2024) · Biological Psychology · doi:10.1016/j.biopsycho.2024.108761 · Cited by 32 · see citing works
Droppert, K., & Knowles, S. R. (2022) · Journal of Clinical Psychology in Medical Settings · doi:10.1007/s10880-022-09873-w · Cited by 23 · see citing works
Mukhida, K., Carroll, W., & Arseneault, R. (2020) · Canadian Journal of Pain · doi:10.1080/24740527.2020.1820858 · Cited by 19 · see citing works
“working either full- or part-time, respectively, at the time of symptom onset.(3) Less than 5 years later, only”
BackgroundInfluentialBrown, T. J., Hammond, A., Ching, A., & Parker, J. L. (2023) · Musculoskeletal Care · doi:10.1002/msc.1760 · Cited by 15 · see citing works
Cerón-Lorente, L., Valenza, M. C., Pérez‐Mármol, J. M., Ríos, M. D. C. G., Castro‐Sánchez, A. M., & Aguilar‐Ferrándiz, M. E. (2018) · Clinical Biomechanics · doi:10.1016/j.clinbiomech.2018.10.009 · Cited by 15 · see citing works
Álvarez‐Gallardo, I. C., Estévez‐López, F., Aguilar, X. T., Segura‐Jiménez, V., Borges‐Cosic, M., Soriano‐Maldonado, A., Camiletti‐Moirón, D., García-Rodríguez, I. C., Munguía‐Izquierdo, D., Sierras-Robles, Á., et al. (2019) · Clinical Rheumatology · doi:10.1007/s10067-019-04750-8 · Cited by 14 · see citing works
Acupuncture for Fibromyalgia: A Review Based on Multidimensional Evidence
Han, D., Lu, Y., Huang, R., Yang, Z., Peng, G., Qiao, Y., Zhang, X., Wu, H., & Liu, H. (2023) · The American Journal of Chinese Medicine · doi:10.1142/s0192415x23500143 · Cited by 13 · see citing works
Low-dose naltrexone in the treatment of fibromyalgia: A systematic review and narrative synthesis
Aitcheson, N. E. C., Lin, Z., & Tynan, K. (2023) · Australian Journal of General Practice · doi:10.31128/ajgp-09-22-6564 · Cited by 11 · see citing works
Tsai, S.-T., Yang, C.-C., Liao, H.-Y., & Lin, Y. (2024) · Biomedicines · doi:10.3390/biomedicines12020387 · Cited by 11 · see citing works
Social costs associated with fibromyalgia in Spain
Oliva, J., & Vilaplana‐Prieto, C. (2024) · Health Economics Review · doi:10.1186/s13561-024-00527-1 · Cited by 10 · see citing works
Tenti, M., Raffaeli, W., Paroli, M., Gamberi, G., Vincis, R., Suzzi, B., Fagnani, C., Camoni, L., & Toccaceli, V. (2024) · Healthcare · doi:10.3390/healthcare12020216 · Cited by 9 · see citing works
Cordeiro, R. A., Fischer, F. M., & Shinjo, S. K. (2022) · Rheumatology · doi:10.1093/rheumatology/keac389 · Cited by 8 · see citing works
Wang, C., Sun, J., Liang, Z., Cai, Y., Zhang, M., Tian, S., Yang, W., Cheng, S., Duan, R., & Wang, X. (2025) · European Journal of Pain · doi:10.1002/ejp.70109 · Cited by 8 · see citing works
Work volition in women with fibromyalgia: a phenomenological analysis
Lev, M., & Goldner, L. (2020) · Disability and Rehabilitation · doi:10.1080/09638288.2020.1827050 · Cited by 8 · see citing works
Does the volume of physical exercise influence sleep quality in patients with fibromyalgia?
de Souza, L. C., Vilarino, G. T., & Andrade, A. (2024) · Reumatismo · doi:10.4081/reumatismo.2024.1710 · Cited by 6 · see citing works
Chen, A., Carpenter, H., & Flaherty, M. G. (2019) · The International Journal of Information Diversity & Inclusion (IJIDI) · doi:10.33137/ijidi.v3i3.32964 · Cited by 5 · see citing works
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Marrero-Centeno, J. J., Moreno-Velázquez, I. F., & Sánchez‐Cardona, I. (2017) · Revista Interamericana de Psicología Ocupacional · doi:10.21772/ripo.v36n1a01 · Cited by 5 · see citing works
Socorro-Cumplido, J. L., Chaler, J., Almirall, M., Sánchez‐Raya, J., Cano, M., & Román‐Viñas, B. (2024) · Journal of Pain · doi:10.1016/j.jpain.2024.104749 · Cited by 4 · see citing works
Maldonado-García, J. L., Vega-Ramírez, M. T., Pérez‐Sánchez, G., Becerril‐Villanueva, E., Álvarez-Herrera, S., Cabrera, D. M., Moreno-Lafont, M. C., & Pavón, L. (2021) · Medical Research Archives · doi:10.18103/mra.v9i8.2518 · Cited by 4 · see citing works
Krupa, A. J., Chrobak, A. A., Sołtys, Z., Korkosz, M., Nowakowski, J., Dudek, D., & Siwek, M. (2024) · Rheumatology International · doi:10.1007/s00296-024-05650-0 · Cited by 4 · see citing works
Hammond, A., Tennant, A., Brown, T., Prior, Y., Ching, A., & Parker, J. L. (2023) · Musculoskeletal Care · doi:10.1002/msc.1829 · Cited by 2 · see citing works
de Lima, R. O. A., de Araújo, D. I. A. F., Rolim, J. M. D. F., & Lima, Í. C. E. S. (2025) · Revista Multidisciplinar do Nordeste Mineiro · doi:10.61164/rmnm.v11i1.4089 · Cited by 2 · see citing works
Esposto, M., Anella, G., Pellicciari, L., Bisconti, M., Giovannico, G., Polli, A., & Cioeta, M. (2024) · Musculoskeletal Science and Practice · doi:10.1016/j.msksp.2024.103240 · Cited by 1 · see citing works
Carvalho, C., Vassão, P. G., Santos, T. I. R., Parisi, J. R., Garcia-Motta, H., & Rennó, A. C. M. (2025) · Journal of Manipulative and Physiological Therapeutics · doi:10.1016/j.jmpt.2025.10.023 · Cited by 1 · see citing works
Fibromyalgia is often connected with disability pension: a very long-term follow-up study in Finland
Isomeri, R., Mikkelsson, M., Partinen, M., Kautiainen, H., & Kauppi, M. J. (2020) · Scandinavian Journal of Rheumatology · doi:10.1080/03009742.2020.1771765 · Cited by 1 · see citing works
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Krakov, A. O., Finestone, A. S., Rinsky‐Halivni, L., Alperovitch‐Najenson, D., Lagrissi, R., & Moshe, S. (2021) · Clinical and Experimental Rheumatology · doi:10.55563/clinexprheumatol/tazdi0 · Cited by 2 · see citing works
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Fajardo, D., Gutiérrez, J. J. L., & Carvajal, J. M. C. (2020) · Pharmacy & Pharmacology International Journal · doi:10.15406/ppij.2020.08.00273 · Cited by 1 · see citing works
The Effects of Employment Status and Daily Routines on Fibromyalgia
Aydin, S., & Özsoy-Ünübol, T. (2024) · Aktuelle Rheumatologie · doi:10.1055/a-2349-9089
Hu, Y., Yang, G., Deng, Z., Yang, S., Li, Y., Xiao, W., Lu, B., & Zhu, X. (2025) · Bioengineering · doi:10.3390/bioengineering12070692
Kwiatek, R., & True, B. (2026) · Internal Medicine Journal · doi:10.1111/imj.70396
Self-citationSalvador-Huerta, C., Jordán-López, J., Azanon-Nogueira, P., García-Lucas, C., Amer-Cuenca, J. J., & Lisón, J. F. (2026) · PLoS ONE · doi:10.1371/journal.pone.0348346
Jenssen, M. D. K., Fors, E. A., Berntsen, G., Fagerlund, A. J., Bellika, J. G., & Godtliebsen, F. (2026) · Applied Sciences · doi:10.3390/app16168209
- Authors
- Guymer, E. K., Littlejohn, G. O., Brand, C. K., & Kwiatek, R. A.
- Affiliations
- Monash Health (AU)
- Fibromyalgia Support Network of Western Australia Perth Western Australia Australia
- Northern Adelaide Local Health Network Adelaide South Australia Australia
- Corresponding author
- Guymer, E. K.
- ORCID
- Guymer, E. K.
- Venue
- Internal Medicine Journal
- Publisher
- Wiley
- Published
- 2016-09
- Volume
- 46
- Issue
- 9
- Pages
- 1069-1074
- ISSN
- 1444-0903 (ISSN-L)
- 1445-5994
- OpenAlex
- W2410350963
- Semantic Scholar
- 09c2ce8a96dc1e62664940b4534b7e2954609006
- Cited by
- 41
- References
- 38
- Citations by year
- 2026: 3 · 2025: 4 · 2024: 9 · 2023: 4 · 2022: 4 · 2021: 2 · 2020: 6 · 2019: 3 · 2018: 2 · 2017: 4
- FWCI
- 2.67
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Internal Medicine Journal (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Fibromyalgia and Chronic Fatigue Syndrome Research
- Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Medical Practices and Rehabilitation
- Keywords
- fibromyalgia, work ability, work disability, symptom onset, employment status, early diagnosis, Western Australia
- MeSH terms
- Adult, Employment, Female, Fibromyalgia, Health Status, Humans, Male, Middle Aged, Pilot Projects, Quality of Life, Surveys and Questionnaires, Severity of Illness Index, Western Australia, Work Capacity Evaluation
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