Perceived exertion at work in women with fibromyalgia: Explanatory factors and comparison with healthy women
Open accessAbstract
OBJECTIVE: To investigate perceived exertion at work in women with fibromyalgia. DESIGN: A controlled cross-sectional multi-centre study. SUBJECTS AND METHODS: Seventy-three women with fibromyalgia and 73 healthy women matched by occupation and physical workload were compared in terms of perceived exertion at work (0-14), muscle strength, 6-min walk test, symptoms rated by Fibromyalgia Impact Questionnaire (FIQ), work status (25-100%), fear avoidance work beliefs (0-42), physical activity at work (7-21) and physical workload (1-5). Spearman's correlation coefficient and linear regression analysis were conducted. RESULTS: Perceived exertion at work was significantly higher in the fibromyalgia group than in the reference group (p = 0.002), while physical activity at work did not differ between the groups. Physical capacity was lower and symptom severity higher in fibromyalgia compared with references (p < 0.05). In fibromyalgia, perceived exertion at work showed moderate correlation with physical activity at work, physical workload and fear avoidance work beliefs (rs = 0.53-0.65, p < 0.001) and a fair correlation with anxiety (rs = 0.26, p = 0.027). Regression analysis indicated that the physical activity at work and fear avoidance work beliefs explained 50% of the perceived exertion at work. CONCLUSION: Women with fibromyalgia perceive an elevated exertion at work, which is associated with physical work-related factors and factors related to fear and anxiety.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The text we found for this paper looks like another document, so the self-check wasn’t run.
Cites
The american college of rheumatology 1990 criteria for the classification of fibromyalgia
Wolfe, F., Smythe, H. A., Yunus, M. B., Bennett, R. M., Bombardier, C., Goldenberg, D. L., Tugwell, P., Campbell, S. M., Abeles, M., Clark, P., et al. (1990) · Arthritis & Rheumatism · doi:10.1002/art.1780330203 · Cited by 9,563 · see citing works
Perceived exertion as an indicator of somatic stress
Borg, G. (1970) · Journal of Rehabilitation Medicine · doi:10.2340/1650197719702239298 · Cited by 4,723 · see citing works
Waddell, G., Newton, M., Henderson, I., Somerville, D., & Main, C. J. (1993) · Pain · doi:10.1016/0304-3959(93)90127-b · Cited by 3,167 · 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
The fear-avoidance model of musculoskeletal pain: Current state of scientific evidence
Leeuw, M., Goossens, M. E. J. B., Linton, S. J., Crombez, G., Boersma, K., & Vlaeyen, J. W. S. (2007) · Journal of Behavioral Medicine · doi:10.1007/s10865-006-9085-0 · Cited by 2,261 · see citing works
The effects of work-related and individual factors on the Work Ability Index: a systematic review
van den Berg, T. I. J., Elders, L. A. M., de Zwart, B. C. H., & Burdorf, A. (2008) · Occupational and Environmental Medicine · doi:10.1136/oem.2008.039883 · Cited by 726 · see citing works
Nordenskiöld, U. M., & Grimby, G. (1993) · Scandinavian Journal of Rheumatology · doi:10.3109/03009749309095105 · Cited by 328 · see citing works
Staud, R. M., Robinson, M. E., & Price, D. D. (2005) · Pain · doi:10.1016/j.pain.2005.08.007 · Cited by 266 · see citing works
Prevalence of fibromyalgia and chronic widespread pain
Lindell, L. (2000) · Scandinavian Journal of Primary Health Care · doi:10.1080/028134300453340 · Cited by 216 · see citing works
Prognostic Factors for Duration of Sickness Absence due to Musculoskeletal Disorders
Lötters, F. J. B., & Burdorf, A. (2006) · Clinical Journal of Pain · doi:10.1097/01.ajp.0000154047.30155.72 · Cited by 197 · see citing works
Risk of musculoskeletal disorders among females and males in repetitive/constrained work
Nordander, C., Ohlsson, K., Åkesson, I., Arvidsson, I., Balogh, I., Hansson, G.-Å., Strömberg, U., Rittner, R., & Skerfving, S. (2009) · Ergonomics · doi:10.1080/00140130903056071 · Cited by 181 · see citing works
Living with Fibromyalgia: Consequences for Everyday Life
Henriksson, C., Gundmark, I., Bengtsson, A., & Ek, A.-C. (1992) · The Clinical Journal of Pain · doi:10.1097/00002508-199206000-00012 · Cited by 175 · see citing works
Women with fibromyalgia: Work and rehabilitation
Henriksson, C., Liedberg, G., & Gerdle, B. (2005) · Disability and Rehabilitation · doi:10.1080/09638280400009089 · Cited by 175 · see citing works
Self-citationMuscle performance in patients with fibromyalgia
Maquet, D., Croisier, J., Renard, C., & Crielaard, J.-M. (2002) · Joint Bone Spine · doi:10.1016/s1297-319x(02)00373-1 · Cited by 140 · see citing works
Holtermann, A., Hansen, J. V., Burr, H., & Søgaard, K. (2009) · Scandinavian Journal of Work Environment & Health · doi:10.5271/sjweh.2883 · Cited by 130 · see citing works
Physical performance characteristics of women with fibromyalgia
Mannerkorpi, K., Burckhardt, C. S., & BJELLE, A. O. (1994) · Arthritis & Rheumatism · doi:10.1002/art.1790070305 · Cited by 127 · see citing works
Self-citationFunctional capacity, muscle strength and falls in women with fibromyalgia
Góes, S. M., Leite, N., Shay, B. L., Homann, D., Stefanello, J. M. F., & Rodacki, A. L. F. (2012) · Clinical Biomechanics · doi:10.1016/j.clinbiomech.2011.12.009 · Cited by 119 · see citing works
Vingård, E., Lindberg, P., Josephson, M., Voss, M., Heijbel, B., Alfredsson, L. S., Stark, S., & Nygren, Å. (2005) · Scandinavian Journal of Public Health · doi:10.1080/14034940510005860 · Cited by 117 · see citing works
Bergström, G., Bodin, L., Bertilsson, H., & Jensen, I. B. (2006) · Occupational and Environmental Medicine · doi:10.1136/oem.2006.026583 · Cited by 114 · see citing works
Societal and Patient Burden of Fibromyalgia Syndrome
Annemans, L., Lay, K. L., & TAIEB, C. (2009) · PharmacoEconomics · doi:10.2165/11313650-000000000-00000 · Cited by 102 · see citing works
Hedin, P., Harnne, M., Burckhardt, C. S., & Engström‐Laurent, A. (1995) · Scandinavian Journal of Rheumatology · doi:10.3109/03009749509099287 · Cited by 91 · see citing works
Mannerkorpi, K., & Hernelid, C. (2005) · Disability and Rehabilitation · doi:10.1080/09638280400009063 · Cited by 88 · see citing works
Self-citationBalogh, I., Ørbæk, P., Winkel, J., et al. (2001) · Scandinavian Journal of Work Environment & Health · doi:10.5271/sjweh.585 · Cited by 79 · see citing works
Muscle strength, working capacity and effort in patients with fibromyalgia
Nørregaard, J., Bülow, P. M., Lykkegaard, J. J., et al. (1997) · Journal of Rehabilitation Medicine · doi:10.2340/16501977199797102 · Cited by 76 · see citing works
Andersen, L. L., Clausen, T., Persson, R., & Holtermann, A. (2012) · Scandinavian Journal of Work Environment & Health · doi:10.5271/sjweh.3310 · Cited by 71 · see citing works
Henriksen, M., Lund, H., Christensen, R., Jespersen, A., Dreyer, L., Bennett, R. M., Danneskiold‐Samsøe, B., & Bliddal, H. (2009) · Arthritis Care & Research · doi:10.1002/art.24512 · Cited by 70 · see citing works
Do employment and family work affect the health status of women with fibromyalgia?
Reisine, S., Fifield, J., Walsh, S. J., & Feinn, R. (2003) · PubMed · Cited by 63 · see citing works
Burden of fibromyalgia and comparisons with osteoarthritis in the workforce
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
Henriksson, C. M. (1995) · Scandinavian Journal of Rheumatology · doi:10.3109/03009749509099310 · Cited by 54 · see citing works
Hinders for continued work among persons with fibromyalgia
Mannerkorpi, K., & Gard, G. (2012) · BMC Musculoskeletal Disorders · doi:10.1186/1471-2474-13-96 · Cited by 54 · see citing works
Self-citationIncreased absence due to sickness among employees with fibromyalgia
Mika Kivimaki, B., Leino‐Arjas, P., Kaila‐Kangas, L., Virtanen, M., Elovainio, M. J., Puttonen, S., Keltikangas‐Järvinen, L., Pentti, J., & Vahtera, J. (2006) · Annals of the Rheumatic Diseases · doi:10.1136/ard.2006.053819 · Cited by 51 · see citing works
Women's narratives on experiences of work ability and functioning in fibromyalgia
Sallinen, M., Kukkurainen, M. L., Peltokallio, L., & Mikkelsson, M. (2010) · Musculoskeletal Care · doi:10.1002/msc.162 · Cited by 50 · see citing works
Physical fitness and work capacity in women with rheumatoid arthritis
Minor, M. A., & Hewett, J. E. (1995) · Arthritis & Rheumatism · doi:10.1002/art.1790080306 · Cited by 46 · 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
Self-citationEmployment and health status changes among women with fibromyalgia: A five‐year study
Reisine, S., Fifield, J., Walsh, S., & Forrest, D. D. (2008) · Arthritis Care & Research · doi:10.1002/art.24309 · Cited by 42 · see citing works
Palstam, A., Bjersing, J. L., & Mannerkorpi, K. (2012) · BMC Public Health · doi:10.1186/1471-2458-12-1076 · Cited by 31 · see citing works
Self-citationRakovski, C., Zettel-Watson, L., & Rutledge, D. (2012) · Disability and Rehabilitation · doi:10.3109/09638288.2011.641658 · Cited by 30 · see citing works
Muscle performance in patients with fibromyalgia.
Okumuş, M., Gökoğlu, F., Kocaoglu, S., et al. (2006) · PubMed · Cited by 27 · see citing works
Ren, X. S., Kazis, L., & Meenan, R. F. (1999) · Arthritis & Rheumatism · doi:10.1002/1529-0131(199906)12:3
Flagged first, then by citations
Cited by
Sorted by citations
Palstam, A., Larsson, A., Löfgren, M., Ernberg, M., Bjersing, J., Bileviciute-Ljungar, I., Gerdle, B., Kosek, E., & Mannerkorpi, K. (2016) · Arthritis Research & Therapy · doi:10.1186/s13075-016-1007-0 · Cited by 38 · see citing works
Self-citationMukhida, K., Carroll, W., & Arseneault, R. (2020) · Canadian Journal of Pain · doi:10.1080/24740527.2020.1820858 · Cited by 19 · see citing works
“89(p313) Study participants described work as having inherent value.4,34,81 In Palstam et al.’s study,35 some subjects continued to work despite its associated hardships because of its importance to their sense of self and because it was satisfying to them.”
BackgroundInfluential
- Authors
- Palstam, A., Larsson, A., Bjersing, J., Löfgren, M., Ernberg, M., Bileviciute-Ljungar, I., Ghafouri, B., Sjörs, A., Larsson, B., Gerdle, B., Kosek, E., & Mannerkorpi, K.
- Affiliations
- University of Gothenburg (SE)
- Danderyds sjukhus (SE)
- Karolinska Institutet (SE)
- Linköping University (SE)
- Venue
- Journal of Rehabilitation Medicine
- Publisher
- Medical Journals Sweden AB
- Published
- 2014
- Volume
- 46
- Issue
- 8
- Pages
- 773-780
- ISSN
- 1650-1977 (ISSN-L)
- OpenAlex
- W2100083513
- Cited by
- 27
- References
- 40
- Citations by year
- 2026: 1 · 2025: 1 · 2023: 4 · 2021: 3 · 2020: 4 · 2019: 4 · 2018: 1 · 2017: 3 · 2016: 5 · 2015: 1
- FWCI
- 2.28
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Journal of Rehabilitation Medicine (publishedVersion)
- PubMed (publishedVersion)
- Dalarna University College Electronic Archive (submittedVersion, other-oa)
- Funders
- Vetenskapsrådet
- Sahlgrenska Universitetssjukhuset
- Reumatikerförbundet
- 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, women, fear-avoidance beliefs, physical workload, workplace physical activity, physical capacity, anxiety, symptom severity, occupational health
- MeSH terms
- Adult, Anxiety, Cross-Sectional Studies, Exercise Test, Physical Exertion, Fear, Female, Fibromyalgia, Humans, Middle Aged, Surveys and Questionnaires, Regression Analysis, Sweden, Women, Working, Case-Control Studies, Walking, Workload, Hand Strength, Muscle Strength, Young Adult
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review