| Title |
Predictors for health improvement in patients with fibromyalgia: a 2-year follow-up study
|
|---|---|
| Published in |
Clinical Rheumatology, August 2013
|
| DOI | 10.1007/s10067-013-2371-7 |
| Pubmed ID | |
| Authors |
Yvonne van Eijk-Hustings, Mariëlle Kroese, Annelies Boonen, Monique Bessems-Beks, Robert Landewé |
| Abstract |
Fibromyalgia (FM) has a high impact on all aspects of health. The effect from interventions is usually small and characterized by uncertainty. Better insight in predictors for improved health is essential. The present study aimed to understand predictors for patient global impression of change and changes in overall health. Data from a longitudinal cohort of recently diagnosed FM patients (n = 203) were used. Within this cohort, patients were pre-randomized to either a multidisciplinary (n = 108) or an, aerobic exercise (n = 47) program, or usual care (n = 48). Only a limited number of patients started with the programs (n = 86) or participated fully, i.e., attended >70 % of the scheduled sessions (n = 68). Patients completed questionnaires covering all components of the International Classification of Functioning, Disability and Health (ICF) bio-psycho-social model of health, which was used as a framework to structure potential predictors. Principal component analysis was used to reduce the number of potential predictors. Regression analyses were used to explore associations with the outcome variables. Principal component analysis yielded five factors representing areas that covered different ICF components and chapters. "Being employed" and "full participation in a program" were independently associated with a better global impression of change. A longer duration of FM-related symptoms and more limitations in physical areas of body functions were independently associated with a worse impression of overall health. Higher levels of perceived limitations in physical and mental activities were associated with "starting to participate in a program" and with "full participation in a program." Recently diagnosed FM patients that report fewer physical limitations may experience more improvement in health if they are at work and have a positive attitude towards participating in an offered health-care intervention. These findings give support to an active rather than to a care-avoiding attitude of health-care workers in their contacts to these patients. |
X Demographics
The data shown below were collected from the profile of 1 X user who shared this research output. Click here to find out more about how the information was compiled.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| United Kingdom | 1 | 100% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Members of the public | 1 | 100% |
Mendeley readers
The data shown below were compiled from readership statistics for 112 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Spain | 2 | 2% |
| Unknown | 110 | 98% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Student > Bachelor | 16 | 14% |
| Student > Master | 13 | 12% |
| Researcher | 10 | 9% |
| Student > Ph. D. Student | 10 | 9% |
| Student > Doctoral Student | 9 | 8% |
| Other | 20 | 18% |
| Unknown | 34 | 30% |
| Readers by discipline | Count | As % |
|---|---|---|
| Nursing and Health Professions | 26 | 23% |
| Medicine and Dentistry | 24 | 21% |
| Psychology | 9 | 8% |
| Social Sciences | 7 | 6% |
| Agricultural and Biological Sciences | 1 | <1% |
| Other | 8 | 7% |
| Unknown | 37 | 33% |
Attention Score in Context
This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 27 August 2013.
All research outputs
#18,345,822
of 22,719,618 outputs
Outputs from Clinical Rheumatology
#2,308
of 2,986 outputs
Outputs of similar age
#148,880
of 199,278 outputs
Outputs of similar age from Clinical Rheumatology
#27
of 33 outputs
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