Clinical Rheumatology

, Volume 26, Issue 5, pp 679–684 | Cite as

The evaluation of quality of life in fibromyalgia syndrome: a comparison with rheumatoid arthritis by using SF-36 Health Survey

  • Murat Birtane
  • Kaan Uzunca
  • Nurettin Taştekin
  • Hakan Tuna
Original Article


Musculoskeletal disorders are the most common causes of deterioration in quality of life (QOL). We in this study aimed to assess (1) the impact of fibromyalgia syndrome (FS) on QOL comparing with that of rheumatoid arthritis (RA) patients and control subjects and (2) the impact of these two musculoskeletal disorders on various components of QOL using SF-36 Health Survey. Thirty-five patients with RA, 30 patients with FS, and 30 voluntary control subjects were included in the study. The groups were comparable in terms of demographic characteristics. QOL was evaluated by using Short-Form (SF)-36 Health Survey in all study participants, and Fibromyalgia Impact Questionnaire (FIQ), which is a specific health-status instrument for FS, was used in FS patients. Physical functioning, physical role, social functioning, bodily pain, general health, vitality, emotional role, and mental health scores were significantly lower in RA and FS patients than in control subjects (p<0.05). The between-groups comparisons revealed that FS patients had significantly lower mental health scores than RA patients (49.87 vs 62.51, respectively), (p<0.001). Total FIQ score correlated significantly with physical functioning, physical role, and bodily pain in FS patients. All parameters of SF-36 Health Survey except for social functioning correlated significantly with some of the variables of FIQ. FS has a negative impact on QOL, like RA. Furthermore, mental health was more severely affected in FS patients when compared with RA patients.


Fibromyalgia syndrome Quality of life Rheumatoid arthritis 


  1. 1.
    Talamo J, Frater A, Gallivan S, Young A (1997) Use of the short form 36 (SF36) for health status measurement in rheumatoid arthritis. Br J Rheumatol 36(4):463–469PubMedCrossRefGoogle Scholar
  2. 2.
    Woolf AD (2000) The Bone and Joint Decade 2000–2010. Ann Rheum Dis 59(2):81–82PubMedCrossRefGoogle Scholar
  3. 3.
    Kvien TK, Kaasa S, Smedstad LM (1998) Performance of the Norwegian SF-36 health survey in patients with rheumatoid arthritis. II. A comparison of the SF-36 with disease-specific measures. J Clin Epidemiol 51(11):1077–1086PubMedCrossRefGoogle Scholar
  4. 4.
    Birrell FN, Hassell AB, Jones PW, Dawes PT (2000) How does the short form 36 health questionnaire (SF-36) in rheumatoid arthritis (RA) relate to RA outcome measures and SF-36 population values? A cross-sectional study. Clin Rheumatol 19(3):195–199PubMedCrossRefGoogle Scholar
  5. 5.
    Coons SJ, Rao S, Keininger DL, Hays RD (2000) A comparative review of generic quality-of-life instruments. Pharmacoeconomics 17:13–35PubMedCrossRefGoogle Scholar
  6. 6.
    Sivas F, Ercin O, Tanyolac O, Barca N, Aydog S, Ozoran K (2004) The Nottingham Health Profile in rheumatoid arthritis: correlation with other health status measurements and clinical variables. Rheumatol Int 24:203–206PubMedCrossRefGoogle Scholar
  7. 7.
    Hagen KB, Smedstad LM, Uhlig T, Kvien TK (1999) The responsiveness of health status measures in patients with rheumatoid arthritis: comparison of disease-specific and generic instruments. J Rheumatol 26:1474–1480PubMedGoogle Scholar
  8. 8.
    Pagano T, Matsutani LA, Ferreira EA, Marques AP, Pereira CA (2004) Assessment of anxiety and quality of life in fibromyalgia patients. Sao Paulo Med J 122:252–258PubMedCrossRefGoogle Scholar
  9. 9.
    Fitzcharles MA, Costa DD, Poyhia R (2003) A study of standard care in fibromyalgia syndrome: a favorable outcome. J Rheumatol 30:154–159PubMedGoogle Scholar
  10. 10.
    Gaston-Johansson F, Gustafsson M, Felldin R, Sanne H (1990) A comparative study of feelings, attitudes and behaviors of patients with fibromyalgia and rheumatoid arthritis. Soc Sci Med 31:941–947PubMedCrossRefGoogle Scholar
  11. 11.
    Ofluoglu D, Berker N, Guven Z, Canbulat N, Yilmaz IT, Kayhan O (2005) Quality of life in patients with fibromyalgia syndrome and rheumatoid arthritis. Clin Rheumatol 24:490–492PubMedCrossRefGoogle Scholar
  12. 12.
    Brekke M, Hjortdahl P, Kvien TK (2001) Self-efficacy and health status in rheumatoid arthritis: a two-year longitudinal observational study. Rheumatology (Oxford) 40:387–392CrossRefGoogle Scholar
  13. 13.
    Martinez JE, Ferraz MB, Sato EI, Atra E (1995) Fibromyalgia versus rheumatoid arthritis: a longitudinal comparison of the quality of life. J Rheumatol 22:270–274PubMedGoogle Scholar
  14. 14.
    Wolfe F, Smythe HA, Yunus MB, Bennett RM, Bombardier C, Goldenberg DL, Tugwell P, Campbell SM, Abeles M, Clark P et al (1990) The American College of Rheumatology 1990 criteria for the classification of fibromyalgia. Report of the multicenter criteria committee. Arthritis Rheum 33:160–172PubMedCrossRefGoogle Scholar
  15. 15.
    Arnett FC, Edworthy SM, Bloch DA, McShane DJ, Fries JF, Cooper NS, Healey LA, Kaplan SR, Liang MH, Luthra HS et al (1988) The American Rheumatism Association 1987 revised criteria for the classification of rheumatoid arthritis. Arthritis Rheum 31:315–324PubMedCrossRefGoogle Scholar
  16. 16.
    Demirsoy C (1990) The MOS-SF 36 health survey: a validation study with Turkish sample. Unpublished Master’s Thesis. University of Bosphorus, IstanbulGoogle Scholar
  17. 17.
    Sarmer S, Ergin S, Yavuzer G (2000) The validity and reliability of the Turkish version of the fibromyalgia impact questionnaire. Rheumatol Int 20:9–12PubMedCrossRefGoogle Scholar
  18. 18.
    Burckhardt CS, Clark SR, Bennett RM (1991) The fibromyalgia impact questionnaire: development and validation. J Rheumatol 18:728–733PubMedGoogle Scholar
  19. 19.
    Marques AP, Ferreira EA, Matsutani LA, Pereira CA, Assumpcao A (2005) Quantifying pain threshold and quality of life of fibromyalgia patients. Clin Rheumatol 24:266–271PubMedCrossRefGoogle Scholar
  20. 20.
    Buckhardt CS, Clark SR, Bennett RM (1993) Fibromyalgia and quality of life: a comparative analysis. J Rheumatol 20:475–479Google Scholar
  21. 21.
    Martinez JE, Barauna Filho IS, Kubokawa K, Pedreira IS, Machado LA, Cevasco G (2001) Evaluation of the quality of life in Brazilian women with fibromyalgia, through the medical outcome survey 36 item short-form study. Disabil Rehabil 23:64–68PubMedGoogle Scholar
  22. 22.
    Wolfe F, Hawley DJ, Goldenberg DL, Russell IJ, Buskila D, Neumann L (2000) The assessment of functional impairment in fibromyalgia (FM): Rasch analyses of 5 functional scales and the development of the FM Health Assessment Questionnaire. J Rheumatol 27:1989–1999PubMedGoogle Scholar
  23. 23.
    Hawley DJ, Wolfe F (1991) Pain, disability, and pain/disability relationships in seven rheumatic disorders: a study of 1522 patients. J Rheumatol 18:1552–1557PubMedGoogle Scholar
  24. 24.
    Walker EA, Keegan D, Gardner G, Sullivan M, Katon WJ, Bernstein D (1997) Psychosocial factors in fibromyalgia compared with rheumatoid arthritis: I. Psychiatric diagnoses and functional disability. Psychosom Med 59:565–571PubMedGoogle Scholar
  25. 25.
    Strombeck B, Ekdahl C, Manthorpe R, Wikstrom I, Jacobsson L (2000) Health-related quality of life in primary Sjogren’s syndrome, rheumatoid arthritis and fibromyalgia compared to normal population data using SF-36. Scand J Rheumatol 29:20–28PubMedCrossRefGoogle Scholar
  26. 26.
    Bedi GS, Gupta N, Handa R, Pal H, Pandey RM (2005) Quality of life in Indian patients with rheumatoid arthritis. Qual Life Res 14:1953–1958PubMedCrossRefGoogle Scholar
  27. 27.
    Bergman S (2005) Psychosocial aspects of chronic widespread pain and fibromyalgia. Disabil Rehabil 27:675–683PubMedCrossRefGoogle Scholar
  28. 28.
    Neuman L, Berzak A, Bushkila D (2000) Measuring health status in Israeli patients with fibromyalgia syndrome and widespread pain and healthy individuals: utility of the short form 36 item health survey. (SF-36) Semin Arthritis Rheum 29:400–408CrossRefGoogle Scholar
  29. 29.
    Suhr JA (2003) Neuropsychological impairment in fibromyalgia: relation to depression, fatigue, and pain. J Psychosom Res 55:321–329PubMedCrossRefGoogle Scholar

Copyright information

© Clinical Rheumatology 2006

Authors and Affiliations

  • Murat Birtane
    • 1
  • Kaan Uzunca
    • 1
  • Nurettin Taştekin
    • 1
  • Hakan Tuna
    • 1
  1. 1.Trakya University Medical Faculty Physical Therapy and Rehabilitation DepartmentEdirneTurkey

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