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Association of abuse history with symptom severity and quality of life in patients with fibromyalgia

  • Original Article - Observational Studies
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Abstract

A high prevalence of abuse has been reported in patients with fibromyalgia. We aimed to examine the association between self-reported abuse history and symptom severity and quality of life (QOL) in 962 patients with fibromyalgia. All patients completed the Fibromyalgia Impact Questionnaire (FIQ) and the Short Form 36 health survey (SF-36). Multivariate regression analyses were performed. In total, 289 patients (30 %) reported a history of abuse. Of those who specified abuse types, 161 patients (59 %) reported more than 1 type of abuse (36 % emotional, 32 % physical, 25 % sexual, and 7 % verbal). Patients in the abuse group were younger and more likely to be female, unemployed, unmarried, and current smokers compared with patients who reported no abuse. After adjusting for these differences, abuse history was associated with worse symptoms, as indicated by a higher FIQ total score (P < .001) and higher FIQ subscale scores in physical function (P = .001), work missed (P < .001), job ability (P < .001), pain (P = .02), depression (P < .001), and anxiety (P < .001). Similarly, abuse history was associated with worse QOL, with lower SF-36 scores in all domains except the physical component summary. In conclusion, abuse history in patients with fibromyalgia was associated with worse symptoms and QOL compared with those patients without abuse history. Future studies are needed to assess whether additional tailored interventions as part of fibromyalgia treatment are helpful for patients with a history of abuse.

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Abbreviations

FIQ:

Fibromyalgia Impact Questionnaire

FTP:

Fibromyalgia Treatment Program

QOL:

Quality of life

SF-36:

Short Form 36 health survey

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Acknowledgments

This publication was supported by Grant Number UL1 TR000135 from the National Center for Advancing Translational Sciences (NCATS). Its contents are solely the responsibility of the authors and do not necessarily represent the official views of the NIH.

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No conflicts of interest.

Author information

Author notes

  1. Juan Jiao

    Present address: Department of Rheumatology, Guang’anmen Hospital, China Academy of Chinese Medical Sciences, Beijing, China

Authors and Affiliations

  1. Department of Physical Medicine and Rehabilitation, Mayo Clinic, 200 First St SW, Rochester, MN, 55905, USA

    Juan Jiao & Terry H. Oh

  2. Division of General Internal Medicine, Mayo Clinic, Rochester, MN, USA

    Ann Vincent

  3. Division of Biomedical Statistics and Informatics, Mayo Clinic, Rochester, MN, USA

    Stephen S. Cha

  4. Department of Nursing, Mayo Clinic, Rochester, MN, USA

    Connie A. Luedtke

Authors
  1. Juan Jiao
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  2. Ann Vincent
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  4. Connie A. Luedtke
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  5. Terry H. Oh
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Corresponding author

Correspondence to Terry H. Oh.

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Jiao, J., Vincent, A., Cha, S.S. et al. Association of abuse history with symptom severity and quality of life in patients with fibromyalgia. Rheumatol Int 35, 547–553 (2015). https://doi.org/10.1007/s00296-014-3113-0

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  • DOI: https://doi.org/10.1007/s00296-014-3113-0

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