An exploratory study of long-term health outcomes following an in-patient multidisciplinary program for people with fibromyalgia syndrome

Int J Rheum Dis. 2009 Apr;12(1):52-6. doi: 10.1111/j.1756-185X.2009.01380.x.

Abstract

Objective: To examine the health status of people with fibromyalgia syndrome approximately 10 years after an intensive rehabilitation intervention to identify biopsychosocial factors for further research.

Methods: Baseline data, collected upon admission to the rehabilitation intervention was compared to follow-up data collected by telephone interview. Data was evaluated for differences and relationships using the appropriate parametric or non-parametric tests.

Results: The 29 participants were interviewed an average of 9.4 years after their admissions. All participants reported the persistence of fibromyalgia and use of related medication. Differences between baseline and follow-up were: increased paid employment (P < 0.001), social networks (P < 0.05) and decreased stress levels (P < 0.05). Correlations with paid employment were: younger age (r(s) = -0.66, P < 0.01); larger social networks (r(s) = -0.40, P < 0.05) and transformation rehabilitation intervention experience (r(s) = .46, P < 0.05). Follow-up stress and sleep status were also related (r(s) = 0.46, P < 0.05).

Conclusion: Fibromyalgia symptoms and medication use persist over time. The wider issues concerning social integration and participation appear to be worthy of further investigation.

MeSH terms

  • Amitriptyline / therapeutic use
  • Analgesics / therapeutic use
  • Anti-Inflammatory Agents, Non-Steroidal / therapeutic use
  • Cohort Studies
  • Drug Therapy, Combination
  • Employment
  • Female
  • Fibromyalgia / physiopathology*
  • Fibromyalgia / psychology
  • Fibromyalgia / rehabilitation*
  • Health Status*
  • Humans
  • Male
  • Middle Aged
  • Pain Clinics*
  • Selective Serotonin Reuptake Inhibitors / therapeutic use
  • Social Support
  • Stress, Psychological / drug therapy
  • Stress, Psychological / prevention & control

Substances

  • Analgesics
  • Anti-Inflammatory Agents, Non-Steroidal
  • Serotonin Uptake Inhibitors
  • Amitriptyline