Date: Sunday, November 5, 2017
Session Type: ACR Poster Session A
Session Time: 9:00AM-11:00AM
Background/Purpose: We compared patients with the Fibromyalgia Syndrome (FMS) and Rheumatoid Arthritis (RA) patients with respect to stresses that the patients believe may have caused their diseases to flare.
Methods: 201 office patients with FMS or RA (150 FMS:130 women and 20 men; mean age 51±12, 61 RA:45 women and 16 men; mean age 55±15) completed a questionnaire as to whether the following conditions caused their disease to flare: lack of sleep, fatigue, emotional stress, physical stress, depression, anxiety, traumatic events, overdoing it, being overworked, feeling overwhelmed, illness, personal changes, and confrontations with friends or family members. The chi-square test of association was done to compare FMS and RA patients with respect to their responses, using a 0.05 significance level.
Results: FMS patients were significantly more likely than RA patients to report that stress caused their disease to flare including, with regard to frequency, emotional stress (58% vs. 43%, p= 0.042), physical stress (54% vs. 34%, p= 0.010), and also lack of sleep (53% vs. 33%, p= 0.007), concomitant illness (39% vs. 12%, p < 0.001), anxiety (31% vs. 16%, p= 0.027),depression (25% vs. 10%, p = 0.012), and traumatic events (25% vs. 12%, p = 0.026).
Conclusion: FMS patients were significantly more likely to be sensitive to a variety of factors compared with RA patients. Fibromyalgia patients recognize many things that tend to aggravate their symptoms. Stress reduction strategies might help fibromyalgia patients.
To cite this abstract in AMA style:Katz RS, Kwan L, Polyak JL. Fibromyalgia Patients Identify More Causes of Disease Flare Ups Than RA Patients [abstract]. Arthritis Rheumatol. 2017; 69 (suppl 10). https://acrabstracts.org/abstract/fibromyalgia-patients-identify-more-causes-of-disease-flare-ups-than-ra-patients-3/. Accessed January 27, 2023.
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ACR Meeting Abstracts - https://acrabstracts.org/abstract/fibromyalgia-patients-identify-more-causes-of-disease-flare-ups-than-ra-patients-3/