Date: Sunday, November 8, 2015
Session Type: ACR Poster Session A
Session Time: 9:00AM-11:00AM
Background/Purpose: Flare-ups are a frequent and painful part of FMS and RA. We compared FMS and RA patients with respect to stresses that the patients belive may have caused their diseases to flare.
Methods: 211 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 cause 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: For most of the conditions, FMS patients were significantly more likely than RA patients to report that a stress caused their disease to flare, including emotional stress (58% vs. 43%, p= 0.042), physical stress (54% vs. 34%, p= 0.010), lack of sleep (53% vs. 33%, p= 0.007), 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 than RA patients to identify specific stresses as a cause of disease flare-ups, such as emotional and physical stress. Fibromyalgia patients are more somatically sensitive and more often recognize stresses that aggrevate their symptoms. Stress reduction strategies might help fibromyalgia patients.
To cite this abstract in AMA style:Katz RS, Kwan L, Leavitt H, Polyak JL. Fibromyalgia Patients Identify More Causes of Disease Flare Ups Than RA Patients [abstract]. Arthritis Rheumatol. 2015; 67 (suppl 10). https://acrabstracts.org/abstract/fibromyalgia-patients-identify-more-causes-of-disease-flare-ups-than-ra-patients/. Accessed October 20, 2021.
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