Article

OBJECTIVE: To determine which patient characteristics are closely associated with
a positive response to a brief interdisciplinary fibromyalgia treatment program
(FTP). DESIGN: A prospective cohort study. SETTING:
FTP at a tertiary medical
center. PARTICIPANTS: A total of 536 patients with a confirmed diagnosis of
fibromyalgia who underwent the FTP and completed the Fibromyalgia Impact
Questionnaire (FIQ) at baseline and 6-12 months after treatment. INTERVENTIONS: A
brief 1.5-day interdisciplinary FTP, which included evaluation with a registered
nurse and a physician for a diagnosis or confirmation of fibromyalgia,
fibromyalgia education, interactive self management session, and physical and
occupational therapy. MAIN OUTCOME MEASUREMENTS: The responder definition was an
improvement of 14% or more in the FIQ total score from their baseline to 6-12
months after treatment. RESULTS: Mean (standard deviation) age of our patients
was 50.3 +/- 13.0 years; 515 women (96%) and 23 men (4%). Two hundred forty-eight
patients (46%) met the responder definition at 6-12 months follow-up. In an
univariate analysis, younger age (P = .008), college or higher education (P =
.02), fewer tender points (P = .048), and higher FIQ depression subscore (P =
.02) significantly predicted positive response. In a multivariate analysis, these
factors all remained statistically significant. In addition, a positive abuse
history became significant (P = .03). There was no significant association for
gender, duration of symptoms, marital status, employment, smoking status, or 3
numeric rating scale pain scores. CONCLUSIONS: Patients with younger age, more
years of education (with college or graduate degree), higher baseline FIQ
depression score, lower tender point count, and absent abuse history experience
greater benefit from a brief FTP.
CI - Copyright (c) 2012 American Academy of Physical Medicine and Rehabilitation.
Published by Elsevier Inc. All rights reserved.

Langue : ANGLAIS