Salido Marina, Navarro Pilar, Judez Enrique, Hortal Rosa
Departamento de Reumatología. CLINISAS. Madrid. España.
Reumatol Clin. 2007 Mar;3(2):67-72. doi: 10.1016/S1699-258X(07)73604-5. Epub 2008 Nov 13.
To know the sociodemographic, clinical and working conditions characteristics related with temporary disability (TWD) in patients with fibromyalgia syndrome (FS).
Patients diagnosed with FS who met the American College of Rheumatology's criteria, attending an outpatient clinic for at least three months prior were included. We performed a standard clinical protocol with sociodemographic, clinical and working conditions, dates and number of TWD during the last year. All patients were asked to complete a questionnaire with 40 items [Fibromyalgia impact questionnaire (FIQ) inclusive].
The participants were 51 women with FS, 32 of whom needed one or more TWD during the last year. The mean TWD was 83.73 days (DS 98). There was not a statistically significant relationship between the TWD and sociodemographic characteristics in a bivariate analysis. There is a significant trend with hard physical work and with the presence of triggering factors. There was evidence of a significant statistical relationship between TWD with a lack of response to selective serotonin re-uptake inhibitors (SSRIs). We noticed that the highest marks in the FIQ have a direct relationship with patients in a TWD situation.
The lack of response to SSRIs was related with TWD process. The patients in TWD situation scored the highest FIQ. There is a trend towards an increase in the TWD with jobs that required physical effort.
了解纤维肌痛综合征（FS）患者与临时残疾（TWD）相关的社会人口学、临床和工作条件特征。
纳入符合美国风湿病学会标准、此前至少三个月在门诊就诊的FS确诊患者。我们执行了一项标准临床方案，涵盖社会人口学、临床和工作条件、过去一年的TWD日期和次数。所有患者均被要求完成一份包含40项内容的问卷[包括纤维肌痛影响问卷（FIQ）]。
参与者为51名FS女性患者，其中32名在过去一年中需要一次或多次TWD。TWD的平均天数为83.73天（标准差98）。在双变量分析中，TWD与社会人口学特征之间无统计学显著关系。在从事重体力劳动和存在触发因素方面存在显著趋势。有证据表明TWD与对选择性5-羟色胺再摄取抑制剂（SSRIs）无反应之间存在显著统计学关系。我们注意到，FIQ得分最高与处于TWD状态的患者直接相关。
对SSRIs无反应与TWD过程相关。处于TWD状态的患者FIQ得分最高。从事体力劳动的工作，TWD有增加的趋势。
