OBJECTIVES: We examined the prospective association between occupational stress and incidence of newly diagnosed fibromyalgia. METHODS: Cohort study with questionnaire surveys in 1998 and 2000 completed by 4791 hospital employees (4250 women and 541 men). Stress, as indicated by high workload, low decision latitude, and being a victim of workplace bullying, was assessed in the first survey. Incident cases (n=47) were employees reporting physician-diagnosed fibromyalgia in 2000 but not in 1998. Covariates were sex, age, income, obesity, and smoking. RESULTS: After adjustment for covariates, the odds ratio of incident diagnosed fibromyalgia for workplace bullying was 4.1 (95% CI 2.0-9.6). The corresponding odds ratios for high workload and low decision latitude were 2.1 (1.2-3.9) and 2.1 (1.1-4.0), respectively. CONCLUSION: Stress seems to be a contributing factor in the development of fibromyalgia, but further research is needed to examine whether stress perceptions are affected by undiagnosed fibromyalgia.
OBJECTIVES: We examined the prospective association between occupational stress and incidence of newly diagnosed fibromyalgia. METHODS: Cohort study with questionnaire surveys in 1998 and 2000 completed by 4791 hospital employees (4250 women and 541 men). Stress, as indicated by high workload, low decision latitude, and being a victim of workplace bullying, was assessed in the first survey. Incident cases (n=47) were employees reporting physician-diagnosed fibromyalgia in 2000 but not in 1998. Covariates were sex, age, income, obesity, and smoking. RESULTS: After adjustment for covariates, the odds ratio of incident diagnosed fibromyalgia for workplace bullying was 4.1 (95% CI 2.0-9.6). The corresponding odds ratios for high workload and low decision latitude were 2.1 (1.2-3.9) and 2.1 (1.1-4.0), respectively. CONCLUSION: Stress seems to be a contributing factor in the development of fibromyalgia, but further research is needed to examine whether stress perceptions are affected by undiagnosed fibromyalgia.
Authors: Michael C Hsu; Howard Schubiner; Mark A Lumley; John S Stracks; Daniel J Clauw; David A Williams Journal: J Gen Intern Med Date: 2010-06-08 Impact factor: 5.128
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Authors: Ines Kaufmann; Gustav Schelling; Christoph Eisner; Hans Peter Richter; Antje Beyer; Till Krauseneck; Alexander Chouker; Manfred Thiel Journal: Rheumatol Int Date: 2008-12-04 Impact factor: 2.631