Comparing fibromyalgia patients from primary care and rheumatology settings: clinical and psychosocial features
| Autor: | Mª Ángeles Pastor Mira, Sofía López-Roig, Ana Lledó Boyer, Nieves Pons Calatayud, Ma Carmen Terol Cantero |
|---|---|
| Rok vydání: | 2008 |
| Předmět: |
Adult
medicine.medical_specialty Coping (psychology) Fibromyalgia Health Status Immunology Pain Anxiety Hospital Anxiety and Depression Scale Interviews as Topic Rheumatology Sickness Impact Profile Adaptation Psychological Health care medicine Humans Immunology and Allergy Pain Measurement Sleep disorder Primary Health Care Depression business.industry Chronic pain Middle Aged medicine.disease Locus of control Physical therapy Female business Psychosocial |
| Zdroj: | Rheumatology International. 29:1151-1160 |
| ISSN: | 1437-160X 0172-8172 |
| Popis: | The aim of this study was to compare clinical symptoms, perceived health status, health resource use and psychosocial features in fibromyalgia (FM) patients at different health care levels. A total of 315 participants were recruited from primary care (PC) (n = 101) and rheumatology settings (RS) (n = 214). Subjects completed a protocol of clinical features and health resource use, hospital anxiety and depression scale, sickness impact profile, chronic pain self-efficacy scale, multidimensional pain locus of control scale, perceived health competence scale and chronic pain coping inventory. Student’s t test, effect size, and contrast and power test were performed to examine differences between samples. FM patients treated in PC and RS were similar in most variables assessed and only differed significantly in tender points, sleep disturbance, wellness-focused coping strategies and in self-efficacy beliefs. The similarities do not support patient selection through care levels and thus, in the Spanish health care system at least, endorse PC as a reference unit for treatment and questioning the benefits of referring patients to RS. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full text from SpringerLink