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Volume 6, Issue 5 (Suppl) J Pain Relief, an open access journal
ISSN: 2167-0846 Pain Management 2017
October 05-06, 2017
5th International Conference and Exhibition on
October 05-06, 2017 London, UK
Pain Research And Management
Stability and change in fibromyalgia symptoms: A 2-year longitudinal study
Ann Vincent1, Kelly Kennedy2, Mary Whipple3 and Loren Toussaint2
1Mayo Clinic, Rochester, USA
2Luther College, USA
3University of Minnesota School of Nursing, USA
Background & Aim: Fibromyalgia is musculoskeletal pain disorder that impacts well-being and interrupts daily activities. The
present study evaluated the stability and change of key fibromyalgia symptoms over a 2-year period.
Methods: Patients from an existing fibromyalgia registry were mailed seven validated questionnaires evaluating physical
functioning, fatigue, daily limitations, pain, sleep levels, mental and physical well-being, and cognitive abilities. Of the 1303
patients contacted, 858 returned a completed survey. Approximately two years later, the patients who completed the baseline
survey were sent a second and identical survey. A total of 450 patients returned the follow-up survey and are included in these
analyses.
Results: Paired t-tests showed a significant change in fibromyalgia impact, fatigue, mental and physical health, pain, mood, and
cognitive abilities (ps<.05) over the two-year period. Statistically larger decreases in mental health and increases in pain, as well
as, vitality were observed. The remainder of the changes, while statistically significant, was smaller.
Conclusions: Although the results of our study suggest a slight trend toward improvement in several of the measures, changes
were small to modest in size; and not significant according to minimum clinically significant difference (MCID) criteria over
the two years of this study. Our study sheds light on the longer-term prognosis for worsening or improving symptoms in
fibromyalgia. Specifically, our findings suggest that the long-term trajectory for change, in either direction, is considerably
more stable and unchanging than existing research might suggest.
J Pain Relief 2017, 6:5(Suppl)
DOI: 10.4172/2167-0846-C1-015