Bakgrund: Fibromyalgi är ett smärtsyndrom som karakteriseras av långvarig utbredd smärta och ömhet. Det finns forskning som tyder på att fysisk aktivitet är en effektiv behandlingsmetod för att minska symtomen vid fibromyalgi. Trots detta är majoriteten av personer med fibromyalgi inaktiva. Det finns begränsad forskning på vad som hindrar respektive underlättar fysisk aktivitet hos personer med fibromyalgi.  Syfte: Syftet med studien var att undersöka vilka hindrande och underlättande faktorer till fysisk aktivitet som personer med fibromyalgi upplever.  Metod: En kvalitativ design med semistrukturerade intervjuer genomfördes med fem deltagare utifrån ett bekvämlighetsval. Databearbetningen genomfördes med kvalitativ innehållsanalys.  Resultat:  Fyra kategorier identifierades, två gällande hindrande faktorer (när kroppen är i obalans och att vara sårbar och begränsad av yttre omständigheter) och två gällande underlättande faktorer (socialt stöd och att hitta sina egna strategier).   Konklusion: Informanterna i studien upplevde att hindrande faktorer till fysisk aktivitet var när kroppen var i obalans, samt att vara sårbar och begränsad av yttre omständigheter. Underlättande faktorer som framkom av informanterna var socialt stöd och att hitta sina egna strategier för fysisk aktivitet. De faktorer som framkommit i resultaten styrker tidigare forskning. / Background: Fibromyalgia is a pain syndrome characterized by long-term widespread pain and tenderness. There is research suggesting that physical activity is an effective treatment method for reducing symptoms of fibromyalgia, despite this, the majority of people with fibromyalgia are inactive. Limited research exists on what hinders or facilitates physical activity among people with fibromyalgia. Objective: The aim of this study was to investigate the barriers and facilitators to physical activity experienced by people with fibromyalgia. Method: A qualitative design with semi-structured interviews was conducted with five participants based on convenience sampling. Data analysis was performed using qualitative content analysis. Results: Four categories were identified, two concerning hindering factors (when the body is out of balance and being vulnerable and limited by external circumstances) and two concerning facilitating factors (social support and finding their own strategies). Conclusion: The informants in the study experienced that hindering factors to physical activity were when the body was out of balance, as well as being vulnerable and restricted by external circumstances. Facilitating factors that emerged from the participants were social support and finding their own strategies for physical activity. The factors that emerged in the results corroborate previous research.

Thesis (MA)--University of Stellenbosch, 2005. / ENGLISH ABSTRACT: This study investigated the association between functional status in fibromyalgia patients and helplessness, self-efficacy, social support and cognitive appraisal. Patients' assessments of their pain and global severity of illness (as rated on a visual analog scale) as well as a physician's rating of global severity, tended to correlate with helplessness and pain-related self-statements. Patients' perceived change in difficulty and satisfaction regarding activities of daily living (measured by means of the Modified Health Assessment Questionnaire) correlated negatively with self-efficacy beliefs and relationship strain, while patients' subjective assessment of their global improvement was related to self-efficacy. The objective rating by a physician of tender points correlated with catastrophizing self-statements and opportunity for confiding. / AFRIKAANSE OPSOMMING: In hierdie studie is die verband tussen die funksionele status van pasiënte met fibromialgie en die belewing van hulpeloosheid, selfdoeltreffendheid, sosiale ondersteuning en bepaalde kognisies ondersoek. Pasiënte se beoordeling van hulle ervaring van pyn en die globale ems van hulle siekte (soos beoordeel met behulp van 'n visuele analoogskaal), asook die geneesheer se beoordeling van die ems van hulle siekte, het met hulpeloosheid en pynverwante kognisies gekorreleer. Hulle waarneming van die verandering in die uitvoerbaarheid van, en hulle tevredenheid met hulle daaglikse aktiwiteite (gemeet met die Modified Health Assessment Questionnaire) het negatief verband gehou met selfdoeltreffendheid en verhoudingstremmings, terwyl hulle globale beoordeling van die verbetering in hulle siekte met selfdoeltreffendheid gekorreleer het. Die objektiewe assessering deur 'n geneesheer van sensitiewe liggaamsareas het verband getoon met disfunksionele kognisies (katastrofering) en vertroue in ander.

Diss. (sammanfattning) Stockholm : Karolinska institutet, 2007. / Härtill 4 uppsatser.

No description available.

Background: Fibromyalgia is a chronic disease that is difficult to treat and diagnose. The illness is of unknown etiology. The majority of the ill is women. Aim: The aim of this study was to describe women ́s experiences of living with long term pain associated with fibromyalgia. Method: A literature -based study was performed. The database Cinahl was used in the search process. This study includes 11 qualitative articles that have been analysed by a review template. The analysis resulted in two categories "experiences of a changed me" and "experiences of social life" with six subcategories. Results: The consequences of fibromyalgia were that the family life, spare time, social life and working life changed in different ways. The articles also showed that women with fibromyalgia did not receive the understanding they needed from their families or the environment. Conclusion: Women with fibromyalgia feel that they do not get understanding from the outside world. It is important that health care professionals understand and acknowledge these individuals' subjective experiences so that they can give professional care and support.

This study aimed to determine whether there are significant relationships between fibromyalgia syndrome (FMS), social cognition, and adult insecure attachments. It was also hypothesised that social cognition would mediate the relationship between insecure attachment style and FMS. A quantitative, cross-sectional design was employed to compare experiences of 105 individuals with FMS and 172 healthy controls (HC). A correlation and a mediation analysis were used to explore relationships between insecure attachment, social cognition, and FMS symptoms. Data were obtained via self-report measures filled in either in paper form or via on-line questionnaire. The relationships between anxious and avoidant attachment styles and FMS were confirmed. The significance of the relationship between social cognition and FMS varied depending on the measure used. When ability to recognise emotions in others was tested (Reading the mind in the eyes test) there were no significant differences between FMS and HC. However, the mentalization measure- Reflective Function Questionnaire, which additionally tests the ability to recognise one’s own feelings, showed a significant relationship with FMS. The relationship of FMS with both insecure attachment styles as well as with mentalization were strongly mediated by psychological distress. Social cognition was not shown to mediate the relationship between insecure attachment and FMS. Although causality cannot be inferred, psychological distress was strongly related to FMS and significantly influenced the way FMS is related to insecure attachment and poor social cognition. Implications for clinical practice and future research are discussed.

Bakgrund: Fibromyalgi är ett långvarigt kroniskt smärttillstånd som grundar sig på individens subjektiva smärtupplevelse. Syfte: Syftet var att beskriva hur patienter med fibromyalgi upplevt bemötande i vården. Metod: Denna litteraturöversikt baseras på tretton vetenskapliga artiklar. Resultat: Resultatet resulterade i två huvudkategorier "Patienters upplevelser av bemötande" och "Kunskap och stöd från vårdpersonalen". Patienterna med fibromyalgi upplever dåligt bemötande och att vårdpersonal saknar kunskap om både diagnos och behandling av fibromyalgi. I vården upplever dessa patienter misstro och att de blir dåligt bemötta när de söker för sina smärtsymtom. Patienter med fibromyalgidiagnos önskar ett personcentrerat bemötande och mer tid av sina läkare. Slutsatser: Litteraturöversikten visar att patienter med fibromyalgi i stor utsträckning uppger att de upplever dåligt bemötande, okunskap och brist på engagemang i vården. Framtida forskningen bör fokusera på hur vården kan arbeta mer personcentrerat i denna patientgrupp till exempel genom interventionsstudier. / Objectives: Fibromyalgia has long been a chronic pain condition that bases itself on the individual's subjective experience of pain. Aim: The aim was to describe how patients with fibromyalgia experience the treatment, support and attitudes by the health care personal. Methods: This study is a literature review based on thirteen articles’. Results: The result resulted in two main categories "Patients experiences of treatment" and "Knowledge and support from the medical staff". The patients experience that the health care personal has a lack of knowledge of both diagnosis and treatment. The patients also experience distrust in their doctors and experience a lack of adequate help when seeking for their painful symptoms. Patients with fibromyalgia diagnosis experience poor treatment in health care, and want a person-centered approach and more time by their doctors. Conclusions: This literature review shows that patients with fibromyalgia report that they experience poor treatment, ignorance and lack of commitment from health care. Research should focus on how services can work more person-centered for this group of patients, for example by intervention studies.

Fibromyalgia syndrome (FMS) is a chronic pain condition with significant societal and personal burdens of illness. Chronic opioid therapy in the treatment of chronic nonmalignant pain has increased drastically over the past decade. This is a worrisome trend in general, but specifically, given the pathophysiologic characteristics seen in fibromyalgia syndrome patients, the use of this class of medication deserves special scrutiny. Although the theoretical case against this therapy choice is strong, little empirical evidence exists. In order to supplement this literature, retrospective analysis methods are utilized to examine the association of state-, provider-, and patient level characteristics with the prevalence of chronic opioid use in this disease state. Data gathered through this analysis is then used to develop a propensity index for the identification of an appropriate control group for fibromyalgia patients, a task that has proven difficult in the literature to date. Using propensity stratification and matching techniques analysis of the impact of fibromyalgia, chronic opioid use, and the interaction of these two variables are undertaken. Several key findings and updates to the understanding of chronic opioid use and fibromyalgia syndrome are reported. Wide geographic variation in chronic opioid utilization between states is seen. The role of diagnosing provider type in the rate of chronic opioid prescribing is significant and can be aggregated at various levels. Demographic characteristics, comorbid conditions, and concurrent medication use are all important associates of chronic opioid use in fibromyalgia syndrome. Additionally, chronic opioid use in fibromyalgia patients, independent of propensity to receive that therapy choice is a significant correlate with healthcare costs. A diagnosis of fibromyalgia is a statistically significant source of healthcare costs, though the clinical significance of its impact when compared to a closely matched control group is minimized. Despite the minimization of the role of this diagnosis the impact of the interaction of chronic opioid use with fibromyalgia, despite control for myriad regressors, is significant both statistically and clinically.

Fibromyalgi är en sjukdom utan tydlig etiologi, som starkt påverkar många aspekter i den drabbades vardag och livskvalitet. Sjukdomen förekommer främst hos kvinnor och ca 3-6 % av världens befolkning är drabbad. Den uttrycker sig vanligen som kronisk muskuloskeletal smärta och fatigue. Fibromyalgi yttrar sig olika hos olika individer, det är därför viktigt att öka förståelsen för hur de drabbade upplever sin sjukdom för att möjliggöra en bättre, mer individanpassad vård. Syftet med denna uppsats var att belysa människors upplevelser av att leva med fibromyalgi. En litteraturstudie har gjorts där 14 artiklar med kvalitativ ansats har granskats. Därefter gjordes en innehållsanalys där fem kategorier framkom: Att bli sjuk i fibromyalgi, Det dagliga livet, Mötet med vården, Behandling samt Att hantera sin sjukdom. Resultatet visade att sjukdomen påverkade hela livet för den drabbade och orsakade stora förändringar vilka främst upplevdes som negativa. Det var av största vikt att acceptera de förändringar som sjukdomen förde med sig och lära sig att hantera dessa. Det framkom genom denna uppsats att de drabbade är i stort behov av stöd och förståelse. Med ökad kunskap och förståelse har sjukvården stor potential att lindra dessa människors lidande. / Fibromyalgia is an illness without clear etiology, which strongly affects multiple aspects of daily living and quality of life. The illness occurs predominantly in women and affects approximately 3-6% of the world population. The most common symptoms are chronic musculoskeletal pain and fatigue. Fibromyalgia manifests itself differently in different individuals and it is important to increase understanding of how these patients experience their illness to improve their health care. The purpose of this study was to illuminate the experience of living with fibromyalgia. A literature review was made of material with a qualitative approach, 14 articles were reviewed and a content analysis was made. Five categories emerged: Becoming ill with fibromyalgia, Daily life, Health care experiences, Treatment and To manage the illness. The results showed that the illness affected a person‟s entire life, causing great changes which were seen as primarily negative. It was essential to accept these changes and to learn to cope with them. This study shows that the people living with fibromyalgia were in great need of support and understanding. With increased knowledge and understanding health care professionals have great potential to alleviate the suffering caused by fibromyalgia.

Introduction: Fibromyalgia (FMS) is a chronic pain syndrome characterized by non-restorative sleep, and fatigue. Over 75% of individuals with FMS complain of poor sleep quality and fatigue. These have been ranked by patients with FMS as having great impact on quality of life. A literature review suggested that poor sleep quality may be a predictor of increased stress and FMS symptom onset in those affected. However, no experimental studies have demonstrated a causal relationship between poor sleep and stress in people with FMS. Methods: Using a single stage cross-sectional design, the primary study aim was to compare 25 women with FMS and 25 women without FMS, on the following variables: autonomic nervous system activity; perceived stress; sleep quality; immune function (cytokines); and fatigue. The secondary aim was to explore the relationships among the above variables within each group. A third aim was to assess the validity of the Autonomic Symptoms Profile by comparing it to measures of heart rate variability and selected sleep indices. Significant Results: The FMS group had worse sleep quality, more autonomic symptoms, and greater fatigue than the non-FMS group; they also had higher TNF-α levels. The non-FMS group was more likely to have OSA. Non-FMS participants who had OSA also had higher IL-1β values than the FMS group. Study variables that correlated with each other in the FMS group differed from those seen in the non-FMS group, with the exception of the positive correlation of total arousals with AHI in both groups. In the FMS group, fatigue was positively correlated with perceived stress, autonomic symptoms, and TNF-α; stress was positively correlated with autonomic symptoms; and AHI was negatively correlated with IL-1β levels as well as the above noted correlation with total arousals. In the non-FMS group, sleep quality was positively correlated with fatigue, and sleep quality and fatigue were positively correlated with IL-1β. IL-1β also positively correlated with TNF-α. Total arousals were negatively correlated with mean RR interval. SDNN was correlated with RR interval and negatively correlated with AHI. The hypothesis tests related to construct validity of the ASP indicated no significant supportive correlations.