{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T10:52:18Z","timestamp":1790419938217,"version":"4.1.0"},"reference-count":29,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[2023,5,25]],"date-time":"2023-05-25T00:00:00Z","timestamp":1684972800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,6,26]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Fibromyalgia (FM) is a chronic pain disorder associated with financial burden, decreased work productivity and absenteeism. Occupational stressors and specific employment factors may contribute to the severity of FM.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Aims<\/jats:title>\n                  <jats:p>To determine if occupation type or employment status correlates with FM diagnostic and severity parameters, as assessed via validated instruments including tender points (TP), Widespread Pain Index (WPI), Symptom Severity (SS) and pain regions.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>We performed a cross-sectional study of 200 adult patients diagnosed with FM at a single-centre FM clinic. Demographic and clinical data were extracted from the electronic medical records. Occupations were manually grouped in an iterative modified-Delphi approach and participants were grouped by employment status (Working, Not Working\/Disabled or Retired) for analysis.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>In our cohort, 61% were employed and 24% were not working\/disabled, while the remainder were students, homemakers or retired. SS score was significantly higher (P &amp;lt; 0.001) in not working\/disabled patients compared to those employed. Business owners had the lowest TP count (median = 14) and the lowest median SS score (median = 7). WPI was highest for Others (Arts\/Entertainment, Driver\/Delivery and Housekeeper\/Custodian workers; median=16) and the lowest for Retail\/Sales\/Wait Staff (median = 11).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Work-related factors, occupation type and employment status correlate with diagnostic and severity parameters of FM. Employed participants had significantly lower SS scores suggesting that work loss correlates with SS. Participants employed in entry-level jobs or jobs with higher physical or financial stressors may experience greater FM symptoms. Further studies are required to explore work-related factors and their impact on the diagnostic and severity parameters of FM.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/occmed\/kqad063","type":"journal-article","created":{"date-parts":[[2023,5,25]],"date-time":"2023-05-25T18:29:37Z","timestamp":1685039377000},"page":"257-262","source":"Crossref","is-referenced-by-count":6,"title":["The correlation between occupation type and fibromyalgia severity"],"prefix":"10.1093","volume":"73","author":[{"given":"A B","family":"Mohabbat","sequence":"first","affiliation":[{"name":"Division of General Internal Medicine, Section of Integrative Medicine and Health, Mayo Clinic , Rochester, MN 55905 , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E C","family":"Wight","sequence":"additional","affiliation":[{"name":"Division of General Internal Medicine, Section of Integrative Medicine and Health, Mayo Clinic , Rochester, MN 55905 , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"N M L","family":"Mohabbat","sequence":"additional","affiliation":[{"name":"Department of Physical Medicine and Rehabilitation, Mayo Clinic , Rochester, MN 55905 , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S","family":"Nanda","sequence":"additional","affiliation":[{"name":"Division of General Internal Medicine, Section of Integrative Medicine and Health, Mayo Clinic , Rochester, MN 55905 , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J A","family":"Ferguson","sequence":"additional","affiliation":[{"name":"Department of Medicine, Mayo Clinic , Rochester, MN 55905 , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L","family":"Philpot","sequence":"additional","affiliation":[{"name":"Department of Medicine, Mayo Clinic , Rochester, MN 55905 , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J","family":"Adusumalli","sequence":"additional","affiliation":[{"name":"Division of General Internal Medicine, Section of Integrative Medicine and Health, Mayo Clinic , Rochester, MN 55905 , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2023,5,25]]},"reference":[{"key":"2023062617201320100_CIT0001","doi-asserted-by":"crossref","first-page":"1547","DOI":"10.1001\/jama.2014.3266","article-title":"Fibromyalgia: a clinical review","volume":"311","author":"Clauw","year":"2014","journal-title":"JAMA"},{"key":"2023062617201320100_CIT0002","doi-asserted-by":"crossref","first-page":"1498","DOI":"10.1111\/j.1742-1241.2007.01480.x","article-title":"Characteristics and healthcare costs of patients with fibromyalgia syndrome","volume":"61","author":"Berger","year":"2007","journal-title":"Int J Clin Pract"},{"key":"2023062617201320100_CIT0003","doi-asserted-by":"crossref","first-page":"152060","DOI":"10.1016\/j.semarthrit.2022.152060","article-title":"The economic burden of fibromyalgia: a systematic literature review","volume":"56","author":"D\u2019Onghia","year":"2022","journal-title":"Semin Arthritis Rheum"},{"key":"2023062617201320100_CIT0004","doi-asserted-by":"crossref","first-page":"117","DOI":"10.1186\/ar2715","article-title":"Epidemiology, costs, and the economic burden of fibromyalgia","volume":"11","author":"Spaeth","year":"2009","journal-title":"Arthritis Res Ther"},{"key":"2023062617201320100_CIT0005","doi-asserted-by":"crossref","first-page":"367","DOI":"10.3949\/ccjm.85gr.18002","article-title":"What you can do for your fibromyalgia patient","volume":"85","author":"Gota","year":"2018","journal-title":"Cleveland Clin J Med"},{"key":"2023062617201320100_CIT0006","doi-asserted-by":"crossref","first-page":"318","DOI":"10.1136\/annrheumdis-2016-209724","article-title":"EULAR revised recommendations for the management of fibromyalgia","volume":"76","author":"Macfarlane","year":"2017","journal-title":"Ann Rheum Dis"},{"key":"2023062617201320100_CIT0007","doi-asserted-by":"crossref","first-page":"160","DOI":"10.1002\/art.1780330203","article-title":"The American College of Rheumatology 1990 Criteria for the Classification of Fibromyalgia. 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How work and working conditions contribute to health disparities","volume":"57:10.1177\/0002764213487347","author":"Burgard","year":"2013","journal-title":"Am Behav Sci"},{"key":"2023062617201320100_CIT0023","doi-asserted-by":"crossref","first-page":"1354","DOI":"10.1002\/acr.22305","article-title":"Social security work disability and its predictors in patients with fibromyalgia","volume":"66","author":"Wolfe","year":"2014","journal-title":"Arthritis Care Res"},{"key":"2023062617201320100_CIT0024","doi-asserted-by":"crossref","first-page":"44","DOI":"10.1186\/s41927-019-0089-0","article-title":"Fibromyalgia in the workplace: risk factors for sick leave are related to professional context rather than fibromyalgia characteristics\u2014a French national survey of 955 patients","volume":"3","author":"Laroche","year":"2019","journal-title":"BMC Rheumatol"},{"key":"2023062617201320100_CIT0025","doi-asserted-by":"crossref","first-page":"765","DOI":"10.1097\/JOM.0b013e318222af81","article-title":"Musculoskeletal pain in the workforce: the effects of back, arthritis, and fibromyalgia pain on quality of life and work productivity","volume":"53","author":"McDonald","year":"2011","journal-title":"J Occup Environ Med"},{"key":"2023062617201320100_CIT0026","doi-asserted-by":"crossref","first-page":"3864571","DOI":"10.1155\/2020\/3864571","article-title":"Effects of workplace-related factors on the prevalence of fibromyalgia among Israeli kindergarten teachers","volume":"2020","author":"Buskila","year":"2020","journal-title":"Pain Res Manag"},{"key":"2023062617201320100_CIT0027","first-page":"25","article-title":"High prevalence of fibromyalgia syndrome among Israeli nurses","volume":"38","author":"Barski","year":"2020","journal-title":"Clin Exp Rheumatol"},{"key":"2023062617201320100_CIT0028","article-title":"Non-probability sampling.","volume-title":"Introduction to Social Scientific Research Methods in the Field of Communication","author":"Magsamen-Conrad","year":"2021"},{"key":"2023062617201320100_CIT0029","volume-title":"Is Work Good for Your Health and Well-Being?","author":"Waddell","year":"2006"}],"container-title":["Occupational Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/occmed\/article-pdf\/73\/5\/257\/50710055\/kqad063.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/occmed\/article-pdf\/73\/5\/257\/50710055\/kqad063.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,6,26]],"date-time":"2023-06-26T17:35:29Z","timestamp":1687800929000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/occmed\/article\/73\/5\/257\/7179648"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,5,25]]},"references-count":29,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2023,5,25]]},"published-print":{"date-parts":[[2023,6,26]]}},"URL":"https:\/\/doi.org\/10.1093\/occmed\/kqad063","relation":{},"ISSN":["0962-7480","1471-8405"],"issn-type":[{"value":"0962-7480","type":"print"},{"value":"1471-8405","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2023,6,1]]},"published":{"date-parts":[[2023,5,25]]}}}