A cross-sectional survey assessing sources of movement-related fear among people with fibromyalgia syndrome.
Fear of movement may contribute to functional limitations and loss of well-being among individuals with fibromyalgia (FM). The objectives of this study were to assess factors contributing to movement-related fear and to explore relationships among these factors, function and wellness, in a widespread population of people with FM. This was an internet survey of individuals with FM. Respondents completed a battery of surveys including the Fibromyalgia Impact Questionnaire--Revised (FIQR), Tampa Scale of Kinesiophobia (TSK), Activities-Specific Balance Confidence Scale (ABC), Primary Care Posttraumatic Stress Disorder screen (PC-PTSD), Vertigo Symptom Scale (VSS-SF), a joint hypermobility syndrome screen (JHS), and screening questions related to obsessive-compulsive personality disorder (OCPD), physical activity, work status, and demographics. Analysis included descriptive statistics, Pearson product-moment correlations, and linear regression. Over a 2-year period, 1,125 people (97.6 % female) completed the survey battery. Kinesiophobia was present in 72.9 % of the respondents, balance confidence was compromised in 74.8 %, PTSD likely in 60.4 %, joint hypermobility syndrome likely in 46.6 %, and OCPD tendencies in 26.8 %. The total FIQR and FIQR perceived function subscores were highly correlated (p < 0.0005, r > 0.4) with pain, kinesiophobia, balance confidence, and vertigo. Reported activity level had poor correlation (r < 0.25) with all measured variables. Pain, ABC, VSS, and TSK predicted FIQR and FIQR-pf, explaining 65 and 48 % of the variance, respectively. Kinesiophobia, balance complaints, vertigo, PTSD, and joint hypermobility were common in this population of people with FM. Sources of movement-related fear correlated to overall wellness and perceived function as measured by the FIQR and FIQR-pf.
Physical Therapy Department, Clarkson University, Potsdam, NY, 13699-5880, USA, Lnrussek@clarkson.edu.
Leslie
L
Russek
Sarah
S
Gardner
Kelly
K
Maguire
Caitlin
C
Stevens
Erica Z
EZ
Brown
Veroni
V
Jayawardana
Sumona
S
Mondal
D000203:Activities of Daily Living; D000293:Adolescent; D000328:Adult; D000368:Aged; D003193:Compulsive Personality Disorder / Q000453:epidemiology / Q000523:psychology*; D003430:Cross-Sectional Studies; D005239:Fear / Q000523:psychology*; D005260:Female; D005356:Fibromyalgia / Q000453:epidemiology / Q000503:physiopathology / Q000523:psychology*; D006801:Humans; D007593:Joint Instability / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D009068:Movement; D010698:Phobic Disorders / Q000453:epidemiology / Q000523:psychology*; D013313:Stress Disorders, Post-Traumatic / Q000453:epidemiology / Q000523:psychology*; D011795:Surveys and Questionnaires; D055815:Young Adult