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Womens narratives on experiences of work ability and functioning in fibromyalgia
Musculoskeletal Care, 10/23/09

Sallinen M et al – Exploring the life stories of women with fibromyalgia can reveal the perceived causes and consequences of fibromyalgia related to work ability or disability, which can be utilized in developing client–centred rehabilitation approaches and effective interventions to support work ability and avoid premature retirement in fibromyalgia patients.

• Interview study conducted to explore experiences of work ability and functioning of patients with long history of fibromyalgia
• 20 women, aged 34–65 y, were purposively chosen for interviews, to reach wide range of patients with different social and professional backgrounds

• 4 types of experience concerning work ability identified in narratives: confusion, coping with fluctuating symptoms, being in between and being over the edge of exhaustion
• Severe pain and fatigue symptoms, combined with demanding life situation and ageing, seemed to lead to substantial decrease in work ability and functioning over long term
• Vocational rehabilitation or adjustments to work tasks rarely seen or started too late to be effective

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