Fibromyalgia, physical activity, and daily functioning: the importance of efficacy and health-related quality of life

Arthritis Care Res. 2000 Dec;13(6):343-51. doi: 10.1002/1529-0131(200012)13:6<343::aid-art3>;2-p.


Objective: To determine whether individuals with fibromyalgia (FM) who are more physically active differ in various psychosocial characteristics (i.e., self-efficacy, health-related quality of life [HRQL]) from those who are less active, and whether those who function better on a daily basis also differ in these characteristics from their less able counterparts.

Methods: The predominantly female sample (n = 86) consisted of individuals medically diagnosed with FM. Measures included symptom variables, physical activity frequency and intensity, daily functioning, HRQL, efficacy for physical activity, FM pain, and other FM symptoms.

Results: Discriminant function analyses to predict physical activity status (P < 0.0001) and functional ability status (P = 0.03) were significant. The variables of physical activity efficacy, pain efficacy, and the physical HRQL component were the best predictors.

Conclusion: Support for the importance of perceived control and HRQL for engaging in higher levels of physical activity and daily functioning was demonstrated. Future research must continue to examine psychosocial factors that affect patients' functioning with FM in order to enhance their well-being.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Activities of Daily Living / psychology*
  • Adaptation, Psychological
  • Adult
  • Aged
  • Analysis of Variance
  • Attitude to Health
  • Cost of Illness
  • Discriminant Analysis
  • Exercise / physiology
  • Exercise / psychology*
  • Female
  • Fibromyalgia / physiopathology*
  • Fibromyalgia / prevention & control
  • Fibromyalgia / psychology*
  • Health Status
  • Humans
  • Internal-External Control
  • Middle Aged
  • Predictive Value of Tests
  • Quality of Life / psychology*
  • Self Care / methods
  • Self Care / psychology
  • Self Efficacy*
  • Severity of Illness Index
  • Surveys and Questionnaires