EVIDENCE REVIEW
Issue Date: July/August 2021
Published Online: June 09, 2021
Updated: July 09, 2021
Occupational Adaptation of People Living With Fibromyalgia: A Systematic Review and Thematic Synthesis
Author Affiliations
  • Andréa Dépelteau, OT, MSc, is Occupational Therapist and PhD Student, École de réadaptation, Université de Sherbrooke, Sherbrooke, Quebec, Canada; andrea.depelteau@usherbrooke.ca
  • Émilie Lagueux, OT, PhD, is Occupational Therapist and Professor, École de réadaptation, Université de Sherbrooke, Sherbrooke, Quebec, Canada, and Centre de recherche du Centre hospitalier universitaire de Sherbrooke, Sherbrooke, Quebec, Canada.
  • Raphaël Pagé, MOT, is Occupational Therapist, École de réadaptation, Université de Sherbrooke, Sherbrooke, Quebec, Canada.
  • Catherine Hudon, MD, PhD, CCFP, is Doctor and Professor, Centre de recherche du Centre hospitalier universitaire de Sherbrooke, Sherbrooke, Quebec, Canada, and Département de médecine de famille et de médecine d’urgence, Université de Sherbrooke, Sherbrooke, Quebec, Canada.
Article Information
Evidence-Based Practice / Musculoskeletal Impairments / Special Section: Evidence Review
EVIDENCE REVIEW   |   June 09, 2021
Occupational Adaptation of People Living With Fibromyalgia: A Systematic Review and Thematic Synthesis
American Journal of Occupational Therapy, June 2021, Vol. 75, 7504190040. https://doi.org/10.5014/ajot.2021.047134
American Journal of Occupational Therapy, June 2021, Vol. 75, 7504190040. https://doi.org/10.5014/ajot.2021.047134
Abstract

Importance: Fibromyalgia (FM) is a chronic pain disorder that interferes with daily activities. Because occupational adaptation varies among people, there is a need to determine which factors can influence adaptation to FM in order to better intervene with them.

Objective: To understand the occupational adaptation process of people living with FM.

Data Sources: A systematic review of the literature was conducted in the AMED, CINAHL, MEDLINE, OTseeker, OTDBASE, and PsycINFO databases. Articles dated before September 2020 were searched using a strategy with the keywords fibromyalgia and occupation.

Study Selection and Data Collection: This article follows the Preferred Reporting Items for Systematic Reviews and Meta-Analyses checklist. Qualitative articles were included if they documented occupational aspects of participants with FM. Two independent reviewers screened the articles and performed the quality assessment using the Critical Appraisal Skills Program checklist. A thematic synthesis was conducted.

Findings: Of the 560 articles identified, 347 remained after duplicates were removed. After screening titles and abstracts, 303 articles were rejected, and 44 articles were read in their entirety. Twelve qualitative articles were included in the review. The synthesis highlights that support from relatives is a key to successfully adapting to FM. Identity is crucial to a fulfilled life, and occupational competence is greatly affected by the experience of FM. Occupational adaptation is an issue for some people, but maintaining routines and integrating management strategies would help them to achieve it.

Conclusions and Relevance: This review highlights the importance of considering the components of occupational adaptation while caring for people with FM.

What This Article Adds: This systematic review identifies the factors influencing the occupational adaptation of people living with FM and emphasizes the importance of addressing those factors.