@MASTERSTHESIS{ 2025:1222074328,
 	title = {Sociodemographic determinants, chronic pain and impact on  quality of life in fibromyalgia: a study in the Southwestern region  of Paraná},
 	year = {2025},
 	url = "https://tede.unioeste.br/handle/tede/8093",
 	abstract = "Fibromyalgia is a chronic syndrome characterized by widespread 
 musculoskeletal pain, fatigue, sleep disturbances, and cognitive symptoms, 
 significantly affecting individuals' quality of life. Although its etiology is 
 multifactorial, sociodemographic and contextual factors can influence both the 
 manifestation and perception of pain and the functional impact of the disease. 
 Understanding these determinants is essential for developing care strategies that 
 are more responsive to local realities. the Southwest region of Paraná, with its 
 social and economic peculiarities, offers a relevant setting for investigating the 
 interrelationships between living conditions, chronic pain, and quality of life in 
 people with fibromyalgia. Therefore, this cross-sectional study seeks to analyze 
 the association between sociodemographic determinants, the presence of chronic 
 pain, and the impact on the quality of life of individuals diagnosed with fibromyalgia 
 in the Southwest region of Paraná. Based on the sample size calculation, data from 
 85 individuals were evaluated. The results showed that the mean age of the 
 research participants was 49.71 years (SD = 9.50), ranging from 26 to 69 years; 
 96.47% were women. A higher prevalence of fibromyalgia was observed in 
 individuals in stable unions (71.76%) and high education (44.71% with completed 
 higher education). The time that the participants had lived with pain was 14.82 
 years (SD = 9.81) and the time since diagnosis of fibromyalgia ranged from 0.5 to 
 40 years (M = 11.13; SD = 9.35). The majority of participants reported very severe 
 pain (56.47%), while 28.24% classified the pain as moderately severe. Individuals' 
 satisfaction across six domains (leisure, work, well-being/self-care, exercise ability, 
 overall functioning, and quality of life) declined significantly across all domains after 
 fibromyalgia diagnosis (p < 0.001), with minimum effect sizes above 0.60. 
 Fibromyalgia severely impacts quality of life, especially among women of working 
 age. chronic pain compromises multiple functional domains, highlighting the need 
 for integrated care approaches that are sensitive to sociodemographic factors.",
 	publisher = {Universidade Estadual do Oeste do Paraná},
 	scholl = {Programa de Pós-Graduação em Ciências Aplicadas à Saúde},
 	note = {Centro de Ciências da Saúde}
}