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Table 4 Factors perceived to worsen FM symptoms [in descending order of frequency]

From: An internet survey of 2,596 people with fibromyalgia

Perceived stressor

Frequency

Emotional distress

83%

Weather changes

80%

Sleeping problems

79%

Strenuous activity

70%

Mental stress

68%

Worrying

60%

Car travel

57%

Family conflicts

52%

Physical injuries

50%

Physical inactivity

50%

Infections

43%

Allergies

37%

Low to moderate physical activity

36%

Lack of emotional support

36%

Time zone changes

34%

Airplane travel

34%

Perfectionism

32%

Work related conflicts

29%

Menses

27%

Medication side effects

27%

Chemical exposures

27%

Sexual intercourse

17%