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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%