Journal article
Implications of proposed fibromyalgia criteria across other functional pain syndromes.
- Egloff N a Department of General Internal Medicine, Division of Psychosomatic Medicine , Inselspital, Bern University Hospital, and University of Bern , Switzerland.
- von Känel R c Department of Psychosomatic Medicine , Clinic Barmelweid , Switzerland.
- Müller V a Department of General Internal Medicine, Division of Psychosomatic Medicine , Inselspital, Bern University Hospital, and University of Bern , Switzerland.
- Egle UT e Kinzigtal Hospital for Psychosomatic Medicine and Psychotherapy , Gengenbach , Germany.
- Kokinogenis G a Department of General Internal Medicine, Division of Psychosomatic Medicine , Inselspital, Bern University Hospital, and University of Bern , Switzerland.
- Lederbogen S a Department of General Internal Medicine, Division of Psychosomatic Medicine , Inselspital, Bern University Hospital, and University of Bern , Switzerland.
- Durrer B a Department of General Internal Medicine, Division of Psychosomatic Medicine , Inselspital, Bern University Hospital, and University of Bern , Switzerland.
- Stauber S a Department of General Internal Medicine, Division of Psychosomatic Medicine , Inselspital, Bern University Hospital, and University of Bern , Switzerland.
- 2015-06-17
Published in:
- Scandinavian journal of rheumatology. - 2015
Adult
Algorithms
Anxiety
Cohort Studies
Depression
Female
Fibromyalgia
Humans
Incidence
Male
Mass Screening
Middle Aged
Pain
Pain Measurement
Patient Selection
Psychometrics
Severity of Illness Index
Stress, Psychological
Syndrome
English
OBJECTIVES
In 2010, the American College of Rheumatology (ACR) proposed new criteria for the diagnosis of fibromyalgia (FM) in the context of objections to components of the criteria of 1990. The new criteria consider the Widespread Pain Index (WPI) and the Symptom Severity Score (SSS). This study evaluated the implications of the new diagnostic criteria for FM across other functional pain syndromes.
METHOD
A cohort of 300 consecutive in-patients with functional pain syndromes underwent a diagnostic screen according to the ACR 2010 criteria. Additionally, systematic pain assessment including algometric and psychometric data was carried out.
RESULTS
Twenty-five patients (8.3%) had been diagnosed with FM according to the ACR 1990 criteria. Twenty-one of them (84%) also met the new ACR 2010 criteria. In total, 130 patients (43%) fulfilled the new ACR 2010 criteria. A comparison of new vs. old cases showed a high degree of conformity in most of the pain characteristics. The new FM cases, however, revealed a pronounced heterogeneity in the anatomical pain locations, including several types of localized pain syndromes. Furthermore, patients fulfilling the ACR 2010 FM criteria differed from those with other functional pain syndromes; they had increased pain sensitivity scores and increased psychometric values for depression, anxiety, and psychological distress (p<0.01).
CONCLUSIONS
FM according to the ACR 2010 criteria describes the 'severe half' of the spectrum of functional pain syndromes. By dropping the requirement of 'generalized pain', these criteria result in a blurring of the distinction between FM and more localized functional pain syndromes.
In 2010, the American College of Rheumatology (ACR) proposed new criteria for the diagnosis of fibromyalgia (FM) in the context of objections to components of the criteria of 1990. The new criteria consider the Widespread Pain Index (WPI) and the Symptom Severity Score (SSS). This study evaluated the implications of the new diagnostic criteria for FM across other functional pain syndromes.
METHOD
A cohort of 300 consecutive in-patients with functional pain syndromes underwent a diagnostic screen according to the ACR 2010 criteria. Additionally, systematic pain assessment including algometric and psychometric data was carried out.
RESULTS
Twenty-five patients (8.3%) had been diagnosed with FM according to the ACR 1990 criteria. Twenty-one of them (84%) also met the new ACR 2010 criteria. In total, 130 patients (43%) fulfilled the new ACR 2010 criteria. A comparison of new vs. old cases showed a high degree of conformity in most of the pain characteristics. The new FM cases, however, revealed a pronounced heterogeneity in the anatomical pain locations, including several types of localized pain syndromes. Furthermore, patients fulfilling the ACR 2010 FM criteria differed from those with other functional pain syndromes; they had increased pain sensitivity scores and increased psychometric values for depression, anxiety, and psychological distress (p<0.01).
CONCLUSIONS
FM according to the ACR 2010 criteria describes the 'severe half' of the spectrum of functional pain syndromes. By dropping the requirement of 'generalized pain', these criteria result in a blurring of the distinction between FM and more localized functional pain syndromes.
- Language
-
- English
- Open access status
- closed
- Identifiers
-
- DOI 10.3109/03009742.2015.1010103
- PMID 26079770
- Persistent URL
- https://sonar.ch/global/documents/278534
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