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Chronic widespread musculoskeletal pain - a comparison of those who meet criteria for fibromyalgia and those who do not.

Abstract

Fibromyalgia is currently classified as chronic widespread pain with widespread allodynia to pressure pain. There are few data describing pain characteristics, quality of life, consequences for daily living, and psychosocial status in patients who meet the classification criteria for fibromyalgia proposed by the American College of Rheumatology compared with patients with chronic widespread pain but not widespread allodynia. This study used a randomly selected sample from the general population. A postal questionnaire and a pain mannequin were sent to 9952 people. The response rate was 76.7%. The pain drawings showed that 345 people had widespread pain; that is, they noted pain in all four extremities and axially. Clinical examination, which included a manual tender point examination, was performed in 125 subjects. These people answered commonly used questionnaires on pain, quality of life, coping strategies, depression, and anxiety. Compared with chronic widespread pain without widespread allodynia, fibromyalgia was associated with more severe symptoms/consequences for daily life and higher pain severity. Similar coping strategies were found. Chronic widespread pain without widespread allodynia to pressure pain was found in 4.5% in the population and fibromyalgia in 2.5%.

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  • Authors+Show Affiliations

    ,

    Section of Rheumatology, Faculty of Health Sciences, Linköping University, Linköping, Sweden.

    , , , ,

    Source

    MeSH

    Activities of Daily Living
    Adaptation, Psychological
    Adult
    Aged
    Anxiety
    Chronic Disease
    Creatine Kinase, MM Form
    Depression
    Diagnosis, Differential
    Female
    Fibromyalgia
    Humans
    Male
    Middle Aged
    Musculoskeletal Diseases
    Myofascial Pain Syndromes
    Pain
    Pressure
    Quality of Life
    Sampling Studies
    Severity of Illness Index
    Surveys and Questionnaires
    Sweden

    Pub Type(s)

    Comparative Study
    Journal Article
    Research Support, Non-U.S. Gov't

    Language

    eng

    PubMed ID

    18024204

    Citation

    Cöster, Lars, et al. "Chronic Widespread Musculoskeletal Pain - a Comparison of Those Who Meet Criteria for Fibromyalgia and Those Who Do Not." European Journal of Pain (London, England), vol. 12, no. 5, 2008, pp. 600-10.
    Cöster L, Kendall S, Gerdle B, et al. Chronic widespread musculoskeletal pain - a comparison of those who meet criteria for fibromyalgia and those who do not. Eur J Pain. 2008;12(5):600-10.
    Cöster, L., Kendall, S., Gerdle, B., Henriksson, C., Henriksson, K. G., & Bengtsson, A. (2008). Chronic widespread musculoskeletal pain - a comparison of those who meet criteria for fibromyalgia and those who do not. European Journal of Pain (London, England), 12(5), pp. 600-10.
    Cöster L, et al. Chronic Widespread Musculoskeletal Pain - a Comparison of Those Who Meet Criteria for Fibromyalgia and Those Who Do Not. Eur J Pain. 2008;12(5):600-10. PubMed PMID: 18024204.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Chronic widespread musculoskeletal pain - a comparison of those who meet criteria for fibromyalgia and those who do not. AU - Cöster,Lars, AU - Kendall,Sally, AU - Gerdle,Björn, AU - Henriksson,Chris, AU - Henriksson,Karl G, AU - Bengtsson,Ann, Y1 - 2007/11/19/ PY - 2007/04/18/received PY - 2007/10/02/revised PY - 2007/10/02/accepted PY - 2007/11/21/pubmed PY - 2008/9/27/medline PY - 2007/11/21/entrez SP - 600 EP - 10 JF - European journal of pain (London, England) JO - Eur J Pain VL - 12 IS - 5 N2 - Fibromyalgia is currently classified as chronic widespread pain with widespread allodynia to pressure pain. There are few data describing pain characteristics, quality of life, consequences for daily living, and psychosocial status in patients who meet the classification criteria for fibromyalgia proposed by the American College of Rheumatology compared with patients with chronic widespread pain but not widespread allodynia. This study used a randomly selected sample from the general population. A postal questionnaire and a pain mannequin were sent to 9952 people. The response rate was 76.7%. The pain drawings showed that 345 people had widespread pain; that is, they noted pain in all four extremities and axially. Clinical examination, which included a manual tender point examination, was performed in 125 subjects. These people answered commonly used questionnaires on pain, quality of life, coping strategies, depression, and anxiety. Compared with chronic widespread pain without widespread allodynia, fibromyalgia was associated with more severe symptoms/consequences for daily life and higher pain severity. Similar coping strategies were found. Chronic widespread pain without widespread allodynia to pressure pain was found in 4.5% in the population and fibromyalgia in 2.5%. SN - 1532-2149 UR - https://www.unboundmedicine.com/medline/citation/18024204/Chronic_widespread_musculoskeletal_pain___a_comparison_of_those_who_meet_criteria_for_fibromyalgia_and_those_who_do_not_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1090-3801(07)00653-2 DB - PRIME DP - Unbound Medicine ER -