Cited by 138Fibromyalgia and Chronic Fatigue Syndrome ResearchPsychosomatic Disorders and Their TreatmentsMyofascial pain diagnosis and treatment

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Fibromyalgia syndrome, a problem of tautology

Cohen, M.L, Quintner, J.L·1993·The Lancet

DOI 10.1016/0140-6736(93)91950-q

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Abstract

Fibromyalgia syndrome is generally taken to denote a clinical state of widespread musculoskeletal pain, stiffness, and fatigue but its pathophysiology, physical and psychological, is unknown, and the nature of the diagnostically mandatory "tender points" remains obscure. Diagnostic criteria convey no pathophysiological insight and they have been "validated" via a circular argument in which the evidence on which the construct is based is taken as proof of its veracity. The concept of fibromyalgia syndrome is valid only in the sense that it includes all possibilities. An alternative approach to this very real clinical presentation is via secondary hyperalgesia.

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Authors: Cohen, M. L., & Quintner, J. L.
Affiliations: UNSW Sydney (AU)
St John of God Health Care (AU)
Corresponding author: Cohen, M.L
ORCID: Cohen, M.L
Quintner, J.L
Venue: The Lancet
Publisher: Elsevier BV
Published: 1993-10
Volume: 342
Issue: 8876
Pages: 906-909
ISSN: 0099-5355 (ISSN-L)
0140-6736
DOI: 10.1016/0140-6736(93)91950-q
OpenAlex: W2047444795
Cited by: 138
References: 28
Citations by year: 2026: 2 · 2020: 2 · 2019: 1 · 2017: 1 · 2015: 1 · 2013: 8 · 2012: 1
FWCI: 7.15
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: The Lancet (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Psychiatry and Mental health › Fibromyalgia and Chronic Fatigue Syndrome Research
Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Myofascial pain diagnosis and treatment
Keywords: fibromyalgia, tautology, diagnostic criteria, tender points, pathophysiology, secondary hyperalgesia, chronic widespread pain, fatigue, circular argument, construct validity
MeSH terms: Fibromyalgia, Humans, Pain Measurement, Sensitivity and Specificity, Syndrome

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Fibromyalgia syndrome, a problem of tautology

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