The DOI matches its Crossref record; 28 of the 28 references it cites were found in a registry or an index.
Fibromyalgia syndrome, a problem of tautology
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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“The ACR classification criteria, rightly criticized for circularity (16), created a de facto case definition by imposing the 11 tender point rules on top of a crude definition of widespread pain (17).”
From The American College of Rheumatology Preliminary Diagnostic Criteria for Fibromyalgia and Measurement of Symptom Severity (2010) · cites this paper as [16]
Citations
Cites
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Cited by
Sorted by citations
Items 101–137 of 137
Tender Points and Trigger Points – Differences and Similarities
Skorupska, E., Bednarek, A., & Samborski, W. (2013) · Journal of Musculoskeletal Pain · doi:10.3109/10582452.2013.827773 · Cited by 5
Muscle Pain in Women Between 25 and 55 Years in Oslo, Norway
Abusdal, U. G., Bjørndal, A., Botten, G., & Bjérkedal, T. (1997) · Journal of Musculoskeletal Pain · doi:10.1300/j094v05n03_03 · Cited by 4
Zurier, R. B., Rossetti, R. G., Lane, J. H., Goldberg, J. M., Hunter, S. A., & BURSTEIN, S. H. (1998) · Arthritis & Rheumatism · doi:10.1002/1529-0131(199801)41:1 · Cited by 96
Approche psychiatrique de la fibromyalgie
Sordet‐Guépet, H. (2010) · Encyclopédie médico-chirurgicale. Psychiatrie · doi:10.1016/s0246-1072(10)53622-8 · Cited by 3
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Clauw, D. J. (2009) · CRC Press eBooks · doi:10.3109/9781420086805-2 · Cited by 2
Eisinger, J. (2001) · Journal of Musculoskeletal Pain · doi:10.1300/j094v09n03_11 · Cited by 3
Carette, S. (1996) · Pain Research and Management · doi:10.1155/1996/670324 · Cited by 3
ARTHRITIS AND MUSCULOSKELETAL PAIN
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Wolfe, F., & Rasker, J. J. (2013) · Elsevier eBooks · doi:10.1016/b978-1-4377-1738-9.00052-9 · Cited by 2
Quintner, J. L., & Cohen, M. L. (1999) · Clinical Journal of Pain · doi:10.1097/00002508-199906000-00016 · Cited by 2
Self-citationMyofascial Pain Syndrome and Fibromyalgia: A Critical Assessment and Alternate View
Valente, R. M. (1998) · Clinical Journal of Pain · doi:10.1097/00002508-199803000-00013 · Cited by 2
Quintner, J. L., & Cohen, M. L. (1997) · The Medical Journal of Australia · doi:10.5694/j.1326-5377.1997.tb140062.x · Cited by 2
Self-citationRoth, S. H. (2001) · JCR Journal of Clinical Rheumatology · doi:10.1097/00124743-200104000-00001 · Cited by 2
A Comparison of Skin Rolling and Tender Points as a Diagnostic Test for Fibromyalgia
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Koutris, M. (2013) · UvA-DARE (University of Amsterdam)
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Self-citationEstudo clínico-epidemiológico de fibromialgia em um hospital universitário do Sul do Brasil
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Metadata
- Authors
- Cohen, M. L., & Quintner, J. L.
- Affiliations
- UNSW Sydney (AU)
- St John of God Health Care (AU)
- Corresponding author
- Cohen, M.L
- Venue
- The Lancet
- Publisher
- Elsevier BV
- Published
- 1993-10
- Volume
- 342
- Issue
- 8876
- Pages
- 906-909
- ISSN
- 0099-5355 (ISSN-L)
- 0140-6736
- 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
- 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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