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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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“A sample size of 70 participants per group was needed to detect a moderate effect size in the primary outcome variable with a 2-sided 5% significance level and 80% power.”
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Metadata
- Authors
- Cöster, L., Kendall, S., Gerdle, B., Henriksson, C., Henriksson, K. G., & Bengtsson, A.
- Affiliations
- Linköping University (SE)
- Copenhagen University Hospital (DK)
- Corresponding author
- Gerdle, Björn
- Venue
- European Journal of Pain
- Publisher
- Wiley
- Published
- 2008-07
- Volume
- 12
- Issue
- 5
- Pages
- 600-610
- ISSN
- 1090-3801 (ISSN-L)
- 1532-2149
- OpenAlex
- W2078333129
- Cited by
- 119
- References
- 60
- Citations by year
- 2026: 1 · 2022: 6 · 2021: 3 · 2020: 5 · 2019: 4 · 2018: 2 · 2017: 8 · 2016: 5 · 2015: 5 · 2014: 8 · 2013: 11 · 2012: 10
- FWCI
- 6.64
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- European Journal of Pain (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Reumatikerförbundet
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Fibromyalgia and Chronic Fatigue Syndrome Research
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Myofascial pain diagnosis and treatment
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Musculoskeletal pain and rehabilitation
- Keywords
- fibromyalgia, chronic widespread pain, pressure pain, pain drawings, pain intensity, quality of life, coping strategies, depression, anxiety, tender points, prevalence
- MeSH terms
- Activities of Daily Living, Adaptation, Psychological, Adult, Aged, Anxiety, Chronic Disease, Depression, Diagnosis, Differential, Female, Fibromyalgia, Humans, Male, Middle Aged, Musculoskeletal Diseases, Myofascial Pain Syndromes, Pain, Pressure, Quality of Life, Surveys and Questionnaires, Sampling Studies, Severity of Illness Index, Sweden, Creatine Kinase, MM Form
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