Challenges in fibromyalgia diagnosis: from meaning of symptoms to fibromyalgia labeling

The Korean Journal of Pain
Ali BidariBabak Ghalehbaghi

Abstract

Fibromyalgia (FM) is a contested illness with ill-defined boundaries. There is no clearly defined cut-point that separates FM from non-FM. Diagnosis of FM has been faced with several challenges that occur, including patients' health care-seeking behavior, symptoms recognition, and FM labeling by physicians. This review focuses on important but less visible factors that have a profound influence on under- or over-diagnosis of FM. FM shows different phenotypes and disease expression in patients and even in one patient over time. Psychosocial and cultural factors seem to be a contemporary ferment in FM which play a major role in physician diagnosis even more than having severe symptom levels in FM patients. Although the FM criteria are the only current methods which can be used for classification of FM patients in surveys, research, and clinical settings, there are several key pieces missing in the fibromyalgia diagnostic puzzle, such as invalidation, psychosocial factors, and heterogeneous disease expression. Regarding the complex nature of FM, as well as the arbitrary and illusory constructs of the existing FM criteria, FM diagnosis frequently fails to provide a clinical diagnosis fit to reality. A physicians' judgment, obtained...Continue Reading

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Citations

Jul 10, 2020·Advances in Rheumatology·Áurea Dias de FariasTatiane da Silva Dal Pizzol
Aug 11, 2020·Clinical Rheumatology·Banafsheh Ghavidel-Parsa, Ali Bidari
Oct 30, 2020·International Journal of Molecular Sciences·Massimo E Maffei
Jan 8, 2021·Clinical Rheumatology·Banafsheh Ghavidel-ParsaMohammad-Javad Khosousi
Mar 18, 2021·International Journal of Rheumatic Diseases·Faeze GharibpoorAli Bidari
Jul 27, 2021·Proceedings of the ACM on Human-computer Interaction·Kausalya Ganesh, Amanda Lazar
Sep 9, 2020·Journal of Clinical Rheumatology : Practical Reports on Rheumatic & Musculoskeletal Diseases·Carla Aguirre CárdenasLydia Gómez-Pérez
Sep 29, 2021·Journal of Evaluation in Clinical Practice·Robert M BennettRonald Friend

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