Lack of correlation between the mean tender point score and self-reported pain in fibromyalgia

Arthritis Care and Research : the Official Journal of the Arthritis Health Professions Association
J W JacobsJ W Bijlsma

Abstract

To study the validity and nature of self-assessed symptoms among patients with fibromyalgia syndrome (FMS) and to compare our data with findings reported in the US. To determine whether tender point scores correlate with self-reported pain and other symptoms and to study the influence of disease duration. Tender point scores were assessed in 113 consecutive patients with FMS. All patients completed 2 self-assessment questionnaires (an extended Campbell list, the Enschede Fibromyalgia Questionnaire, and the Dutch Arthritis Impact Measurement Scales). The self-assessed symptoms of the Dutch FMS patients seem to be valid and are comparable with those of American patients. No association between disease duration and number of self-reported symptoms was found. An association between self-reported pain and mean tender point score was lacking for patients with disease of shorter duration and was weak for patients with disease of longer duration. The use of a self-report questionnaire for patients with FMS is feasible and appears to be valid. Tender point scores and self-reported pain represent very different aspects of pain in FMS.

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Citations

Aug 15, 2001·Arthritis and Rheumatism·R PöyhiäM A Fitzcharles
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Oct 5, 2006·Current Opinion in Anaesthesiology·R Geenen, J W Jacobs

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