Fibromyalgia: Diagnosing and managing a complex syndrome

Wierwille, Lauren

doi:10.1111/j.1745-7599.2011.00671.x

Cited by 22 publications

(11 citation statements)

References 23 publications

(72 reference statements)

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“…Todos os fatores mencionados acima dificultam o desenvolvimento de condutas terapêuticas eficazes (WIERWILLE, 2012). Atualmente existem diversos tipos de tratamentos, mas nenhum deles é considerado uma terapêutica definitiva para essa condição (HAUSER et al, 2012).…”

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Fibromialgia: diagnóstico, fisiopatologia e tratamentos

et al. 2015

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RESUMOA fibromialgia (FM) é uma condição crônica, caracterizada pela presença de dor generalizada e outros sintomas como fadiga, distúrbios do sono e alterações cognitivas. Apesar de intensamente estudada, a fisiopatologia da FM ainda não foi totalmente esclarecida, o que prejudica seriamente a elaboração de condutas terapêuticas realmente eficazes. Dessa forma, a incidência da FM está crescendo e os gastos públicos e privados decorrentes desse fenômeno, também estão aumentando. Sem tratamento, os pacientes continuam a sofrer com a sintomatologia e se tornam cada vez mais desmotivados perante o seu quadro clínico. O objetivo deste estudo foi reunir e sintetizar parte da informação disponível sobre a FM, principalmente no que se refere aos critérios de diagnóstico, fisiopatologia, tratamentos farmacológicos e tratamentos não farmacológicos disponíveis. Para tanto, bancos de dados nacionais (Scielo e Bireme) e internacionais (Pubmed, Biomed, Medlinx e Pedro) foram consultados. Os dados deste estudo sugerem que a FM é uma condição clínica com etiologia multifatorial, que somente pode ser diagnosticada pelo exame clínico e que ainda não possui cura. Contudo, uma série de tratamentos encontra-se disponíveis, tanto farmacológicos como

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Fibromialgia: diagnóstico, fisiopatologia e tratamentos

et al. 2015

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“…Research efforts over the past 20 years have increased knowledge and awareness of fibromyalgia's clinical pathology (Wierwille, 2012 -Vozmediano et al, 2013;Dow et al, 2012;Egeli et al, 2008;Lempp et al, 2009). Furthermore, evidence in the literature of the detrimental impact on quality of life (QOL), affecting physical, psychological, and social factors, clearly establishes FMS as a contemporary healthcare challenge for women (Anema et al, 2009;Cranford & King, 2011;Egeli et al, 2008;Lempp et al, 2009).…”

Section: Modification Of Mishel's (1990) Ruitmentioning

confidence: 99%

“…The hallmark symptoms of FMS consist of widespread musculoskeletal pain, stiffness, and extreme fatigue. Additionally, individuals with FMS experience an assortment of concomitant conditions covering musculoskeletal, rheumatologic, neurological, gastrointestinal, and psychological domains (Wierwille, 2012;Wolfe et al, 1990;Wolfe et al, 2010).…”

Section: Background and Significancementioning

confidence: 99%

“…Insomnia, difficulty with cognition, extreme fatigue, migraines, irritable bowel syndrome, anxiety, and depression are among the vast range of conditions and symptoms associated with FMS (Wierwille, 2012;Wolfe et al, 1990;Wolfe et al, 2010).…”

Section: Conclusion and Recommendationsmentioning

confidence: 99%

“…The symptoms experienced with FMS remit and exacerbate; the degree of pain severity and its precise location is unpredictable (Wierwille, 2012). There is no known cure for FMS and controversy within the healthcare profession concerning the exact cause of fibromyalgia's complex, variable symptoms can be traced back to the 16 th century (Inanici & Yunus, 2004).…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

The relevance of client-healthcare provider communication to the appraisal of illness uncertainty in women with fibromyalgia syndrome.

Reibel¹

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Heterogeneity in fibromyalgia based upon cognitive and physical performance and psychological symptomology

Follick

Cherry

Rutledge

et al. 2016

Journal of the American Association of Nurse Practitioners

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Purpose This study sought to investigate the existence of subgroups within a fibromyalgia (FM) sample based on physical and cognitive performance measures, as well as self‐report psychological measures. A multisystem disorder characterized by widespread musculoskeletal pain and co‐morbid conditions, FM can lead to declines in cognitive functioning and difficulty with psychological health. Data sources Community participants (n = 57 women) recruited from support groups and university center databases provided documentation of having met the criteria for diagnosis of FM. Measures included validated performance and self‐report instruments. Analysis was completed using hierarchical cluster analysis; a four cluster solution was chosen for its level of interpretability. The resulting model identified four distinct subgroups based upon patterns of performance and symptomology. Significant group differences were found on pain, fatigue, stiffness, and level of physical activity. Conclusions Study results support the existence of subgroups among the FM population based on levels of cognitive and physical performance and psychological symptoms. Implications for practice Nurse practitioners aware of potential subgroups within FM should be better prepared to recommend treatment options for patients that target subgroup characteristics (e.g., high vs. low levels of psychological symptoms).

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Fibromyalgia: Diagnosing and managing a complex syndrome

Cited by 22 publications

References 23 publications

Fibromialgia: diagnóstico, fisiopatologia e tratamentos

Fibromialgia: diagnóstico, fisiopatologia e tratamentos

The relevance of client-healthcare provider communication to the appraisal of illness uncertainty in women with fibromyalgia syndrome.

Heterogeneity in fibromyalgia based upon cognitive and physical performance and psychological symptomology

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