Modified 2016 American College of Rheumatology Fibromyalgia Criteria, the Analgesic, Anesthetic, and Addiction Clinical Trial Translations Innovations Opportunities and Networks–American Pain Society Pain Taxonomy, and the Prevalence of Fibromyalgia

Haüser, Winfried; Brähler, Elmar; Ablin, Jacob N; Wolfe, Frederick

doi:10.1002/acr.24202

Cited by 29 publications

(22 citation statements)

References 38 publications

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“…A study comparing the 2011 and 2016 ACR criteria with the AAPT criteria found considerable agreement between both sets of criteria, although a lower percentage of correct classifications was observed for AAPT criteria than for ACR criteria [ 56 ]. Furthermore, a higher prevalence of FMS in the German general population was obtained with AAPT criteria than with ACR 2016 criteria [ 57 ]. Thus, AAPT criteria seem to diagnose patients with less symptom severity and fewer pain sites [ 57 ].…”

Section: Discussionmentioning

confidence: 99%

“…Furthermore, a higher prevalence of FMS in the German general population was obtained with AAPT criteria than with ACR 2016 criteria [ 57 ]. Thus, AAPT criteria seem to diagnose patients with less symptom severity and fewer pain sites [ 57 ]. Further research is required to assess the reliability and validity of the AAPT criteria [ 58 ].…”

Section: Discussionmentioning

confidence: 99%

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Reliability, Factor Structure and Predictive Validity of the Widespread Pain Index and Symptom Severity Scales of the 2010 American College of Rheumatology Criteria of Fibromyalgia

Galvez-Sánchez

Coba

Duschek

et al. 2020

JCM

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Fibromyalgia syndrome (FMS) is a chronic condition of widespread pain. In 2010, the American College of Rheumatology (ACR) proposed new diagnostic criteria for FMS based on two scales: the Widespread Pain Index (WPI) and Symptoms Severity (SS) scale. This study evaluated the reliability, factor structure and predictive validity of WPI and SS. In total, 102 women with FMS and 68 women with rheumatoid arthritis (RA) completed the WPI, SS, McGill Pain Questionnaire, Trait Anxiety Inventory, Fatigue Severity Scale, Oviedo Quality of Sleep Questionnaire, and Beck Depression Inventory. Pain threshold and tolerance and a measure of central sensitization to pain were obtained by pressure algometry. Values on WPI and SS showed negative-skewed frequency distributions in FMS patients, with most of the observations concentrated at the upper end of the scale. Factor analysis did not reveal single-factor models for either scale; instead, the WPI was composed of nine pain-localization factors and the SS of four factors. The Cronbach’s α (i.e., Internal consistency) was 0.34 for the WPI,0.83 for the SS and 0.82 for the combination of WPI and SS. Scores on both scales correlated positively with measures of clinical pain, fatigue, insomnia, depression, and anxiety but were unrelated to pain threshold and tolerance or central pain sensitization. The 2010 ACR criteria showed 100% sensitivity and 81% specificity in the discrimination between FMS and RA patients, where discrimination was better for WPI than SS. In conclusion, despite their limited reliability, both scales allow for highly accurate identification and differentiation of FMS patients. The inclusion of more painful areas in the WPI and of additional symptoms in the SS may reduce ceiling effects and improve the discrimination between patients differing in disease severity. In addition, the use of higher cut-off values on both scales may increase the diagnostic specificity in Spanish samples.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Reliability, Factor Structure and Predictive Validity of the Widespread Pain Index and Symptom Severity Scales of the 2010 American College of Rheumatology Criteria of Fibromyalgia

Galvez-Sánchez

Coba

Duschek

et al. 2020

JCM

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“…Patients with FM also have functional and emotional disorders, including persistent fatigue, sleep disturbances, paresthesia, cognitive disorders, and mood disturbance [1]. Until 2016, the diagnostic criteria for fibromyalgia included the assessment of pain at 19 sites and a 4-item symptom severity scale from which an overall fibromyalgia severity score, the polysymptomatic distress (PSD) scale, could be calculated [2]. In 2016, a modification added a widespread pain criterion and clarified scoring (2016 criteria) [3].…”

Section: Introductionmentioning

confidence: 99%

Effects of Manual Therapy on Fatigue, Pain, and Psychological Aspects in Women with Fibromyalgia

Nadal-Nicolás

Rubio-Arias

Martínez-Olcina

et al. 2020

IJERPH

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Fibromyalgia is a condition characterised by chronic widespread muscle pain and fatigue, sleep disturbances, cognitive disorders, and mood disturbance. The purpose of this study was to determine the effectiveness of a manual therapy technique performed with moderate digital pressure in women with fibromyalgia (n = 24). In this randomised, controlled trial, the participants were randomly assigned to the experimental group or placebo group. The experimental group was assisted with manual therapy sessions based on connective tissue massage, whereas the placebo group was “treated” with ultrasound sessions performed without conductive gel and with the machine turned off as the placebo. Fatigue severity scale (FSS), visual analogical scale (VAS), Pittsburgh sleep quality index (PSQI), and profile of mood states (POMS-29) were completed before and after the intervention. In the experimental group (manual therapy), significant results were obtained on a VAS scale, referring to the neck pain in patients with fibromyalgia (p < 0.001). Correlations showed a relationship between fatigue and sleep variables (R = 0.411; p = 0.046) and pain variables with the POMS anger-hostility subscale (R = 0.436; p = 0.033). Although the size of the sample could be a limitation, the study concluded that the application of manual therapy in fibromyalgia patients performed with moderate pressure for 15 min on the posterior cervical musculature decreased the perception of pain, muscle fatigue, and the state of tension-anxiety.

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“…What we now know for certain is that every set of published fibromyalgia criteria, beginning with Smythe and Moldofsky in 1976 [5], identified a different group of patients [6][7][8][9][10][11]. Even in 2021, two sets of expert research criteria had an unsatisfactory agreement, with one set identifying 73% more individuals with fibromyalgia in a general population study than the other [12]. In addition, general physicians' knowledge about fibromyalgia and the de facto diagnostic agreement with published criteria was and is poor [13][14][15], even in specialty clinics [16].…”

Section: Review I Know It When I See Itmentioning

confidence: 99%

The Evolution of Fibromyalgia, Its Concepts, and Criteria

Wolfe¹,

Rasker²

2021

Cureus

Self Cite

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Fibromyalgia developed in the 1950s from a substrate of difficult to explain regional and widespread pain mixed with symptoms of psychosocial distress. Controversies regarding psychological issues were common. Multiple criteria arose to define the disorder, but each identified a different set of patients. The identification of widespread pain as a criterion changed the nature of the disorder by effectively eliminating regional pain as a component condition. The easy-to-measure and relatively reliable widespread pain criterion then came to define the disorder. In the primary care community, diagnostic criteria were largely ignored, and a substantial fraction of diagnosed patients with lower pain scores, particularly women and those with high non-pain symptom scores, were diagnosed. Non-pain symptoms were added back to the fibromyalgia definition and criteria in 2010. Recognition grew that fibromyalgia fit the description of a functional somatic disorder. The idea of fibromyalgia as a primary pain disorder with a neurobiological basis contended with fibromyalgia as a broader biopsychosocial disorder. It is increasingly recognized that fibromyalgia represents a dimensional, non-binary condition and that features of fibromyalgia extend to persons who do not satisfy the criteria. Severity assessments are now available but rarely used. The course of fibromyalgia is not well studied, and improvement and remission criteria have not been successfully defined. The future of fibromyalgia as a discrete disorder remains uncertain as features of fibromyalgia are increasingly observed in patients with multiple different medical conditions.

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Modified 2016 American College of Rheumatology Fibromyalgia Criteria, the Analgesic, Anesthetic, and Addiction Clinical Trial Translations Innovations Opportunities and Networks–American Pain Society Pain Taxonomy, and the Prevalence of Fibromyalgia

Cited by 29 publications

References 38 publications

Reliability, Factor Structure and Predictive Validity of the Widespread Pain Index and Symptom Severity Scales of the 2010 American College of Rheumatology Criteria of Fibromyalgia

Reliability, Factor Structure and Predictive Validity of the Widespread Pain Index and Symptom Severity Scales of the 2010 American College of Rheumatology Criteria of Fibromyalgia

Effects of Manual Therapy on Fatigue, Pain, and Psychological Aspects in Women with Fibromyalgia

The Evolution of Fibromyalgia, Its Concepts, and Criteria

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