ArticleSchmerz (Berlin, Germany)2009
[Intensity of limb pain and fatigue in fibromyalgia syndrome, depressive disorders and chronic back pain. A criterion for differentiation].
Article in Schmerz (Berlin, Germany), 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
3 citing papers in PubMed.
- Not a general, symptom-unspecific, transdiagnostic marker for functional symptoms: sensorimotor processing of head control is intact in chronic pain.Frontiers in neurology · 2023Article
- [Administrative prevalence, treatment and costs of somatoform pain disorder. Analysis of data of the BARMER GEK for the years 2008-2010].Schmerz (Berlin, Germany) · 2013Article
- [Epidemiology of chronic non-malignant pain in Germany].Schmerz (Berlin, Germany) · 2011Review
Corrections and comments
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundA symptom-based diagnosis of fibromyalgia syndrome (FMS) without tender point examination is needed for primary care. We tested if a symptom-based diagnosis of FMS can be founded on the intensity of the symptoms musculoskeletal pain and fatigue.
methodsFMS patients from 4 different settings (n=464 members of the German Fibromyalgia Association DFV, n=33 from a private practice of rheumatology, n=36 from a tertiary care pain department, n=162 from medical expertise), patients with depressive disorders from 2 different settings (n=24 from a university department of psychiatry, n=311 from an out-patient university psychosomatic department), patients with chronic back pain from an out-patient training center (n=691) and persons from a representative German population sample (n=1977) were compared using the subscales of the Giessen subjective complaints list GBB 24.
resultsThe greatest mean differences between FMS patients and the other samples were found within the subscales "limb pains" and "fatigue". FMS patients scored higher in the subscales "heart problems" and "dyspepsia", but both subscales did not contribute to a differentiation of the samples. The rates of reclassification of the subsamples based on the subscales "limb pains" and "fatigue" ranged between 80 and 93%.
conclusionHigh levels of the intensity of chronic widespread musculoskeletal pain and chronic fatigue may form the basis of a symptom-based diagnosis of FMS.
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