Chapter

Assessing fibromyalgia syndrome

Ernest Choy

in Fibromyalgia Syndrome

Published on behalf of Oxford University Press

Published in print March 2009 | ISBN: 9780199547517
Published online May 2011 | e-ISBN: 9780199607259 | DOI: http://dx.doi.org/10.1093/med/9780199547517.003.0004

Series: Oxford Rheumatology Library

Assessing fibromyalgia syndrome

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• A large number of instruments have been used in the assessment of fibromyalgia syndrome (FMS). Some of them have been validated in research in FMS, but there are still significant deficiencies, such as an appropriate tool for assessing cognition. • Visual analogue scale (VAS) of pain can be used to assess pain intensity in the clinical setting, although there are more sophisticated tools. • Tenderness/pressure pain threshold can be measured by a simple tool such as a dolorimeter. • Fibromyalgia Impact Questionnaire (FIQ) is a multi- dimensional validated tool that assesses many major features of the condition. • Hospital Anxiety and Depression Scale (HADS) is a simple and useful self-completed screening questionnaire for mood disturbances in patients attending routine outpatient clinic. It can be useful in identifying patients with severe depression which needs referral to psychiatrist. • Using a combination of these assessment methods, sub- groups of patients with FMS could be identified. These could be used to guide treatment regime.

Chapter.  3368 words.  Illustrated.

Subjects: Rheumatology

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