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


Jacobs, Johannes W.G. and Rasker, Johannes J. and Heide, Agnes van der and Boersma, Johannes and Blecourt, Alida C.E. de and Griep, Eduard N. and Rijswijk, Martin H. van and Bijlsma, Johannes W.J. (1996) Lack of correlation between the mean tender point score and self-reported pain in fibromyalgia. Arthritis & rheumatism, 9 (2). pp. 105-111. ISSN 0004-3591

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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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Copyright:© 1996 Wiley InterScience
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