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

Johannes W.G. Jacobs, Johannes J. Rasker, Agnes van der Heide, Johannes Boersma, Alida C.E. de Blecourt, Eduard N. Griep, Martin H. van Rijswijk, Johannes W.J. Bijlsma

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    Objectives: 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. - Methods: 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). Results: 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. Conclusions: 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.
    Original languageUndefined
    Pages (from-to)105-111
    JournalArthritis & rheumatism
    Issue number2
    Publication statusPublished - 1996


    • METIS-148945
    • IR-71225

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