How are patients with fibromyalgia categorized?

Updated: Nov 14, 2018
  • Author: Chad S Boomershine, MD, PhD, CPI, CPT; Chief Editor: Herbert S Diamond, MD  more...
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Answer

The following three distinct subsets of patients with varying prognoses have been identified [92, 93] :

  • Adaptive copers, who often do not seek care for their symptoms, do well with respect to pain, sleep, and fatigue.
  • Interpersonally distressed patients may respond to resolution of life stressors and interdisciplinary therapeutic approaches, including counseling.
  • Dysfunctional patients have high levels of pain and anxiety, major impairment in daily functioning, and, quite often, opioid dependence. These patients have a very poor prognosis.

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