How is symptom severity determined in fibromyalgia?

Updated: Apr 23, 2020
  • Author: Chad S Boomershine, MD, PhD, CPI, CPT; Chief Editor: Herbert S Diamond, MD  more...
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In the 2010 ACR diagnostic criteria, symptom severity is determined by the physician. However, since fibromyalgia is a subjective disorder, patients are the ultimate source of information on the severity of their symptoms. Physicians tend to underestimate patient symptom severity, [95] and physician scoring of symptom severity can lead to underdiagnosis.

By their nature, the fibromyalgia diagnostic criteria are amenable to administration as a patient self-report questionnaire that can limit underdiagnosis and speed clinical evaluation since patients can complete the assessment prior to entering the examination room. Such a self-administered patient questionnaire based on the fibromyalgia diagnostic criteria has been shown to accurately identify fibromyalgia patients. [96] This questionnaire is divided into 3 sections.

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