Classification, epidemiology, and natural history of fibromyalgia

被引：171
作者：
White K.P. [1 ]
Harth M. [1 ]
机构：
[1] Department of Medicine, University of Western Ontario, K289, 268 Grosvenor Street, P.O. Box 5777, London, N6A 4V2, ON
来源：
Current Pain and Headache Reports | 2001年 / 5卷 / 4期
关键词：
Chronic Widespread Pain; Fibromyalgia; Fibromyalgia Syndrome; Rheumatol; Tender Point;
D O I：
10.1007/s11916-001-0021-2
中图分类号：
学科分类号：
摘要：
Fibromyalgia (FM), also known as fibromyalgia syndrome (FMS) and fibrositis, is a common form of nonarticular rheumatism that is associated with chronic generalized musculoskeletal pain, fatigue, and a long list of other complaints. Some have criticized the classification of FM as a distinct medical entity, but existing data suggest that individuals meeting the case definition for FM are clinically somewhat distinct from those with chronic widespread pain who do not meet the full the FM definition. Clinic studies have found FM to be common in countries worldwide; these include studies in specialty and general clinics. The same is true of general population studies, which show the prevalence of FM to be between 0.5% and 5%. Knowledge about risk factors for FM is limited. Females are at greater risk, and risk appears to increase through middle age, then decline. Although some authors claim that an epidemic of FM has been fueled by an over-generous Western compensation system, there are no data that demonstrate an increasing incidence or prevalence of FM; moreover, existing data refute any association between FM prevalence and compensation. Claims that the FM label itself causes illness behavior and increased dependence on the medical system also are not supported by existing research. This article reviews the classification, epidemiology, and natural history of FM. © 2001, Current Science Inc.
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页码：320 / 329
页数：9
相关论文
共 103 条
  • [51] White K.P., Harth M., Speechley M., Ostbye T., Fibromyalgia in rheumatology practice. A survey of Canadian rheumatologists, J Rheumatol, 22, pp. 722-726, (1995)
  • [52] Hartz A., Kirchdoerfer E., Undetected fibrositis in primary care practice, J Fam Pract, 25, pp. 365-369, (1987)
  • [53] Muller W., The fibrositis syndrome: diagnosis, differential diagnosis and pathogenesis, Scand J Rheumatol Suppl, 65, pp. 40-53, (1987)
  • [54] Wolfe F., Fibromyalgia, Rheum Dis Clin North Am, 16, pp. 681-698, (1990)
  • [55] Briscoe M.E., Why do people go to the doctor? Sex differences in the correlates of GP consultation, Soc Sci Med, 25, pp. 507-513, (1987)
  • [56] Waldron I., Sex differences in illness incidence, prognosis and mortality: issues and evidence, Soc Sci Med, 17, pp. 1107-1123, (1983)
  • [57] Chien A., Schneiderman L.J., A comparison of health care utilization by husbands and wives, J Community Health, 1, pp. 118-126, (1975)
  • [58] Wolfe F., Fibromyalgia: the clinical syndrome, Rheum Dis Clin North Am, 15, pp. 1-18, (1989)
  • [59] Survey O.H., Highlights, (1990)
  • [60] Lewis C.E., Raczynski J.M., Oberman A., Cutter G.R., Risk factors and the natural history of coronary heart. disease in blacks, Cardiovasc Clin, 21, pp. 29-45, (1991)
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