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Fibromyalgia—a discussion of a diagnostic concept 

Fibromyalgia—a discussion of a diagnostic concept
Chapter:
Fibromyalgia—a discussion of a diagnostic concept
Author(s):

Jens Foell

DOI:
10.1093/med/9780199674107.003.0013
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date: 07 April 2020

Consultations about widespread pain in the locomotion system in combination with mood disturbances, fatigue, and dysfunctions in several organ systems are commonly regarded as difficult. Symptoms may not be reported in conjunction by the patient and may not be coded as ‘syndrome’. Depending on the setting of the consultation, the cultural background of the participants, and organizational characteristics of the healthcare agency, the formulation for the presented problem may vary. ‘Medically unexplained symptoms’, ‘somatization’, or ‘depression’ may be the diagnostic vignettes for a heterogeneous set of symptoms with affective, visceral, somatic, and cognitive components. Fibromyalgia is one of them. In the context of fibromyalgia, this chapter highlights the interactive ‘looping effect’ of the term. This includes feedforward characteristics (what is the effect of labelling a person with the diagnosis of fibromyalgia?) and feedback functions (how does the concept ‘fibromyalgia’ change in response to being used in clinical contexts?).

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