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Journal article
The Prevalence and Characteristics of Fibromyalgia in the 2012 National Health Interview Survey
PloS one, v 10(9), pp e0138024-e0138024
2015
PMID: 26379048
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Most knowledge of fibromyalgia comes from the clinical setting, where healthcare-seeking behavior and selection issues influence study results. The characteristics of fibromyalgia in the general population have not been studied in detail.
We developed and tested surrogate study specific criteria for fibromyalgia in rheumatology practices using variables from the US National Health Interview Survey (NHIS) and the modification (for surveys) of the 2010 American College of Rheumatology (ACR) preliminary fibromyalgia criteria. The surrogate criteria were applied to the 2012 NHIS and identified persons who satisfied criteria from symptom data. The NHIS weighted sample of 8446 persons represents 225.7 million US adults.
Fibromyalgia was identified in 1.75% (95% CI 1.42, 2.07), or 3.94 million persons. However, 73% of identified cases self-reported a physician's diagnosis other than fibromyalgia. Identified cases had high levels of self-reported pain, non-pain symptoms, comorbidity, psychological distress, medical costs, Social Security and work disability. Caseness was associated with gender, education, ethnicity, citizenship and unhealthy behaviors. Demographics, behaviors, and comorbidity were predictive of case status. Examination of the surrogate polysymptomatic distress scale (PSD) of the 2010 ACR criteria found fibromyalgia symptoms extending through the full length of the scale.
Persons identified with criteria-based fibromyalgia have severe symptoms, but most (73%) have not received a clinical diagnosis of fibromyalgia. The association of fibromyalgia-like symptoms over the full length of the PSD scale with physiological as well as mental stressors suggests PSD may be a universal response variable rather than one restricted to fibromyalgia.
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Details
- Title
- The Prevalence and Characteristics of Fibromyalgia in the 2012 National Health Interview Survey
- Creators
- Brian Walitt - National Center for Complementary and Integrative HealthRichard L Nahin - National Center for Complementary and Integrative HealthRobert S Katz - Rush University Medical CenterMartin J Bergman - Drexel UniversityFrederick Wolfe - The National Databank for Rheumatic Diseases
- Publication Details
- PloS one, v 10(9), pp e0138024-e0138024
- Publisher
- Public LIbrary of Science (PLOS)
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Medicine (Graduate)
- Web of Science ID
- WOS:000361769400044
- Scopus ID
- 2-s2.0-84945939474
- Other Identifier
- 991019168240604721
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InCites Highlights
Data related to this publication, from InCites Benchmarking & Analytics tool:
- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Rheumatology