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2016FMS

The document outlines the updated 2016 diagnostic criteria for fibromyalgia. The criteria include: 1) A widespread pain index (WPI) of 7 or higher and symptom severity score (SSS) of 5 or higher, or WPI between 4-6 and SSS of 9 or higher. 2) Generalized pain in at least 4 of 5 regions of the body. 3) Symptoms that have been present for at least 3 months. The diagnosis can now be made if all 3 criteria are met, regardless of other potential diagnoses for the symptoms. Previously, fibromyalgia required ruling out other conditions first.

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Rezki Indriyantiyusuf
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462 views1 page

2016FMS

The document outlines the updated 2016 diagnostic criteria for fibromyalgia. The criteria include: 1) A widespread pain index (WPI) of 7 or higher and symptom severity score (SSS) of 5 or higher, or WPI between 4-6 and SSS of 9 or higher. 2) Generalized pain in at least 4 of 5 regions of the body. 3) Symptoms that have been present for at least 3 months. The diagnosis can now be made if all 3 criteria are met, regardless of other potential diagnoses for the symptoms. Previously, fibromyalgia required ruling out other conditions first.

Uploaded by

Rezki Indriyantiyusuf
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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2016 Fibromyalgia Diagnostic Criteria

1. Widespread pain index (WPI) and symptom severity score (SSS)


• WPI ≥ 7 and SSS ≥ 5 OR WPI 4-6 and SSS ≥ 9
2. Generalized pain: pain in 4/5 regions
3. Symptoms present ≥ 3 months
The fibromyalgia diagnosis can now be made irrespective of other diagnoses (you do not need to rule out all other
conditions that could explain the symptoms, if criteria 1-3 are all met).

1. Widespread pain index (WPI)


In the past week, where have you had pain? (check all that apply)
Left upper region (1) Right upper region (2) Axial region (5)
o L jaw o R jaw o Neck
o L shoulder girdle o R shoulder girdle o Upper back
o L upper arm o R upper arm o Lower back
o L lower arm o R lower arm o Chest
o Abdomen
Left lower region (3) Right lower region (4)
o L hip (buttock/trochanter) o R hip (buttock/trochanter)
o L upper leg o R upper leg
o L lower leg o R lower leg
Total: ______ WPI score (add up boxes checked, 0-19)
_______Number of regions checked (excluding items in italics); use this for criterion #2.

Symptoms Severity Score (SSS)


For each of the following, for the past week, rate
0=No 1=slight or mild 2=moderate, 3=severe,
problem problem, often considerable pervasive,
mild or problem, often continuous, life-
intermittent present disturbing
Fatigue o o o o
Waking unrefreshed o o o o
Cognitive symptoms o o o o

In the past week, have you been bothered by any of the following?
0=No problem 1=Problem
Headaches o o
Pain or cramps in lower abdomen o o
Depression o o
Total SSS: _______(0-12)

Summary:
o 1. Criterion 1 is met if you have EITHER
o WPI ≥ 7 and SSS ≥ 5 OR
o WPI 4-6 and SSS ≥ 9
o 2. Generalized pain: met if you checked pain in 4/5 regions (not including items in italics)
o 3. Symptoms present ≥ 3 months

Fibromyalgia is diagnosed if you meet all 3 criteria 1-3, independent of whether other diagnoses contribute to these
symptoms. This is new: FMS diagnosis used to require that there be no other diagnosis to explain the findings.

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