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Fibromyalgia: psychiatrists should now be picking up the baton

  • Leigh A. Neal (a1)
Summary

Recent functional magnetic resonance imaging (fMRI) and positron emission tomography (PET) scan studies have demonstrated the importance of the modulation of pain perception by the emotional regions of the brain in fibromyalgia. In the absence of any other objective biological abnormality, is it time to review the respective roles of primary care, psychiatry and rheumatology in the classification, diagnosis and management of fibromyalgia?

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Copyright
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Corresponding author
Leigh A. Neal (leigh.neal@btconnect.com)
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Declaration of interest

None.

Footnotes
References
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1 Sommer, P. Fibromyalgia: a clinical update. Int Assoc Study Pain 2010; 4: 14.
2 Wolfe, F, Smythe, HA, Yunus, MB, Bennett, RM, Bombardier, C, Goldenberg, DL, et al. American College of Rheumatology 1990 Criteria for the classification of fibromyalgia: report of the multicenter criteria committee. Arthritis Rheum 1990; 33: 160–72.
3 Dadabhoy, D, Crofford, LJ, Spaeth, M, Russell, JI, Claw, DJ. Evidence based biomarkers for fibromyalgia syndrome. Arthritis Res Ther 2008; 10: 211.
4 Shir, Y, Fitzcharles, M. Should rheumatologists retain ownership of fibromyalgia? J Rheumatol 2009; 36: 667–70.
5 Pujol, J, Lopez-Sola, M, Ortiz, H, Vilanova, JC, Harrison, BJ, Yucel, M, et al. Mapping brain response to pain in fibromyalgia patients using temporal analysis of fMRI. Plos One Epub 2009; 4: e5224.
6 Burgmer, M, Pogatzki-Zahn, E, Gaubitz, M, Wesselock, E, Heuft, G, Pfleiderer, B. Altered brain activity during pain processing in fibromyalgia. Neuroimage 2009; 44: 502–8.
7 Burgmer, M, Pogatzki-Zahn, E, Gaubitz, M, Wesselock, E, Heuft, G, Pfleiderer, B. Fibromyalgia unique temporal brain activation during experimental pain: a controlled fMRI study. J Neural Transm 2010; 117: 123–31.
8 Giesecke, T, Gracely, RH, Williams, DA, Geisser, ME, Petzke, FW. The relationship between depression, clinical pain, and experimental pain in a chronic pain cohort. Arthritis Rheum 2005; 52: 1577–84.
9 Walt, B, Roebuck-Spencer, T, Esposito, G, Atkins, F, Bleiberg, J, Foster, G, et al. The effects of multidisciplinary therapy on positron emission tomography of the brain in fibromyalgia: a pilot study. Rheumatol Int 2007; 11: 1019–24.
10 Bennett, R, Neslon, D. Cognitive behaviour therapy for fibromyalgia. Nat Clin Pract Rheumatol 2006; 2: 416–24.
11 Uceyler, N, Hauser, W, Sommer, C. A systematic review of the effectiveness of treatment with antidepressants in fibromyalgia syndrome. Arthritis Rheum 2008; 59: 1279–98.
12 Verbunt, JA, Pernot, DHFM, Smeets, RJEM. Disability and quality of life in patients with fibromyalgia. Health Qual Life Outcomes 2008; 6: 18.
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BJPsych Bulletin
  • ISSN: 1758-3209
  • EISSN: 1758-3217
  • URL: /core/journals/bjpsych-bulletin
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Fibromyalgia: psychiatrists should now be picking up the baton

  • Leigh A. Neal (a1)
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