Fibromyalgia and Disability Adjudication: No Simple Solutions to a Complex Problem

BACKGROUND: Adjudication of disability claims related to fibromyalgia (FM) syndrome can be a challenging and complex process. A commentary published in the current issue of Pain Research & Management makes suggestions for improvement. The authors of the commentary contend that: previously and cu...

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Main Authors: Manfred Harth, Warren R Nielson
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:Pain Research and Management
Online Access:http://dx.doi.org/10.1155/2014/321307
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author Manfred Harth
Warren R Nielson
author_facet Manfred Harth
Warren R Nielson
author_sort Manfred Harth
collection DOAJ
description BACKGROUND: Adjudication of disability claims related to fibromyalgia (FM) syndrome can be a challenging and complex process. A commentary published in the current issue of Pain Research & Management makes suggestions for improvement. The authors of the commentary contend that: previously and currently used criteria for the diagnosis of FM are irrelevant to clinical practice; the opinions of family physicians should supersede those of experts; there is little evidence that trauma can cause FM; no formal instruments are necessary to assess disability; and many FM patients on or applying for disability are exaggerating or malingering, and tests of symptoms validity should be used to identify malingerers.
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spelling doaj-art-756ef019d7684e1f88320b7092de7ef22025-02-03T07:26:09ZengWileyPain Research and Management1203-67652014-01-0119629329910.1155/2014/321307Fibromyalgia and Disability Adjudication: No Simple Solutions to a Complex ProblemManfred Harth0Warren R Nielson1Division of Rheumatology, Department of Medicine, Schulich School of Medicine and Dentistry, Western University, CanadaLawson Health Research Institute and Department of Psychology, Western University, London, Ontario, CanadaBACKGROUND: Adjudication of disability claims related to fibromyalgia (FM) syndrome can be a challenging and complex process. A commentary published in the current issue of Pain Research & Management makes suggestions for improvement. The authors of the commentary contend that: previously and currently used criteria for the diagnosis of FM are irrelevant to clinical practice; the opinions of family physicians should supersede those of experts; there is little evidence that trauma can cause FM; no formal instruments are necessary to assess disability; and many FM patients on or applying for disability are exaggerating or malingering, and tests of symptoms validity should be used to identify malingerers.http://dx.doi.org/10.1155/2014/321307
spellingShingle Manfred Harth
Warren R Nielson
Fibromyalgia and Disability Adjudication: No Simple Solutions to a Complex Problem
Pain Research and Management
title Fibromyalgia and Disability Adjudication: No Simple Solutions to a Complex Problem
title_full Fibromyalgia and Disability Adjudication: No Simple Solutions to a Complex Problem
title_fullStr Fibromyalgia and Disability Adjudication: No Simple Solutions to a Complex Problem
title_full_unstemmed Fibromyalgia and Disability Adjudication: No Simple Solutions to a Complex Problem
title_short Fibromyalgia and Disability Adjudication: No Simple Solutions to a Complex Problem
title_sort fibromyalgia and disability adjudication no simple solutions to a complex problem
url http://dx.doi.org/10.1155/2014/321307
work_keys_str_mv AT manfredharth fibromyalgiaanddisabilityadjudicationnosimplesolutionstoacomplexproblem
AT warrenrnielson fibromyalgiaanddisabilityadjudicationnosimplesolutionstoacomplexproblem