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Study: DSM-5 could not be properly applied to fibromyalgia patients

Discussion in 'Fibromyalgia' started by Ecoclimber, Nov 14, 2013.

  1. Ecoclimber

    Ecoclimber Senior Member

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    Mercer Island Wa
    SAN DIEGO — Frederick Wolfe, MD, of the National Data Bank for Rheumatic Diseases, Wichita, Kan., presented study results of patients with fibromyalgia, somatoform disorders and the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders at the American College of Rheumatology annual meeting.

    Wolfe and colleagues studied whether fibromyalgia should be considered a somatoform disorder or a pain disorder.


    “The DSM-5 in patients with rheumatoid arthritis and fibromyalgia lacked face validity and probably should not be used … did not seem valid, and there was no way it could be properly applied,” Wolfe concluded.

    For more information:

    Wolfe F. #840: Fibromyalgia, Somatic Symptoms, and Mental Illness in View of the 2013 Diagnostic and Statistical Manual of Mental Disorders. Presented at: the 2013 American College of Rheumatology Annual Meeting; Oct. 26-30, San Diego.
     
  2. Snow Leopard

    Snow Leopard Senior Member

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    Australia
    Here is an interview on the topic:
    http://www.news-medical.net/news/20...-University-of-Kansas-School-of-Medicine.aspx

    He states that "We don’t believe for a moment that these people have a mental illness. I think what we’ve shown is that there is a limitation about the way that DSM-5 looks at these sorts of conditions. There’s no real benefit to anybody to consider this in the way that DSM is considering it."

    But then he also says:

    "In fibromyalgia, studies have shown that the symptoms of fibromyalgia exist on a continuum. From a little pain and a little distress: to a lot of pain and a lot of distress. In fact we call the measures that we use to diagnose fibromyalgia measures of polysymptomatic distress.

    This is termed by the UK psychiatrist Simon Wesley who first described illnesses such as chronic fatigue syndrome and fibromyalgia being at the end of a continuum of polysymptomatic distress.

    What do we mean by polysymptomatic? Many different symptoms. One might have headaches, but not have all of the symptoms of fibromyalgia."

    I take issue at this whole idea of "polysymptomatic", because it is necessarily vague and non-specific, such that is it is not at all useful clinically. Because all patients of all illnesses report multiple symptoms if you probe them enough.
     
    merylg, taniaaust1, Esther12 and 2 others like this.
  3. Cheshire

    Cheshire Senior Member

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    France
    A new article by Frederick Wolfe on the same subject

    http://www.plosone.org/article/info:doi/10.1371/journal.pone.0088740
     
    Valentijn and taniaaust1 like this.

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