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Concepts of illness in populations as applied to fibromyalgia (FM) syndromes: a biopsychosocial perspective

  [ 34 votes ]   [ Discuss This Article ]
By Masi AT • www.ProHealth.com • April 1, 1998


Chronic widespread musculoskeletal pains have been recorded since
antiquity. However, critical medical and experimental research
on these conditions have been performed mainly within the past
one or two decades. Controversy exists regarding many aspects
of these common problems, including: classification and
nosology; causation mechanisms; course and outcomes, as well
as management strategies. Fibromyalgia syndrome (FMS) is not a
disease. Neither a defined pathology nor specific etiological
mechanisms have been documented. Instead, FMS may be
considered a dysfunctional disorder. Constellations of
typical, although diverse, manifestations have been identified
as well as predisposing factors. Under such circumstances, a
new biopsychosocial paradigm of person-centered dynamics,
rather than an agent per se or the environment, is fundamental
to understanding the complex multifactorial interactions in
FMS. Conceptual models of etiology and research methodology to
investigate such complex, multifactorial mechanisms are not
yet well-developed. More effective research approaches and
improved management of persons with FMS is expected to result
from such new conceptual constructs.




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