A historical and clinical perspective endorsing person-centered management of fibromyalgia syndrome

Alfonse T. Masi, Ann Vincent

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

Fibromyalgia or fibromyalgia syndrome (FMS) is a complex chronic pain disorder of unknown causation frequently associated with debilitating fatigue, unrefreshing sleep, cognitive and affective symptoms. A fibromyalgia-type suffering was possibly described in the Book of Job. Analogous symptomatic conditions have been medically recognized since the early 1900s, when initially labeled as “fibrositis”. Since the early 1980s, FMS has evolved and differentiated after its characterization in a controlled study. Since then, research has focused on multiple aspects of this disorder, including characterization and management of symptoms, psychophysiology, neuroendocrine-immune pathophysiology, including central sensitization mechanisms. The complex and multifaceted nature of FMS lends itself better to a holistic (integrative medicine) or biopsychosocial approach than the more specific bioscientific pathways typical for a pathologically-defined disease. A person-centered approach to evaluation and care more effectively addresses and encompasses the biopsychosocial aspects of this disorder than traditional bioscientific clinical methods. This review outlines a holistic multi-modal, patientcentered approach to evaluation and care as a framework for primary clinic settings. Future directions in research, diagnosis, and management of fibromyalgia patients should incorporate revised person-centered and other qualitative models of care for critical comparison to current conventional concepts and clinical practice. The more comprehensive personcentered services need to be compared to the current standardized practice in terms of their cost-effective outcomes, patient satisfaction, physician gratification, and practical logistics of providing long-term follow up and management.

Original languageEnglish (US)
Pages (from-to)86-95
Number of pages10
JournalCurrent Rheumatology Reviews
Volume11
Issue number2
StatePublished - Jul 1 2015

Fingerprint

Fibromyalgia
Integrative Medicine
Holistic Health
Psychophysiology
Central Nervous System Sensitization
Neurobehavioral Manifestations
Somatoform Disorders
Affective Symptoms
Critical Care
Patient Satisfaction
Psychological Stress
Research
Chronic Pain
Causality
Fatigue
Sleep
Physicians
Costs and Cost Analysis

Keywords

  • Biopsychosocial model
  • Fibromyalgia syndrome
  • Fibrositis
  • Patient-centered
  • Person-centered

ASJC Scopus subject areas

  • Rheumatology

Cite this

A historical and clinical perspective endorsing person-centered management of fibromyalgia syndrome. / Masi, Alfonse T.; Vincent, Ann.

In: Current Rheumatology Reviews, Vol. 11, No. 2, 01.07.2015, p. 86-95.

Research output: Contribution to journalArticle

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