Evaluating fibromyalgia for management
| Domains | Key questions and characteristics | Tests |
|---|---|---|
| Mood | Ever diagnosed with depression, anxiety, or other psychiatric condition? | Depression (PHQ-9) Anxiety (GAD-7) Bipolar screen (MDQ) |
| Sleep | Difficulty falling or staying asleep? Average hours slept, daytime sleepiness, snoring, apnea? Prior diagnosis of narcolepsy, sleep apnea, or restless leg syndrome? | |
| Physical conditioning | Moderate aerobic exercise at least 30 minutes 3 times a week? | |
| Stressful life events | Past stressors: born premature, unhappy childhood, history of mental, physical, or sexual abuse? Current stressors: financial, family, health, social? | |
| Maladaptive pain responses, catastrophizing | Does patient use a lot of drama to describe symptoms? | Pain Catastrophizing Scale |
| Function | Are you working? Have you applied for disability benefits? |
GAD-7 = Generalized Anxiety Disorder Assessment; MDQ = Mood Disorder Questionnaire; PHQ-9 = Patient Health Questionnaire-Depression 9