A Comprehensive Evaluation of Standardized Assessment Tools in the Diagnosis of Fibromyalgia and in the Assessment of Fibromyalgia Severity

Table 1

Recommended assessments for fibromyalgia diagnosis and core symptom domains.

Symptom domain	Assessment
Diagnosis	1990 ACR fibromyalgia classification criteria utilizing the MTPS
Pain intensity	NRS from question 5 of the BPI
Physical functioning	FIQR physical functioning subscale
Overall/Global improvement	PGIC and FIQR global score
Depression	HADS-D
Cognitive dysfunction	MASQ
Fatigue	FSS
Multidimensional function/health-related quality of life	FIQR
Sleep disturbance	JSS
Tenderness	MTPS-FIS

ACR: american college of rheumatology, BPI: brief pain inventory, FIQR: revised fibromyalgia impact questionnaire, FIS: fibromyalgia intensity score, FSS: fatigue severity scale, HADS-D: depression subscale of hospital anxiety and depression scale, JSS: jenkins sleep scale, MASQ: multiple abilities self-report questionnaire, MTPS: manual tender point survey, NRS: numeric rating scale, PGIC: patient global impression of change.