Abstract
Fibromyalgia as a Disorder Related to Distress and its Therapeutic Implications
Highlights
This special issue is centered on incorporating the concept ofstress into our understanding of fibromyalgia
Schweinhardt discuss in depth the possibility that dysfunctional neurotransmitter systems might be responsible for fibromyalgia symptoms
The authors carefully explain how various symptoms of fibromyalgia could be explained by dysfunctional neurotransmitter systems and how alterations in the hypothalamic-pituitary-adrenal (HPA) stress system fit into this model
Summary
This special issue is centered on incorporating the concept of (dis-)stress into our understanding of fibromyalgia. This paper might well serve as a starting point for discussions within groups like Outcome Measures in Rheumatology (OMERACT) with the goal of providing standardized assessment tools, which would clearly improve comparison of study results. The authors of this paper come to the interesting conclusion that in general, fibromyalgia may be more appropriately grouped with other functional pain disorders, certain subgroups of fibromyalgia patients with high level of psychological distress could be or solely grouped with affective spectrum disorders.
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