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Subgrouping a Large U.S. Sample of Patients with Fibromyalgia Using the Fibromyalgia Impact Questionnaire-Revised

Bibliographic Data

ID15511444
AuthorsAdrián Pérez‐Aranda (0000-0002-1602-3413, Universitat Autonòma de Barcelona, corresponding author), Albert Feliu‐Soler (0000-0003-2810-7670, Universitat Autonòma de Barcelona, corresponding author), Scott Mist (0000-0001-7992-5345, Oregon Health & Science University), Kim Dupree Jones (0000-0001-6384-8613, Oregon Health & Science University), Yolanda López del Hoyo (0000-0002-1690-4130, Universidad de Zaragoza), Rebeca Oliván-Arévalo (Parc Sanitari Sant Joan de Déu), Anna L Kratz (0000-0002-3664-3898, University of Michigan), Anna Kratz (University of Michigan), David A Williams (0000-0002-5052-4895, University of Michigan), Juan V Luciano (0000-0003-0750-1599, Sant Joan de Déu Research Foundation, corresponding author)
Year2020
Volume18
Issue1
Pages247-247
Publication date2020-12-31
Open AccessYes
TypeARTICLE
VenueInternational Journal of Environmental Research and Public Health (JOURNAL)
Journal identifiersISSN: 1661-7827 • E-ISSN: 1660-4601
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph18010247
PMID33396279
OpenAlexW3117835933
LanguageEN
Citations received1
References cited43

Fibromyalgia (FM) is a heterogeneous and complex syndrome; different studies have tried to describe subgroups of FM patients, and a 4-cluster classification based on the Fibromyalgia Impact Questionnaire-Revised (FIQR) has been recently validated. This study aims to cross-validate this classification in a large US sample of FM patients. A pooled sample of 6280 patients was used. First, we computed a hierarchical cluster analysis (HCA) using FIQR scores at item level. Then, a latent profile analysis (LPA) served to confirm the accuracy of the taxonomy. Additionally, a cluster calculator was developed to estimate the predicted subgroup using an ordinal regression analysis. Self-reported clinical measures were used to examine the external validity of the subgroups in part of the sample. The HCA yielded a 4-subgroup distribution, which was confirmed by the LPA. Each cluster represented a different level of severity: "Mild-moderate", "moderate", "moderate-severe", and "severe". Significant differences between clusters were observed in most of the clinical measures (e.g., fatigue, sleep problems, anxiety). Interestingly, lower levels of education were associated with higher FM severity. This study corroborates a 4-cluster distribution based on FIQR scores to classify US adults with FM. The classification may have relevant clinical implications for diagnosis and treatment response

Anxiety · Cluster (spacecraft · Fibromyalgia · Physical therapy · Psychiatry · Clinical Psychology · Computer Science · Ergonomics and Musculoskeletal Disorders · Fibromyalgia and Chronic Fatigue Syndrome Research · Medicine · Musculoskeletal pain and rehabilitation · Psychology

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Citations per year0.33
Citation span2023 - 2023 (1)
Highly citedNo

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