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====== Musculoskeletal pain (WPI) ====== | ====== Musculoskeletal pain (WPI) ====== | ||
- | The [[https://www.medscape.com/answers/329838-18859/what-is-the-widespread-pain-index-wpi-in-the-diagnostic-criteria-for-fibromyalgia|Widespread Pain Index]] quantifies the extent of bodily pain. The WPI is required to identify individuals meeting the diagnostic criteria of fibromyalgia in epidemiological studies ([[sections|section]]: [[Diseases & symptoms]]).\\ | + | The [[https://www.medscape.com/answers/329838-18859/what-is-the-widespread-pain-index-wpi-in-the-diagnostic-criteria-for-fibromyalgia|Widespread Pain Index]] quantifies the extent of bodily pain. The WPI is required to identify individuals that meet the diagnostic criteria of fibromyalgia in epidemiological studies ([[sections|section]]: [[Diseases & symptoms]]).\\ |
Note that pain was also assessed in [[start|Lifelines]] participants as a symptom of several specified medical conditions, for example [[musculoskeletal symptoms|here]]. | Note that pain was also assessed in [[start|Lifelines]] participants as a symptom of several specified medical conditions, for example [[musculoskeletal symptoms|here]]. | ||
===== Background ===== | ===== Background ===== | ||
+ | Lifelines repeatedly assessed the presence of fibromyalgia by [[musculoskeletal conditions|self-report]]. However, recent studies indicate that this method misses ~77% of fibromyalgia diagnoses((Warren JW, Clauw DJ (2012). Functional somatic syndromes: sensitivities and specificities of self-reports of physician diagnosis. Psychosomatic Medicine 74(9):891-895)). The WPI improves the identification of participants that meet the diagnostic criteria for fibromyalgia by assessing the presence of individual symptoms rather than the disease itself.\\ | ||
The WPI assesses bodily pain on a 0-19 scale by asking participants if they have had pain or tenderness in 19 different body regions over the past week, with each painful or tender region scoring 1 point.\\ | The WPI assesses bodily pain on a 0-19 scale by asking participants if they have had pain or tenderness in 19 different body regions over the past week, with each painful or tender region scoring 1 point.\\ | ||
- | The WPI originated as a part of the Fibromyalgia Survey Questionnaire (FSQ) that sets diagnostic criteria for [[https://en.wikipedia.org/wiki/Fibromyalgia|fibromyalgia]]. The full FSQ also contains a symptom severity score (SSS) for the following symptoms: fatigue, waking unrefreshed, cognitive symptoms and somatic symptoms ((Wolfe F. et al. (2011) Fibromyalgia criteria and severity scales for clinical and epidemiological studies: a modification of the ACR Preliminary Diagnostic Criteria for Fibromyalgia. Journal of Rheumatology 38(6): 1113–1122)). In Lifelines, this information can be derived from other variables (i.e. [[fatigue (general)]], [[symptoms (SCL-90)]], and various [[mental health|cognition]]-related variables).\\ | + | The instrument originated as a part of the Fibromyalgia Survey Questionnaire (FSQ) that sets diagnostic criteria for [[https://en.wikipedia.org/wiki/Fibromyalgia|fibromyalgia]]. The full FSQ also contains a symptom severity score (SSS) for the following symptoms: fatigue, waking unrefreshed, cognitive symptoms and somatic symptoms ((Wolfe F. et al. (2011) Fibromyalgia criteria and severity scales for clinical and epidemiological studies: a modification of the ACR Preliminary Diagnostic Criteria for Fibromyalgia. Journal of Rheumatology 38(6): 1113–1122)). In Lifelines, this information can be derived from other variables (i.e. [[fatigue (general)]], [[symptoms (SCL-90)]], and various [[mental health|cognition]]-related variables).\\ |
- | The WPI was implemented in assessment [[2A]] as an addition to the self-report fibromyalgia question for [[musculoskeletal conditions|fibromyalgia]] at [[|baseline]], as recent studies indicate that this methodology misses 77% of the fibromyalgia diagnoses ((Warren JW, Clauw DJ (2012). Functional somatic syndromes: sensitivities and specificities of self-reports of physician diagnosis. Psychosomatic Medicine 74(9):891-895)). Implementation of the WPI facilitates the identification of Lifelines participants that meet the diagnostic criteria of fibromyalgia. | + | |
===== Validity ===== | ===== Validity ===== | ||
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===== Variables ===== | ===== Variables ===== | ||
- | | **Questions English** | **Questions Dutch** | **Variable** | **Assessment** | **Age** | | + | | **Questions English** | **Questions Dutch** | **Code** | **Variable** | **Assessment** | **Age** | |
- | | Please indicate whether the parts of the body listed below were painful and/or tender in the past 7 days: | Geef aan of de onderstaande lichaamsdelen pijnlijk en/of gevoelig waren in de afgelopen 7 dagen: | | | | | + | | Please indicate whether the parts of the body listed below were painful and/or tender in the past 7 days: | Geef aan of de onderstaande lichaamsdelen pijnlijk en/of gevoelig waren in de afgelopen 7 dagen: | | | | | |
- | | Left shoulder | Linker schouder | WPI1 | [[2A Questionnaire 2|2A]] [[NEXT]] | 18+ | | + | | Left shoulder | Linker schouder | wpi_shoulderleft_adu_q_01 | WPI1 | [[2A Questionnaire 2|2A]] [[3A Questionnaire 1|3A]] [[NEXT]] | 18+ | |
- | | Right shoulder | Rechter schouder | WPI2 | [[2A Questionnaire 2|2A]] [[NEXT]] | 18+ | | + | | Right shoulder | Rechter schouder | wpi_shoulderright_adu_q_02 | WPI2 | [[2A Questionnaire 2|2A]] [[3A Questionnaire 1|3A]] [[NEXT]] | 18+ | |
- | | Left hip | Linker heup | WPI3 | [[2A Questionnaire 2|2A]] [[NEXT]] | 18+ | | + | | Left hip | Linker heup | wpi_hipleft_adu_q_03 | WPI3 | [[2A Questionnaire 2|2A]] [[3A Questionnaire 1|3A]] [[NEXT]] | 18+ | |
- | | Right hip | Rechter heup | WPI4 | [[2A Questionnaire 2|2A]] [[NEXT]] | 18+ | | + | | Right hip | Rechter heup | wpi_hipright_adu_q_04 | WPI4 | [[2A Questionnaire 2|2A]] [[3A Questionnaire 1|3A]] [[NEXT]] | 18+ | |
- | | Left upper arm | Linker bovenarm | WPI5 | [[2A Questionnaire 2|2A]] [[NEXT]] | 18+ | | + | | Left upper arm | Linker bovenarm | wpi_upperarmleft_adu_q_05 | WPI5 | [[2A Questionnaire 2|2A]] [[3A Questionnaire 1|3A]] [[NEXT]] | 18+ | |
- | | Right upper arm | Rechter bovenarm | WPI6 | [[2A Questionnaire 2|2A]] [[NEXT]] | 18+ | | + | | Right upper arm | Rechter bovenarm | wpi_upperarmright_adu_q_06 | WPI6 | [[2A Questionnaire 2|2A]] [[3A Questionnaire 1|3A]] [[NEXT]] | 18+ | |
- | | Left lower arm | Linker onderarm | WPI7 | [[2A Questionnaire 2|2A]] [[NEXT]] | 18+ | | + | | Left lower arm | Linker onderarm | wpi_lowerarmleft_adu_q_07 | WPI7 | [[2A Questionnaire 2|2A]] [[3A Questionnaire 1|3A]] [[NEXT]] | 18+ | |
- | | Right lower arm | Rechter onderarm | WPI8 | [[2A Questionnaire 2|2A]] [[NEXT]] | 18+ | | + | | Right lower arm | Rechter onderarm | wpi_lowerarmright_adu_q_08 | WPI8 | [[2A Questionnaire 2|2A]] [[3A Questionnaire 1|3A]] [[NEXT]] | 18+ | |
- | | Left upper leg | Linker bovenbeen | WPI9 | [[2A Questionnaire 2|2A]] [[NEXT]] | 18+ | | + | | Left upper leg | Linker bovenbeen | wpi_upperlegleft_adu_q_09 | WPI9 | [[2A Questionnaire 2|2A]] [[3A Questionnaire 1|3A]] [[NEXT]] | 18+ | |
- | | Right upper leg | Rechter bovenbeen | WPI10 | [[2A Questionnaire 2|2A]] [[NEXT]] | 18+ | | + | | Right upper leg | Rechter bovenbeen | wpi_upperlegright_adu_q_10 | WPI10 | [[2A Questionnaire 2|2A]] [[3A Questionnaire 1|3A]] [[NEXT]] | 18+ | |
- | | Left lower leg | Linker onderbeen | WPI11 | [[2A Questionnaire 2|2A]] [[NEXT]] | 18+ | | + | | Left lower leg | Linker onderbeen | wpi_lowerlegleft_adu_q_11 | WPI11 | [[2A Questionnaire 2|2A]] [[3A Questionnaire 1|3A]] [[NEXT]] | 18+ | |
- | | Right lower leg | Rechter onderbeen | WPI12 | [[2A Questionnaire 2|2A]] [[NEXT]] | 18+ | | + | | Right lower leg | Rechter onderbeen | wpi_lowerlegright_adu_q_12 | WPI12 | [[2A Questionnaire 2|2A]] [[3A Questionnaire 1|3A]] [[NEXT]] | 18+ | |
- | | Left side of jaw | Linker kaak | WPI13 | [[2A Questionnaire 2|2A]] [[NEXT]] | 18+ | | + | | Left side of jaw | Linker kaak | wpi_jawleft_adu_q_13 | WPI13 | [[2A Questionnaire 2|2A]] [[3A Questionnaire 1|3A]] [[NEXT]] | 18+ | |
- | | Right side of jaw | Rechter kaak | WPI14 | [[2A Questionnaire 2|2A]] [[NEXT]] | 18+ | | + | | Right side of jaw | Rechter kaak | wpi_jawright_adu_q_14 | WPI14 | [[2A Questionnaire 2|2A]] [[3A Questionnaire 1|3A]] [[NEXT]] | 18+ | |
- | | Chest | Borstkas | WPI15 | [[2A Questionnaire 2|2A]] [[NEXT]] | 18+ | | + | | Chest | Borstkas | wpi_chest_adu_q_15 | WPI15 | [[2A Questionnaire 2|2A]] [[3A Questionnaire 1|3A]] [[NEXT]] | 18+ | |
- | | Abdomen | Buik | WPI16 | [[2A Questionnaire 2|2A]] [[NEXT]] | 18+ | | + | | Abdomen | Buik | wpi_abdomen_adu_q_16 | WPI16 | [[2A Questionnaire 2|2A]] [[3A Questionnaire 1|3A]] [[NEXT]] | 18+ | |
- | | Upper back | Bovenrug | WPI17 | [[2A Questionnaire 2|2A]] [[NEXT]] | 18+ | | + | | Upper back | Bovenrug | wpi_upperback_adu_q_17 | WPI17 | [[2A Questionnaire 2|2A]] [[3A Questionnaire 1|3A]] [[NEXT]] | 18+ | |
- | | Lower back | Onderrug | WPI18 | [[2A Questionnaire 2|2A]] [[NEXT]] | 18+ | | + | | Lower back | Onderrug | wpi_lowerback_adu_q_18 | WPI18 | [[2A Questionnaire 2|2A]] [[3A Questionnaire 1|3A]] [[NEXT]] | 18+ | |
- | | Neck | Nek | WPI19 | [[2A Questionnaire 2|2A]] [[NEXT]] | 18+ | | + | | Neck | Nek | wpi_neck_adu_q_19 | WPI19 | [[2A Questionnaire 2|2A]] [[3A Questionnaire 1|3A]] [[NEXT]] | 18+ | |