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pain_wpi [2019/10/16 13:27]
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-====== Widespread Pain Index (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 on a 0-19 scale by asking [[start|Lifelines]] 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 ([[sections|section]]:​ [[Diseases & symptoms]]).\\ 
-Note that pain was also assessed in Lifelines participants as a symptom of several specified medical conditions. 
- 
-===== Background ===== 
- 
-The WPI originated as a part of the Fibromylagia 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)]],​ [[Symtoms (SCL90)]], and various [[mental health|cognition]]-related variables).\\ 
-This instrument is required for the diagnosis of fibromyalgia in epidemiological studies. Scoring above a cut-off on this scale is one of the three diagnostic criteria for fibromyalgia. Including it in the Lifelines screening will add to a new diagnosis in the Lifelines dataset. The presence of fibromyalgia ​ is currently only questioned by self-report,​ but 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)). 
- 
-===== Validity ===== 
-A recent German study showed that the reliability,​ convergent and discriminant validity of the FSQ were good, however, the The WPI was not evaluated separately((Häuser W. et al. (2012). Validation of the Fibromyalgia Survey Questionnaire within a cross-sectional survey. PLoS One 7(5):​e37504)). ​ 
- 
-===== Variables ===== 
-| **Questions English** ​                                | **Questions Dutch** ​                                       | **Variable** ​ | **Assessment** ​                                                                      | **Age** ​ | 
-| In the previous week, how much were you bothered by:  | In welke mate werd u de afgelopen 7 dagen gehinderd door:  |               ​| ​                                                                                     |          | 
-| Headaches ​                                            | Hoofdpijn ​                                                 | SCL90SOM1 ​    | [[1A Questionnaire 1|1A]] [[1B]] [[1C]] [[2A Questionnaire 1|2A]] [[QEAR]] [[NEXT]] ​ | 18+      | 
-| Faintness or dizziness ​                               | Duizeligheid ​                                              | SCL90SOM2 ​    | [[1A Questionnaire 1|1A]] [[1B]] [[1C]] [[2A Questionnaire 1|2A]] [[QEAR]] [[NEXT]] ​ | 18+      | 
-| Pains in heart or chest                               | Pijn in de borst of hartstreek ​                            | SCL90SOM3 ​    | [[1A Questionnaire 1|1A]] [[1B]] [[1C]] [[2A Questionnaire 1|2A]] [[QEAR]] [[NEXT]] ​ | 18+      | 
-| Pains in lower back                                   | Pijn onder in de rug                                       | SCL90SOM4 ​    | [[1A Questionnaire 1|1A]] [[1B]] [[1C]] [[2A Questionnaire 1|2A]] [[QEAR]] [[NEXT]] ​ | 18+      | 
-| Nausea or upset stomach ​                              | Misselijkheid of een maag die van streek is                | SCL90SOM5 ​    | [[1A Questionnaire 1|1A]] [[1B]] [[1C]] [[2A Questionnaire 1|2A]] [[QEAR]] [[NEXT]] ​ | 18+      | 
-| Soreness of your muscles ​                             | Pijnlijke spieren ​                                         | SCL90SOM6 ​    | [[1A Questionnaire 1|1A]] [[1B]] [[1C]] [[2A Questionnaire 1|2A]] [[QEAR]] [[NEXT]] ​ | 18+      | 
-| Trouble getting your breath ​                          | Moeilijk adem kunnen krijgen ​                              | SCL90SOM7 ​    | [[1A Questionnaire 1|1A]] [[1B]] [[1C]] [[2A Questionnaire 1|2A]] [[QEAR]] [[NEXT]] ​ | 18+      | 
-| Hot or cold spells ​                                   | Je soms er warm, dan weer erg koud voelen ​                 | SCL90SOM8 ​    | [[1A Questionnaire 1|1A]] [[1B]] [[1C]] [[2A Questionnaire 1|2A]] [[QEAR]] [[NEXT]] ​ | 18+      | 
-| Numbness or tingling in parts of your body            | Een verdoofd of tintelend gevoel ergens in je lichaam ​     | SCL90SOM9 ​    | [[1A Questionnaire 1|1A]] [[1B]] [[1C]] [[2A Questionnaire 1|2A]] [[QEAR]] [[NEXT]] ​ | 18+      | 
-| A lump in your throat ​                                | Een brok in je keel                                        | SCL90SOM10 ​   | [[1A Questionnaire 1|1A]] [[1B]] [[1C]] [[2A Questionnaire 1|2A]] [[QEAR]] [[NEXT]] ​ | 18+      | 
-| N/A                                                   | Je lichamelijk erg slap voelen ​                            | SCL90SOM11* ​   | [[1A Questionnaire 1|1A]] [[1B]] [[1C]] [[QEAR]] ​                                    | 18+      | 
-| Feeling weak in parts of your body                    | Je lichamelijk ergens slap voelen ​                         | SCL90SOM11A ​  | [[2A Questionnaire 1|2A]] [[NEXT]] ​                                                  | 18+      | 
-| Heavy feelings in your arms or legs                   | Zwaar voelen in armen of benen                             | SCL90SOM12 ​   | [[1A Questionnaire 1|1A]] [[1B]] [[1C]] [[2A Questionnaire 1|2A]] [[NEXT]] ​          | 18+      | 
pain_wpi.1571225235.txt.gz · Last modified: 2025/02/05 14:49 (external edit)