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The 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 (section: Diseases & symptoms).
Note that pain was also assessed in Lifelines participants as a symptom of several specified medical conditions, for example here.
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 fibromyalgia. The full FSQ also contains a symptom severity score (SSS) for the following symptoms: fatigue, waking unrefreshed, cognitive symptoms and somatic symptoms 1). In Lifelines, this information can be derived from other variables (i.e. fatigue (general), symptoms (SCL-90), and various cognition-related variables).
The WPI was implemented in assessment 2A as an addition to the self-report fibromyalgia question for fibromyalgia at baseline, as recent studies indicate that this methodology misses 77% of the fibromyalgia diagnoses 2). Implementation of the WPI facilitates the identification of Lifelines participants that meet the diagnostic criteria of fibromyalgia.
A recent German study showed that the reliability, convergent and discriminant validity of the FSQ were good, however, the The WPI was not evaluated separately3).
Questions English | Questions Dutch | 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: | |||
Left shoulder | Linker schouder | WPI1 | 2A NEXT | 18+ |
Right shoulder | Rechter schouder | WPI2 | 2A NEXT | 18+ |
Left hip | Linker heup | WPI3 | 2A NEXT | 18+ |
Right hip | Rechter heup | WPI4 | 2A NEXT | 18+ |
Left upper arm | Linker bovenarm | WPI5 | 2A NEXT | 18+ |
Right upper arm | Rechter bovenarm | WPI6 | 2A NEXT | 18+ |
Left lower arm | Linker onderarm | WPI7 | 2A NEXT | 18+ |
Right lower arm | Rechter onderarm | WPI8 | 2A NEXT | 18+ |
Left upper leg | Linker bovenbeen | WPI9 | 2A NEXT | 18+ |
Right upper leg | Rechter bovenbeen | WPI10 | 2A NEXT | 18+ |
Left lower leg | Linker onderbeen | WPI11 | 2A NEXT | 18+ |
Right lower leg | Rechter onderbeen | WPI12 | 2A NEXT | 18+ |
Left side of jaw | Linker kaak | WPI13 | 2A NEXT | 18+ |
Right side of jaw | Rechter kaak | WPI14 | 2A NEXT | 18+ |
Chest | Borstkas | WPI15 | 2A NEXT | 18+ |
Abdomen | Buik | WPI16 | 2A NEXT | 18+ |
Upper back | Bovenrug | WPI17 | 2A NEXT | 18+ |
Lower back | Onderrug | WPI18 | 2A NEXT | 18+ |
Neck | Nek | WPI19 | 2A NEXT | 18+ |