User Tools

Site Tools


musculoskeletal_pain_wpi

This is an old revision of the document!


Musculoskeletal pain (WPI)

The 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 (section: Diseases & symptoms).
Note that pain was also assessed in Lifelines participants as a symptom of several specified medical conditions, for example here.

Background

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.

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 separately3).

Variables

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+
1)
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
2)
Warren JW, Clauw DJ (2012). Functional somatic syndromes: sensitivities and specificities of self-reports of physician diagnosis. Psychosomatic Medicine 74(9):891-895
3)
Häuser W. et al. (2012). Validation of the Fibromyalgia Survey Questionnaire within a cross-sectional survey. PLoS One 7(5):e37504
You could leave a comment if you were logged in.
musculoskeletal_pain_wpi.1573735865.txt.gz · Last modified: 2025/02/05 14:49 (external edit)