Abstract
Fibromyalgia syndrome varies from being a mild intermittent disorder to one that is severe and protracted. Much of the management of the more common milder type is best done at the primary care level with the expectancy of improvement in key symptoms and a generally good prognosis. Careful appraisal of the dimensions of fibromyalgia is needed with an individualized management strategy. Critical to good outcome is the need for an understandable explanation of the mechanism of fibromyalgia and introduction to self-management skills that include exercise and techniques that minimize aberrant responses to psychosocial stressors. The primary care practitioner is well placed to identify risk factors that associate with fibromyalgia in order to minimize emotional distress accompanying illness or psychosocial predicaments. Little formal research has been done on these important areas. In contrast, there is much information on management of fibromyalgia when it presents to specialist practice. More complex and expensive approaches result in variable changes in the outcome of fibromyalgia.
| Original language | English |
|---|---|
| Pages (from-to) | 469-477 |
| Number of pages | 9 |
| Journal | Bailliere's Best Practice and Research in Clinical Rheumatology |
| Volume | 13 |
| Issue number | 3 |
| DOIs | |
| Publication status | Published - 1 Jan 1999 |
Keywords
- Emotional distress
- Fibromyalgia
- Interdisciplinary
- Management
- Primary care
- Psychosocial
Cite this
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Primary care and specialist management options. / Schachna, Lionel; Littlejohn, Geoffrey.
In: Bailliere's Best Practice and Research in Clinical Rheumatology, Vol. 13, No. 3, 01.01.1999, p. 469-477.Research output: Contribution to journal › Article › Research › peer-review
TY - JOUR
T1 - Primary care and specialist management options
AU - Schachna, Lionel
AU - Littlejohn, Geoffrey
PY - 1999/1/1
Y1 - 1999/1/1
N2 - Fibromyalgia syndrome varies from being a mild intermittent disorder to one that is severe and protracted. Much of the management of the more common milder type is best done at the primary care level with the expectancy of improvement in key symptoms and a generally good prognosis. Careful appraisal of the dimensions of fibromyalgia is needed with an individualized management strategy. Critical to good outcome is the need for an understandable explanation of the mechanism of fibromyalgia and introduction to self-management skills that include exercise and techniques that minimize aberrant responses to psychosocial stressors. The primary care practitioner is well placed to identify risk factors that associate with fibromyalgia in order to minimize emotional distress accompanying illness or psychosocial predicaments. Little formal research has been done on these important areas. In contrast, there is much information on management of fibromyalgia when it presents to specialist practice. More complex and expensive approaches result in variable changes in the outcome of fibromyalgia.
AB - Fibromyalgia syndrome varies from being a mild intermittent disorder to one that is severe and protracted. Much of the management of the more common milder type is best done at the primary care level with the expectancy of improvement in key symptoms and a generally good prognosis. Careful appraisal of the dimensions of fibromyalgia is needed with an individualized management strategy. Critical to good outcome is the need for an understandable explanation of the mechanism of fibromyalgia and introduction to self-management skills that include exercise and techniques that minimize aberrant responses to psychosocial stressors. The primary care practitioner is well placed to identify risk factors that associate with fibromyalgia in order to minimize emotional distress accompanying illness or psychosocial predicaments. Little formal research has been done on these important areas. In contrast, there is much information on management of fibromyalgia when it presents to specialist practice. More complex and expensive approaches result in variable changes in the outcome of fibromyalgia.
KW - Emotional distress
KW - Fibromyalgia
KW - Interdisciplinary
KW - Management
KW - Primary care
KW - Psychosocial
UR - http://www.scopus.com/inward/record.url?scp=0033379844&partnerID=8YFLogxK
U2 - 10.1053/berh.1999.0037
DO - 10.1053/berh.1999.0037
M3 - Article
VL - 13
SP - 469
EP - 477
JO - Best Practice and Research: Clinical Rheumatology
JF - Best Practice and Research: Clinical Rheumatology
SN - 1521-6942
IS - 3
ER -