There are more and more patients who pretend to suffer fibromyalgia with the aim of achieving a temporary or permanent incapacity for work but, according to a study of the Hospital October 9 of Valencia, which has been awarded as the best communication in the XIV Congress of the Valencian Society of RheumatologyThanks to clinical instruments and current validated questionnaires, this simulation can be detected and the demand of patients who truly suffer fibromyalgia with greater objectivity can be validated.

As explained by Dr. Rafael Belenguer, rheumatologist of the Hospital 9 de Octubre of Valencia, and in charge of this research, it is possible to determine a simulation or fictitious fibromyalgia pattern using certain clinical instruments, because people who pretend to have this disease have a tendency to express excessively high or reduced values ​​in response to the examination, which means, according to the expert, that if the exploratory pattern of fibromyalgia is carried out correctly, it will be possible to classify the patients in an appropriate way.

In the research, patients who feigned fibromyalgia showed excessively high or low values ​​in response to the tests

This research entitled 'Is there fictitious fibromyalgia? Keys for its detection with regard to the analysis of 211 patients who meet criteria ARC 1990 and 2010 of fibromyalgia ', aimed to validate the existence of a symptomatic pattern in simulators of fibromyalgia.

To evaluate whether patients were lying, validated and objective tests were used. The study included 211 patients from 25 to 65 years old (mostly women) who had been consecutively diagnosed with fibromyalgia with paid work from May 2006 until the same month of 2010, and who attended the Rheumatology clinic Hospital 9 de Octubre From Valencia.

It was established as a possible simulation case to patients with prolonged temporary work disability who requested a serious report, and as a control group to patients with fibromyalgia and the same evolution with brief temporary disability, or interrupted, or with absence of this disability Dr. Belenguer explained that people who pretended to suffer from fibromyalgia reported excessively high or low values ​​in response to various tests, both in relation to painful points, such as non-painful points, fatigue, 6-minute walk, FIQ, and the questionnaire London Handicap Scale.


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