Evaluating fibromyalgia for management

DomainsKey questions and characteristicsTests
MoodEver diagnosed with depression, anxiety, or other psychiatric condition?Depression (PHQ-9)
Anxiety (GAD-7)
Bipolar screen (MDQ)
SleepDifficulty falling or staying asleep? Average hours slept, daytime sleepiness, snoring, apnea?
Prior diagnosis of narcolepsy, sleep apnea, or restless leg syndrome?
Physical conditioningModerate aerobic exercise at least 30 minutes 3 times a week?
Stressful life eventsPast stressors: born premature, unhappy childhood, history of mental, physical, or sexual abuse?
Current stressors: financial, family, health, social?
Maladaptive pain responses, catastrophizingDoes patient use a lot of drama to describe symptoms?Pain Catastrophizing Scale
FunctionAre you working? Have you applied for disability benefits?
  • GAD-7 = Generalized Anxiety Disorder Assessment; MDQ = Mood Disorder Questionnaire; PHQ-9 = Patient Health Questionnaire-Depression 9