{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T21:14:55Z","timestamp":1790802895174,"version":"4.1.0"},"reference-count":48,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2019,2,11]],"date-time":"2019-02-11T00:00:00Z","timestamp":1549843200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["European Journal of Pain"],"published-print":{"date-parts":[[2019,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:label\/><jats:p>Fibromyalgia represents a condition still controversial in its entity, pathophysiology, diagnosis and management (Figure <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"#ejp1367-fig-0001\"\/>). In a world where everybody is connected, and everybody is sharing their own image, fibromyalgia (FM) represents the emblematic pathology of misconnection and lack of specific biomarker. FM is an invisible experience with all normal tests and analyses, without any visible biomarker to exhibit to healthcare professionals, colleagues and relatives. In this context, we propose to consider FM as a disease of misconnection at different levels: misconnection with society, misconnection with healthcare professionals, misconnection with pathophysiological concepts, misconnection between brain and body. The concept of misconnection defines FM in a different and holistic view and proposes different views of assessment, management and representation:\n<jats:list list-type=\"bullet\">\n<jats:list-item><jats:p>FM pathophysiology: the desynchronization of brain and body<\/jats:p><\/jats:list-item>\n<jats:list-item><jats:p>FM recognition: the broken link between patients and physicians<\/jats:p><\/jats:list-item>\n<jats:list-item><jats:p>FM assessment: merging the body and mind for an optimal diagnosis and management<\/jats:p><\/jats:list-item>\n<jats:list-item><jats:p>FM treatment: re\u2010establishing the good connections at different levels<\/jats:p><\/jats:list-item>\n<\/jats:list><\/jats:p><jats:p>We hope to reconnect FM patients with all healthcare providers, help FM patients reconnect with their painful body and integrate FM into regular medical practice.<\/jats:p><\/jats:sec><jats:sec><jats:title>Significance<\/jats:title><jats:p>The concept of misconnection defines FM in a different and holistic view, and propose different views of assessment, management and representation.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ejp.1367","type":"journal-article","created":{"date-parts":[[2019,1,21]],"date-time":"2019-01-21T13:24:16Z","timestamp":1548077056000},"page":"866-873","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":43,"title":["Fibromyalgia: A misconnection in a multiconnected world?"],"prefix":"10.1002","volume":"23","author":[{"given":"Serge","family":"Perrot","sequence":"first","affiliation":[{"name":"Pain Center H\u00f4pital Cochin, INSERM U987, Paris Descartes University Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,2,11]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.3899\/jrheum.170095"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2017.03.020"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2007.07.003"},{"key":"e_1_2_8_5_1","first-page":"168","article-title":"Muscular rheumatism","volume":"11","author":"Balfour W.","year":"1815","journal-title":"Edinburgh Medical and Surgical Journal"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12955-014-0128-x"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/ejp.1121"},{"key":"e_1_2_8_8_1","first-page":"CD012700","article-title":"Aerobic exercise training for adults with fibromyalgia","volume":"6","author":"Bidonde J.","year":"2017","journal-title":"Cochrane Database Systematic Review"},{"key":"e_1_2_8_9_1","volume-title":"The normal and the Pathological, trans. 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