{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,27]],"date-time":"2026-09-27T13:57:01Z","timestamp":1790517421284,"version":"4.1.0"},"reference-count":37,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2020,5,18]],"date-time":"2020-05-18T00:00:00Z","timestamp":1589760000000},"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":[[2020,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Fibromyalgia has been associated with various physical and mental disorders. However, these comorbidities need to be quantified in a population\u2010based study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>We compared participants with and without self\u2010reported fibromyalgia to assess (a) The prevalence of self\u2010reported fibromyalgia and its sociodemographic characteristics in a US representative sample, (b) The associations between self\u2010reported fibromyalgia and lifetime and past 12\u2010month mental and physical disorders and (c) The quality of life associated with self\u2010reported fibromyalgia. This cross\u2010sectional study used a large national sample (<jats:italic>n<\/jats:italic>\u00a0=\u00a036,309) of the US population, the National Epidemiologic Survey on Alcohol and Related Conditions\u2010III. Face to face interviews were conducted, collecting sociodemographic characteristics, diagnostic and statistical manual of mental disorders\u20105 structured diagnosis and self\u2010reported medical conditions (including fibromyalgia).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The past 12\u2010month prevalence of self\u2010reported fibromyalgia was estimated at 2.05%. Participants with self\u2010reported fibromyalgia were significantly at higher risk to report a lifetime history of mental disorder (adjusted odds ratio [aOR]\u00a0=\u00a02.32). Self\u2010reported fibromyalgia was also positively associated with 24 of the 27 physical conditions assessed in this study. Participants with self\u2010reported fibromyalgia were more likely to report a past 12\u2010month history of suicide attempts (aOR\u00a0=\u00a05.81), substance use disorders (aOR\u00a0=\u00a01.40), mood disorders (aOR\u00a0=\u00a02.67), anxiety disorders (aOR\u00a0=\u00a02.75) and eating disorders (aOR\u00a0=\u00a02.45). Participants with self\u2010reported fibromyalgia had lower levels of both mental and physical quality of life than those without fibromyalgia.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Participants with self\u2010reported fibromyalgia have a higher prevalence of comorbid mental and physical disorders, and lower mean levels of mental and physical quality of life than their counterparts without fibromyalgia.<\/jats:p><\/jats:sec><jats:sec><jats:title>Significance<\/jats:title><jats:p>We showed here a strong association of self\u2010reported fibromyalgia with both mental and physical comorbidities. We showed that among participants with self\u2010reported fibromyalgia, more than 8 out of 10 had at least three other physical comorbidities, and almost half had at least three mental comorbidities. This is a cross\u2010sectional study using a representative sample of the US population with highly reliable psychiatric diagnosis that makes our results generalizable. Practitioners managing fibromyalgia should search and treat these comorbidities.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ejp.1585","type":"journal-article","created":{"date-parts":[[2020,5,8]],"date-time":"2020-05-08T06:13:49Z","timestamp":1588918429000},"page":"1471-1483","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":23,"title":["Comorbidities of self\u2010reported fibromyalgia in United States adults: A cross\u2010sectional study from The National Epidemiological Survey on Alcohol and Related Conditions (NESARC\u2010III)"],"prefix":"10.1002","volume":"24","author":[{"given":"David","family":"Sleurs","sequence":"first","affiliation":[{"name":"AP\u2010HP Department of Psychiatry Louis Mourier Hospital Colombes France"},{"name":"INSERM U894 Centre for Psychiatry and Neurosciences Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah","family":"Tebeka","sequence":"additional","affiliation":[{"name":"AP\u2010HP Department of Psychiatry Louis Mourier Hospital Colombes France"},{"name":"INSERM U894 Centre for Psychiatry and Neurosciences Paris France"},{"name":"Sorbonne Paris Cite Faculty of Medicine Universit\u00e9 Paris Diderot Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claire","family":"Scognamiglio","sequence":"additional","affiliation":[{"name":"AP\u2010HP Department of Psychiatry Louis Mourier Hospital Colombes France"},{"name":"INSERM U894 Centre for Psychiatry and Neurosciences Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caroline","family":"Dubertret","sequence":"additional","affiliation":[{"name":"AP\u2010HP Department of Psychiatry Louis Mourier Hospital Colombes France"},{"name":"INSERM U894 Centre for Psychiatry and Neurosciences Paris France"},{"name":"Sorbonne Paris Cite Faculty of Medicine Universit\u00e9 Paris Diderot Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yann","family":"Le Strat","sequence":"additional","affiliation":[{"name":"AP\u2010HP Department of Psychiatry Louis Mourier Hospital Colombes France"},{"name":"INSERM U894 Centre for Psychiatry and Neurosciences Paris France"},{"name":"Sorbonne Paris Cite Faculty of Medicine Universit\u00e9 Paris Diderot Paris France"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,5,18]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/acr.22967"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0895-4356(00)00314-0"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpain.2015.06.004"},{"key":"e_1_2_9_6_1","first-page":"1","article-title":"Increase in Suicide in the United States, 1999\u20132014","volume":"241","author":"Curtin S. 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