{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T17:29:09Z","timestamp":1777915749267,"version":"3.51.4"},"reference-count":0,"publisher":"SAGE Publications","issue":"8","license":[{"start":{"date-parts":[[2008,10,1]],"date-time":"2008-10-01T00:00:00Z","timestamp":1222819200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Women's Health"],"published-print":{"date-parts":[[2008,10]]},"abstract":"<jats:p>Fibromyalgia is a disorder of chronic generalized musculoskeletal pain affecting 2% of the general population, with an increased frequency in women. Clinical diagnosis relies on history and research-supported tender point criteria. As in other chronic pain syndromes, a multidimensional approach optimizes treatment response. Empirical data and consensus support the use of nonpharmacological modalities, such as education, aerobic exercise, and cognitive behavioral therapy, in the management of fibromyalgia. Evidence-supported pharmacological interventions include tricyclic antidepressants, serotonin-norepinephrine reuptake inhibitors, selective serotonin reuptake inhibitors, alpha-2-delta ligands, and other serotonergic-noradrenergic analgesic agents, such as tramadol. This paper offers the primary healthcare provider a systematic approach to the diagnosis of fibromyalgia and management strategies based on available evidence, consensus, and empirical data.<\/jats:p>","DOI":"10.1089\/jwh.2007.0656","type":"journal-article","created":{"date-parts":[[2008,9,14]],"date-time":"2008-09-14T08:07:19Z","timestamp":1221379639000},"page":"1379-1387","source":"Crossref","is-referenced-by-count":10,"title":["Fibromyalgia: Diagnosis and Management for the Primary Healthcare Provider"],"prefix":"10.1177","volume":"17","author":[{"given":"Christine N.","family":"Huynh","sequence":"first","affiliation":[{"name":"Division of General Internal Medicine, Virginia Commonwealth University, Richmond, Virginia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Leanne M.","family":"Yanni","sequence":"additional","affiliation":[{"name":"Division of General Internal Medicine, Virginia Commonwealth University, Richmond, Virginia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laura A.","family":"Morgan","sequence":"additional","affiliation":[{"name":"School of Pharmacy, Virginia Commonwealth University, Richmond, Virginia."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2008,10,1]]},"container-title":["Journal of Women's Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/jwh.2007.0656","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/jwh.2007.0656","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T17:28:44Z","timestamp":1777656524000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1089\/jwh.2007.0656"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2008,10]]},"references-count":0,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2008,10]]}},"alternative-id":["10.1089\/jwh.2007.0656"],"URL":"https:\/\/doi.org\/10.1089\/jwh.2007.0656","relation":{},"ISSN":["1540-9996","1931-843X"],"issn-type":[{"value":"1540-9996","type":"print"},{"value":"1931-843X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2008,10]]}}}