{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T20:08:08Z","timestamp":1792786088663,"version":"4.5.0"},"reference-count":44,"publisher":"Oxford University Press (OUP)","issue":"10","funder":[{"DOI":"10.13039\/100000738","name":"Department of Veterans Affairs","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000738","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Veterans Health Administration","id":[{"id":"https:\/\/ror.org\/05eq41471","id-type":"ROR","asserted-by":"crossref"}]},{"DOI":"10.13039\/100019294","name":"Office of Rural Health","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100019294","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Veterans Rural Health Resource Center\u2014Iowa City","award":["04244"],"award-info":[{"award-number":["04244"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,10,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To examine the prevalence of co-occurring chronic overlapping pain conditions (COPCs) and utilization of recommended treatments for the management of fibromyalgia among veterans served by the US Department of Veterans Affairs (VA) healthcare system.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Data from the Veterans Health Administration Corporate Data Warehouse were derived from a cohort diagnosed with fibromyalgia. Sociodemographic and clinical characteristics and the presence of 9 COPCs were examined. Commonly recommended treatments for the management of fibromyalgia were assessed across 2 domains: nonpharmacological and pharmacological. Multimodal treatment engagement was also examined. A series of logistic regressions was used to assess the impact of sex on treatment engagement, in both unadjusted models and models adjusted for sociodemographic and clinical characteristics.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The 30\u2009462 veterans were majority female (58.9%), White (68.3%) and 45 to 64\u2009years old (55.0%). Women were more likely than men to be diagnosed with a co-occurring COPC (adjusted odds ratio [aOR]: 1.17, 95% confidence interval [CI]: 1.11\u20131.23). Women were more likely to engage in physical therapy, psychotherapy, or any complementary approaches (aOR range: 1.28\u20131.52). Women were also more likely than men to be prescribed cyclobenzaprine (aOR: 1.36, 95% CI: 1.28\u20131.45) and less likely than men to be prescribed pregabalin (aOR: 0.80, 95% CI: 0.75\u20130.85). Although women were more likely to engage in multimodal treatment (aOR: 1.29, 95% CI: 1.19\u20131.40), overall rates for both women and men were between 9% and 12%.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Although women veterans with fibromyalgia were more likely than men to receive nonpharmacological treatments, overall receipt rates for these approaches were low in both women and men. Future work in this area is needed to examine potential barriers to access and engagement.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/pm\/pnag069","type":"journal-article","created":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T11:45:26Z","timestamp":1780573526000},"page":"1129-1138","source":"Crossref","is-referenced-by-count":0,"title":["Co-occurring chronic overlapping pain conditions and pain management engagement in veterans diagnosed with fibromyalgia: a comparison of women and men"],"prefix":"10.1093","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1468-789X","authenticated-orcid":false,"given":"Jenna L","family":"Adamowicz","sequence":"first","affiliation":[{"name":"VA Connecticut Healthcare System Research Service, , West Haven, CT,","place":["United States"]},{"name":"Department of Psychiatry, Yale School of Medicine , New Haven, CT,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brian C","family":"Lund","sequence":"additional","affiliation":[{"name":"Office of Rural Health, Veterans Rural Health Resource Center, Iowa City VA Healthcare System , Iowa City, IA,","place":["United States"]},{"name":"Center for Access and Delivery Research and Evaluation, Iowa City VA Healthcare System , Iowa City, IA,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lauren","family":"Garvin","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Carver College of Medicine, University of Iowa , Iowa City, IA,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mary A","family":"Driscoll","sequence":"additional","affiliation":[{"name":"VA Connecticut Healthcare System Research Service, , West Haven, CT,","place":["United States"]},{"name":"Department of Psychiatry, Yale School of Medicine , New Haven, CT,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0513-4609","authenticated-orcid":false,"given":"Katherine","family":"Hadlandsmyth","sequence":"additional","affiliation":[{"name":"Office of Rural Health, Veterans Rural Health Resource Center, Iowa City VA Healthcare System , Iowa City, IA,","place":["United States"]},{"name":"College of Nursing, University of Iowa , Iowa City, IA,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,6,5]]},"reference":[{"key":"2026100509370695400_pnag069-B1","doi-asserted-by":"publisher","first-page":"319","DOI":"10.1016\/j.semarthrit.2016.08.012","article-title":"2016 Revisions to the 2010\/2011 fibromyalgia diagnostic criteria","volume":"46","author":"Wolfe","year":"2016","journal-title":"Semin Arthritis 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