Unique clinical and psychological correlates of fibromyalgia tender points and joint tenderness in rheumatoid arthritis

Arthritis Rheum. 1994 Oct;37(10):1513-20. doi: 10.1002/art.1780371016.


Objective: We investigated the relationship of fibromyalgia (FM) tender points to other manifestations of rheumatoid arthritis (RA).

Methods: Sixty-seven RA patients completed questionnaires at study entry and described symptoms, emotionally significant events, and mood every evening for 75 days. Joint and tender point examinations were conducted every 2 weeks.

Results: Controlling for joint tenderness, the tender point count correlated with the degree of daily stress. Depression was not significantly related when daily stress was controlled for.

Conclusion: We conclude that FM tender point counts correlate uniquely with RA patients' reports of daily stress.

Publication types

  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adult
  • Arthritis, Rheumatoid / complications
  • Arthritis, Rheumatoid / psychology*
  • Depression / psychology
  • Female
  • Fibromyalgia / complications
  • Fibromyalgia / psychology*
  • Humans
  • Male
  • Middle Aged
  • Severity of Illness Index
  • Stress, Psychological / psychology*