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Abstract Number: 0026

A Modified Version of the 2016 ACR Fibromyalgia Criteria Cognitive Items Results in Stronger Correlation Between Subjective and Objective Measures of Cognitive Impairment

Valerie Aloush1, Chen Yaalon2, Sheer Raev2, Noy Sobol2, Jacob Ablin1, Ran Shorer3 and Odelia Elkana2, 1Tel Aviv Sourasky Medical Center, Tel Aviv, Israel, 2Academic College Tel Aviv Jaffa, Tel Aviv, Israel, 3Tel Aviv Medical Center, Tel Aviv, Israel

Meeting: ACR Convergence 2020

Keywords: Cognitive dysfunction, Diagnostic criteria, fibromyalgia

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Session Information

Date: Friday, November 6, 2020

Session Title: Fibromyalgia & Other Clinical Pain Syndromes Poster

Session Type: Poster Session A

Session Time: 9:00AM-11:00AM

Background/Purpose: In a previous study, we showed that the subjective item assessing cognitive impairment (SSS-Cog) for fibromyalgia (FM) did not correlate with objective cognitive measures. In the current study we describe two modifications designed to enhance this correlation: extending the current SSS-cog scale from 0-3 to 1-5, and a new questionnaire that specifically targets cognitive impairments associated with FM.

Methods: Sixty-two FM patients underwent a computerized cognitive assessment battery. FM symptoms were assessed on the Fibromyalgia Impact Questionnaire (FIQ); the Widespread Pain Index (WPI); the Symptom Severity Scale (SSS), the new SSS-Cog scale ranging from 1 to5, the Beck Depression Inventory (BDI) and the new cognitive questionnaire developed by the authors.

Results: Significant correlations were found between the new SSS-Cog scale, the global cognitive score and all indices [Global Score r= -. 532, p= .00; Indices: Memory r= -.305, p= .01; Executive function r = -.514, p= .00; Attention r = -.471, p= .00; Processing Speed r = -.468, p= .00; Motor Skills r= -.495, p= .00]. Significant correlations were found between the questionnaire items developed by the authors and the global cognitive score and all indices except the memory index [Global Score r= -. 522, p= .00; Indices: Memory r= -.163, p= .212; Executive function r= -.477, p= .00; Attention r= -.439, p= .00; Processing Speed r= -.496, p= .00; Motor Skills r= -.532, p= .00].

Conclusion: Given the simplicity of the extending scale, we suggest incorporating this modification into the American College of Rheumatology (ACR) FM diagnostic criteria.


Disclosure: V. Aloush, None; C. Yaalon, None; S. Raev, None; N. Sobol, None; J. Ablin, None; R. Shorer, None; O. Elkana, None.

To cite this abstract in AMA style:

Aloush V, Yaalon C, Raev S, Sobol N, Ablin J, Shorer R, Elkana O. A Modified Version of the 2016 ACR Fibromyalgia Criteria Cognitive Items Results in Stronger Correlation Between Subjective and Objective Measures of Cognitive Impairment [abstract]. Arthritis Rheumatol. 2020; 72 (suppl 10). https://acrabstracts.org/abstract/a-modified-version-of-the-2016-acr-fibromyalgia-criteria-cognitive-items-results-in-stronger-correlation-between-subjective-and-objective-measures-of-cognitive-impairment/. Accessed May 16, 2022.
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