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Modern Rheumatology
Published in: Modern Rheumatology 5/2013

01-09-2013 | Original Article

The Japanese version of the modified ACR Preliminary Diagnostic Criteria for Fibromyalgia and the Fibromyalgia Symptom Scale: reliability and validity

Authors: Chie Usui, Kotaro Hatta, Satoko Aratani, Naoko Yagishita, Kenya Nishioka, Teruhisa Kanazawa, Kenji Itoh, Yoshihisa Yamano, Hiroyuki Nakamura, Toshihiro Nakajima, Kusuki Nishioka

Published in: Modern Rheumatology | Issue 5/2013

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Abstract

Purpose

The aim of this study is to investigate the reliability and validity of the Japanese version of the modified American College of Rheumatology (ACR) Preliminary Diagnostic Criteria for Fibromyalgia (mACR 2010-J) and the Fibromyalgia Symptom Scale (mFS-J).

Methods

According to the ACR 1990 classification criteria, patients with chronic pain were divided into the fibromyalgia group and nonfibromyalgia group (rheumatoid arthritis and osteoarthritis). Patients in both groups were assessed using mACR 2010-J and mFS-J.

Results

294 of 462 (64 %) patients in the fibromyalgia group met mACR 2010-J, whereas 4 % (9/231) of the nonfibromyalgia group did, with sensitivity of 64 %, specificity of 96 %, positive predictive value of 97 %, negative predictive value of 56 %, and positive likelihood ratio of 16.3. Mean total scores on mFS-J significantly differentiated the fibromyalgia from the nonfibromyalgia group. According to the value of the Youden index, the best cutoff score for the mFS-J was 9/10.

Conclusion

Our findings indicate that mACR 2010-J as a positive test and mFS-J as a quantification scale might be suitable for assessing fibromyalgia among Japanese chronic pain populations.
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Metadata
Title
The Japanese version of the modified ACR Preliminary Diagnostic Criteria for Fibromyalgia and the Fibromyalgia Symptom Scale: reliability and validity
Authors
Chie Usui
Kotaro Hatta
Satoko Aratani
Naoko Yagishita
Kenya Nishioka
Teruhisa Kanazawa
Kenji Itoh
Yoshihisa Yamano
Hiroyuki Nakamura
Toshihiro Nakajima
Kusuki Nishioka
Publication date
01-09-2013
Publisher
Springer Japan
Published in
Modern Rheumatology / Issue 5/2013
Print ISSN: 1439-7595
Electronic ISSN: 1439-7609
DOI
https://doi.org/10.1007/s10165-012-0759-x

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