Fibromyalgia & musculoskeletal pain

Reconsidering the boundaries between fibromyalgia and post-traumatic stress disorder: evidence from label-free distributional similarity analysis in 2,470 participants

Clin Exp RheumatolPublished Cross-sectional study

Authors' conclusion

These findings question the strict nosological separation of FM and PTSD and are compatible with a spectrum model of stress-related disorders.

Study context

Population
Adults aged 18–65 years with self-reported fibromyalgia (FM) or post-traumatic stress disorder (PTSD), and healthy controls, international online survey
Exposure
FM vs PTSD vs healthy controls
Outcome
Between-group distributional similarity (Hellinger distance) across somatic, psychological and affective domains
Methodological detailsinternational, online survey, adaptive sub-sampling with bootstrap resampling, Hellinger distance, stability analyses
  • International
  • Online survey
  • Adaptive sub-sampling with bootstrap resampling
  • Hellinger distance
  • Stability analyses

Main finding

As reported in the abstract

Between-group similarity across somatic, psychological and affective domains (threat, drive and soothing systems)
  • FM and PTSD showed substantial overlap with limited discriminatory capacity
  • Both FM and PTSD differed clearly from healthy controls

Observational data: associations, not effects.

Further findings

Co-occurrence of FM and PTSD criteria

Nearly half of participants meeting criteria for one condition also met criteria for the other (high co-occurrence)

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Reconsidering the boundaries between fibromyalgia and post-traumatic stress disorder: evidence from label-free distributional similarity analysis in 2,470 participants. Clin Exp Rheumatol. Published 22 June 2026. doi:10.55563/clinexprheumatol/um5fjb

Composed by AI from the published abstract and checked against it. How Briefs are made →

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