Die Anamnese beim Fibromyalgiesyndrom (FMS)
Similar to other medical disciplines in rheumatology and especially in the FMS the case history is the base of diagnosis and of a good doctor-patient relationship.
A comprehensive interview is very important in FMS, especially when there is a lack of objective findings. When patients are not given the opportunity to discuss their complaints, they will consult several doctors in an attempt to gain an understanding of their disease.
The doctor should conduct the patient interview in a personal atmosphere, the seated beside, rather than in front of the patient. Further, the interviewer must listen attentively toward a better understanding of the particular autoplastic disease.
After giving a thorough description of complaints, the patient should be encouraged to talk about his life and social history, family status, experiences in early childhood, educational level, occupation, and job conditions often have pathogenic influences. Also, very important are frequency and length of work absence due to disability, details about medical examinations and subsequent courses of treatment. Especially important is information about drug therapy, its efficacy, side-effects, and compliance.
Furthermore, the doctor should determine and examine the pain, autonomic reactions, sleep disturbances, and other modulating factors. A good aid in obtaining a complete picture of the patients’ disease is a self-report questionnaire; the answer given can then be scored, comparable with other findings, and they then will have good predictive value.
Finally, the doctor must pay careful attention to the patients’ non-verbal communication.
Unable to display preview. Download preview PDF.
- 1.Adler R, Hemmerle W (1989) Praxis und Theorie der Anamnese. Fischer, StuttgartGoogle Scholar
- 3.Luban-Plozza B, Pöldinger W, Kröger F (Hrsg) (1989) Der psychosomatische Zugang zum Patienten. In: Der psychosomatisch Kranke in der Praxis. Springer, Berlin Heidelberg New York TokyoGoogle Scholar
- 4.Petrilowitsch N (1966) Abnorme Persönlichkeiten. Karger, BaselGoogle Scholar
- 5.Pincus T, Callahan LF (1989) Self-report questionnaires in five rheumatic diseases. Arthritis Care Res 2 (4): 1–9Google Scholar
- 6.Schneider K (1950) Die psychopathischen Persönlichkeiten. Deuticke, WienGoogle Scholar