{"id":"https://openalex.org/W2618795243","doi":null,"title":"Primary fibromyalgia is greater than tender points: toward a multiaxial taxonomy.","display_name":"Primary fibromyalgia is greater than tender points: toward a multiaxial taxonomy.","publication_year":1989,"publication_date":"1989-11-01","ids":{"openalex":"https://openalex.org/W2618795243","mag":"2618795243","pmid":"https://pubmed.ncbi.nlm.nih.gov/2691687"},"language":"en","primary_location":{"id":"pmid:2691687","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/2691687","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The Journal of rheumatology. Supplement","raw_type":"Journal Article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5110549233","display_name":"D. Turk","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I170201317","display_name":"University of Pittsburgh","ror":"https://ror.org/01an3r305","country_code":"US","type":"education","lineage":["https://openalex.org/I170201317"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"D C Turk","raw_affiliation_strings":["Department of Psychiatry, University of Pittsburgh, PA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Psychiatry, University of Pittsburgh, PA","institution_ids":["https://openalex.org/I170201317"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5044329719","display_name":"Herta Flor","orcid":"https://orcid.org/0000-0003-4809-5398","observed_orcids":["https://orcid.org/0000-0003-4809-5398"]},"institutions":[{"id":"https://openalex.org/I170201317","display_name":"University of Pittsburgh","ror":"https://ror.org/01an3r305","country_code":"US","type":"education","lineage":["https://openalex.org/I170201317"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"H Flor","raw_affiliation_strings":["Univ. of Pittsburgh"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Univ. of Pittsburgh","institution_ids":["https://openalex.org/I170201317"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":["https://openalex.org/I170201317"],"apc_list":null,"apc_paid":null,"fwci":0.6503,"has_fulltext":false,"cited_by_count":36,"citation_normalized_percentile":{"value":0.73040752,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":88,"max":96},"biblio":{"volume":"19","issue":null,"first_page":"80","last_page":"6"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11282","display_name":"Fibromyalgia and Chronic Fatigue Syndrome Research","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2738","display_name":"Psychiatry and Mental health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11282","display_name":"Fibromyalgia and Chronic Fatigue Syndrome Research","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2738","display_name":"Psychiatry and Mental health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11334","display_name":"Psychosomatic Disorders and Their Treatments","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2738","display_name":"Psychiatry and Mental health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12712","display_name":"Myofascial pain diagnosis and treatment","score":0.0,"subfield":{"id":"https://openalex.org/subfields/3612","display_name":"Physical Therapy, Sports Therapy and Rehabilitation"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/primary-fibromyalgia","display_name":"primary fibromyalgia","score":0.9779999852180481},{"id":"https://openalex.org/keywords/tender-points","display_name":"tender points","score":0.9169999957084656},{"id":"https://openalex.org/keywords/taxometric-analysis","display_name":"taxometric analysis","score":0.9480000138282776},{"id":"https://openalex.org/keywords/chronic-pain","display_name":"chronic pain","score":0.9800000190734863},{"id":"https://openalex.org/keywords/psychosocial-factors","display_name":"psychosocial factors","score":0.9440000057220459},{"id":"https://openalex.org/keywords/behavioral-factors","display_name":"behavioral factors","score":0.9570000171661377},{"id":"https://openalex.org/keywords/fibromyalgia-diagnosis","display_name":"fibromyalgia diagnosis","score":0.7039999961853027},{"id":"https://openalex.org/keywords/fibromyalgia-treatment","display_name":"fibromyalgia treatment","score":0.878000020980835}],"concepts":[{"id":"https://openalex.org/C2777831278","wikidata":"https://www.wikidata.org/wiki/Q540571","display_name":"Fibromyalgia","level":2,"score":0.9052809476852417},{"id":"https://openalex.org/C2777014857","wikidata":"https://www.wikidata.org/wiki/Q1383410","display_name":"Exacerbation","level":2,"score":0.6878092288970947},{"id":"https://openalex.org/C150966472","wikidata":"https://www.wikidata.org/wiki/Q3410145","display_name":"Psychosocial","level":2,"score":0.6704103946685791},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.5899602174758911},{"id":"https://openalex.org/C137627325","wikidata":"https://www.wikidata.org/wiki/Q156318","display_name":"Etiology","level":2,"score":0.5180532932281494},{"id":"https://openalex.org/C2984752397","wikidata":"https://www.wikidata.org/wiki/Q3259956","display_name":"Primary care","level":2,"score":0.4876900911331177},{"id":"https://openalex.org/C2779566273","wikidata":"https://www.wikidata.org/wiki/Q209733","display_name":"Chronic fatigue syndrome","level":2,"score":0.452862948179245},{"id":"https://openalex.org/C1862650","wikidata":"https://www.wikidata.org/wiki/Q186005","display_name":"Physical therapy","level":1,"score":0.4476187527179718},{"id":"https://openalex.org/C3020395016","wikidata":"https://www.wikidata.org/wiki/Q5113974","display_name":"Chronic fatigue","level":3,"score":0.44631797075271606},{"id":"https://openalex.org/C12713177","wikidata":"https://www.wikidata.org/wiki/Q1900281","display_name":"Perspective (graphical)","level":2,"score":0.44583606719970703},{"id":"https://openalex.org/C70410870","wikidata":"https://www.wikidata.org/wiki/Q199906","display_name":"Clinical psychology","level":1,"score":0.36570465564727783},{"id":"https://openalex.org/C99508421","wikidata":"https://www.wikidata.org/wiki/Q2678675","display_name":"Physical medicine and rehabilitation","level":1,"score":0.35079747438430786},{"id":"https://openalex.org/C118552586","wikidata":"https://www.wikidata.org/wiki/Q7867","display_name":"Psychiatry","level":1,"score":0.330748975276947},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.11667343974113464},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.11336725950241089},{"id":"https://openalex.org/C203014093","wikidata":"https://www.wikidata.org/wiki/Q101929","display_name":"Immunology","level":1,"score":0.0},{"id":"https://openalex.org/C154945302","wikidata":"https://www.wikidata.org/wiki/Q11660","display_name":"Artificial intelligence","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D001523","descriptor_name":"Mental Disorders","qualifier_ui":"Q000150","qualifier_name":"complications","is_major_topic":false},{"descriptor_ui":"D005356","descriptor_name":"Fibromyalgia","qualifier_ui":"Q000145","qualifier_name":"classification","is_major_topic":false},{"descriptor_ui":"D005356","descriptor_name":"Fibromyalgia","qualifier_ui":"Q000209","qualifier_name":"etiology","is_major_topic":false},{"descriptor_ui":"D005356","descriptor_name":"Fibromyalgia","qualifier_ui":"Q000503","qualifier_name":"physiopathology","is_major_topic":true},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008950","descriptor_name":"MMPI","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008954","descriptor_name":"Models, Biological","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008960","descriptor_name":"Models, Psychological","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D010146","descriptor_name":"Pain","qualifier_ui":"Q000503","qualifier_name":"physiopathology","is_major_topic":false},{"descriptor_ui":"D010147","descriptor_name":"Pain Measurement","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":2,"locations":[{"id":"pmid:2691687","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/2691687","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The Journal of rheumatology. Supplement","raw_type":"Journal Article"},{"id":"mag:2618795243","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/2691687","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":"PubMed","raw_type":null}],"best_oa_location":null,"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":0.9537000060081482,"display_name":"Good health and well-being"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W4242075838","https://openalex.org/W2338868482","https://openalex.org/W2474768905","https://openalex.org/W2067444992","https://openalex.org/W2026795884","https://openalex.org/W2131826221","https://openalex.org/W2253364553","https://openalex.org/W4247496374","https://openalex.org/W4237718579","https://openalex.org/W2747562390"],"abstract_inverted_index":{"Primary":[0],"fibromyalgia":[1,29,55,101],"remains":[2],"a":[3,60],"controversial":[4],"and":[5,17,40,67,102],"puzzling":[6],"condition.":[7],"The":[8,75,91],"diagnosis":[9],"is":[10,56,80],"based":[11,58],"on":[12,31,59],"subjective":[13],"symptoms,":[14],"exclusionary":[15],"criteria":[16],"the":[18,25,37,43,48,94],"presence":[19],"of":[20,24,27,42,52,77,86,93],"tender":[21],"points.":[22],"Much":[23],"discussion":[26],"primary":[28,54,100],"centers":[30],"physical":[32],"or":[33],"psychological":[34],"bases":[35],"for":[36,98],"etiology,":[38],"exacerbation":[39],"maintenance":[41],"symptoms.":[44],"An":[45],"alternative":[46],"to":[47],"current":[49],"dichotomous":[50],"way":[51],"conceptualizing":[53],"presented":[57],"multiaxial":[61,95],"perspective":[62],"that":[63],"integrates":[64],"physical,":[65],"psychosocial":[66],"behavioral":[68],"factors":[69],"creating":[70],"an":[71],"empirically":[72],"derived":[73],"taxonomy.":[74],"utility":[76],"this":[78],"approach":[79,97],"illustrated":[81],"from":[82],"research":[83],"with":[84,88],"groups":[85],"patients":[87],"chronic":[89],"pain.":[90],"implications":[92],"taxometric":[96],"understanding":[99],"its":[103],"treatment":[104],"are":[105],"described.":[106]},"counts_by_year":[{"year":2020,"cited_by_count":2},{"year":2018,"cited_by_count":2},{"year":2015,"cited_by_count":1},{"year":2012,"cited_by_count":2}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2017-06-05T00:00:00"}
