Özet:

Objectives: To evaluate the differences between the diagnostic criteria of old and new Fibromyalgia Syndrome (FMS) and to determine the relationship between the diagnostic criteria and the Fibromyalgia Impact Questionnaire (FIQ). Materials and Methods: A total of 132 women with generalized pain were included in the study. ACR 1990 to the patients, the number of tender points, ACR 2010; widespread pain index (WPI) - symptom severity scale (SSS), ACR 2010 modified criteria; (WPI-modified score) and alternative diagnostic criteria for 2013 ACR; pain location score (PLS) was applied with Symptom Impact Questionnaire (SIQR). Functional status evaluation was performed with FIQ. Results: The average age of the patients was 47.68 ± 8.31 years. The average BMI was 29.34 ± 4.92. while 34. 8% of the patients were diagnosed as FMS according to ACR 1990 criteria, 37.9% according to ACR 2010 criteria, 42.4% according to ACR 2010-mode criteria and 18.2% according to ACR alternative criteria were diagnosed as FMS. While ACR 1990, ACR 2010 and ACR 2010-mode criteria did not differ, the ACR 2013 alternative criteria were significantly different from those of the others by WPI and SES score (p <0.05). FIQ total score was correlated with SSS (r: 0.643 p <0.001) and modified score (r: 0.417 p <0.05). The number of tender points was positively significant with WPI (r = 0.363 p <0.05) and SSS (r = 0.290 p <0.05); There was a significant positive correlation (r = 0.342 p <0.05) with the modified score. There was no correlation between the number of tender points and the score of PLS and SIQR (p> 0.05). Conclusion: There was no significant difference between the ACR 1990, ACR 2010 and modified 2010 ACR criteria in terms of diagnosis frequency. The ACR2013 alternative criteria significantly reduced the rate of diagnosis. Quality of life and functional state changes caused by FMS are associated with SSS.

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