Neurophysiological and psychosocial mechanisms of fibromyalgia: A comprehensive review and call for an integrative model

A.M. Pinto, M. Luís, R. Geenen, F. Palavra, M.A. Lumley, J.N. Ablin, K. Amris, J. Branco, D. Buskila, J. Castelhano, M. Castelo-Branco, L.J. Crofford, M.-A. Fitzcharles, W. Häuser, E. Kosek, M. López-Solà, P. Mease, T.R. Marques, J.W.G. Jacobs, P. CastilhoJ.A.P. da Silva

Research output: Contribution to journalReview articlepeer-review

Abstract

Research into the neurobiological and psychosocial mechanisms involved in fibromyalgia has progressed remarkably in recent years. Despite this, current accounts of fibromyalgia fail to capture the complex, dynamic, and mutual crosstalk between neurophysiological and psychosocial domains. We conducted a comprehensive review of the existing literature in order to: a) synthesize current knowledge on fibromyalgia; b) explore and highlight multi-level links and pathways between different systems; and c) build bridges connecting disparate perspectives. An extensive panel of international experts in neurophysiological and psychosocial aspects of fibromyalgia discussed the collected evidence and progressively refined and conceptualized its interpretation. This work constitutes an essential step towards the development of a model capable of integrating the main factors implicated in fibromyalgia into a single, unified construct which appears indispensable to foster the understanding, assessment, and intervention for fibromyalgia.

Original languageEnglish
Article number105235
Pages (from-to)1-23
Number of pages23
JournalNeuroscience and Biobehavioral Reviews
Volume151
Early online date18 May 2023
DOIs
Publication statusPublished - Aug 2023

Bibliographical note

Publisher Copyright:
© 2023 Elsevier Ltd

Funding

AMP is the holder of a PhD Grant (SFRH/BD/145954/2019), sponsored by the Portuguese Foundation for Science and Technology (FCT), the Human Capital Operational Programme (POCH), and the European Union (EU), and was financially supported (through stipend) for part of this work by the Coimbra Rheumatology Association ( ARCo ) and the Portuguese Society of Rheumatology ( SPR ).

FundersFunder number
Human Capital Operational Programme
Portuguese Society of Rheumatology
European Commission
Fundação para a Ciência e a Tecnologia

    Keywords

    • Dynamic interplay
    • Fibromyalgia
    • Integrative
    • Neurophysiological abnormalities
    • Psychosocial processes

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