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A 37-year-old woman is in the primary care clinic for the second time over the past month reporting that she was recently diagnosed with fibromyalgia. Which of the following conditions is associated with fibromyalgia?

Explanation

• Depression is considered universal among patients with fibromyalgia. Abnormalities in the sympathetic nervous system that occur in depression may contribute also to fibromyalgia, altering how these patients perceive pain.

• Fibromyalgia is a nonspecific condition characterized by diffuse musculoskeletal pain, fatigue, distress, sleep disturbances, and depression.

• Incorrect: Schizophrenia and personality disorders are not strongly associated with fibromyalgia.

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