When several other diseases are excluded, questions about whether the symptoms are imagined or only an exaggeration of trivial complaints can be raised by both health professionals and others, and thereby, patients’ moral agency is put at stake (Mengshoel et al., 2018). A meta-synthesis of qualitative studies portrays the diagnostic journey as distressing and shifting from hope for an explanation and medical help to hopelessness when negative results occur (Mengshoel et al., 2018). Accordingly, the diagnostic process often includes years of consultations with several medical specialists to exclude other diseases (Choy et al., 2010 Perrot et al., 2012). The symptoms of FM mimic those of several other diseases. One plausible reason is that FM is difficult both to understand and treat. ( 2020), “no one wants to look after the fibro patient”. Nevertheless, patients with FM are frequent users of health services (Mengshoel et al., 2022), but as indicated by the title of the paper by Doebl et al. Thus, it is debated whether diagnosing people with FM leads to medicalization of trivial health complaints (Hadler, 1996), and the diagnosis has low prestige within the field of medicine (Album & Westin, 2008). FM cannot be verified clinically by any laboratory or radiological measures (Jutel, 2011), and no known cure or lasting effective treatments are available (Macfarlane et al., 2017). Nevertheless, there are controversies about the nature, existence, diagnosis and treatment of the FM condition (Barker, 2011 Bidari et al., 2018). Several biological interacting mechanisms, genetic vulnerability and psychological changes are suggested to explain the symptoms (Arnold et al., 2019 Littlejohn & Guymer, 2020). FM is a common disorder (Heidari et al., 2017) characterized by widely distributed persistent bodily pain, excessive fatigue and an array of other complaints and problems, such as unrefreshed sleep, concentration and memory problems, depression, headache, irritable bowel, and impaired daily functioning (Arnold et al., 2008).
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