Effort Testing And Symptom Exaggeration Testing Are Essential In Assessing Patients With Fibromyalgia For Disability Reply

To the Editor: Fitzcharles, et al 1 point out that fibromyalgia (FM) patients with disability have more symptoms and require more medications compared to those who are working. The authors review well the broad issues concerning disability in this population. They rightly surmise that motivation to remain in the workforce may be lacking for some and may be influenced by the workplace environment — those with less-satisfying jobs will be less motivated to continue working. We think that issues of motivation and the high endorsement of symptoms … Address correspondence to Dr. R. Ferrari, Department of Rheumatic Diseases, Room 562, Heritage Medical Research Centre, University of Alberta, Edmonton, Alberta T6G 2S2, Canada. E-mail: Robertferrari9{at}gmail.com