Open research questions in Fibromyalgia and Chronic Fatigue Syndrome Research
377 gap statements mined from Fibromyalgia and Chronic Fatigue Syndrome Research papers in our 7.9M-paper local library, which holds 1,380 papers on the topic — drawn mostly from each paper's own stated research gap, future-work, challenge and limitation notes, and its abstract. The ones listed below are a selection still marked open; each names the study that raised it, with a DOI link where the paper has one.
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What the literature leaves open
The study identifies a need to assess the applicability of the 2016 revised ACR fibromyalgia diagnostic criteria in an Indian tertiary-care population. There is a lack of studies evaluating the 2016 revised ACR criteria in this population.
Assessment of the 2016 Revised American College of Rheumatology Fibromyalgia Diagnostic Criteria in an Indian Tertiary-Care Population: A Prospective Observational Study · 2026 · DOIBalancing the need for a sensitive screening tool with the risk of false positives and unnecessary further testing. Integrating the clinical prediction rule into routine clinical practice to guide selective CSI-9 administration.
Central sensitization-related symptoms in patients undergoing lumbar spine surgery: development and internal validation of a clinical prediction rule for first-stage screening · 2026 · DOIImpaired mitochondrial function and morphology may play a pivotal role in these conditions, but the underlying mechanisms are not well understood.
Functional and Morphological Differences of Muscle Mitochondria in Chronic Fatigue Syndrome and Post-COVID Syndrome · 2024 · DOIAssociations among red blood cell count, erythrocyte indices, and PLR warrant further investigation.
Hematological Indices and Pain Features in Women with Chronic Pain: A Study in Fibromyalgia Patients · 2026 · DOIFibromyalgia (FM) exhibits substantial clinical heterogeneity, yet reproducible symptom phenotypes with relevance for treatment personalization remain poorly defined.
Clustering-based stratification of fibromyalgia subtypes: A comparative analysis of medicated and non-medicated cohorts from two academic centers · 2026 · DOIAlthough exercise is recommended as a non-pharmacological approach for pain management in FMS, the dose–response relationships between different exercise modalities and pain remain unclear.
Comparative effectiveness of exercise types and doses for improving pain intensity in women with fibromyalgia syndrome: a systematic review and dose–response meta-analysis · 2026 · DOIThe relationship between autoantibodies, lipid metabolism, and FM symptomatology remains unclear.
Fibromyalgia patients have altered lipid concentrations associated with disease symptom severity and anti-satellite glial cell IgG antibodies · 2025 · DOISelf-construction influences personal identity and is linked to emotional and physical distress, but its role in fibromyalgia remains poorly understood.
Self-Construction Discrepancies and Their Relationship with Emotional and Physical Pain: A Study Involving Women with Fibromyalgia · 2025 · DOIAlthough previous research suggests that pain and FM symptoms decrease after eye movement desensitization and reprocessing (EMDR) therapy, its effectiveness has not been investigated in a controlled manner.
The effect of eye movement desensitization and reprocessing on fibromyalgia: A multiple-baseline experimental case study across ten participants · 2024 · DOIThere are no objective biomarkers for ME/CFS despite decades of research. The mechanisms of cellular metabolism, inflammation, vascular dysfunction, and autonomic dysregulation in ME/CFS and long-COVID pathophysiology are not well understood.
A hypothesis connecting dysgeusia due to defects in ATP-P2X3 signaling and fatigue in myalgic encephalomyelitis/chronic fatigue syndrome: lessons learned from long-COVID · 2026 · DOIThe study also faced challenges in terms of the limited understanding of the pathophysiology of fibromyalgia, making it challenging to develop effective treatments.
The Effect of Intravenous Lidocaine Treatment on Sleep and Quality of Life in Fibromyalgia: An Observational Study · 2026 · DOIHigh dropout rates and missing data compromise outcome validity and limit interpretability. The authors highlight the need for improved reporting and monitoring of exercise dose to inform and improve clinical practice. The paper does not provide a comprehensive review of all existing literature on exercise interventions in fibromyalgia.
If exercise is medicine, where is the dose? A call to improve reporting and monitoring of exercise interventions in fibromyalgia research · 2026 · DOIThere is a lack of understanding of exercise dose as a dynamic construct that is shaped by symptom fluctuations, individual responses, and real-world adaptations. The authors highlight the need for improved reporting and monitoring of exercise dose to inform and improve clinical practice. There is a gap in the literature regarding the systematic monitoring of the executed exercise dose.
If exercise is medicine, where is the dose? A call to improve reporting and monitoring of exercise interventions in fibromyalgia research · 2026 · DOIAt present, there is no curative or approved disease-specific treatment for ME/CFS, and clinical management remains largely supportive, with the primary goals of symptom relief and functional maintenance.
Chronic stress and cognitive dysfunction in myalgic encephalomyelitis/chronic fatigue syndrome: HPA axis dysregulation and hippocampal plasticity · 2026 · DOILow CSF MHPG levels have been reported in patients with pure autonomic failure27 or multiple system atrophy,28 but CSF MHPG has not been reported previously in PI-ME/CFS or PASC.
Central noradrenergic deficiency in post-infectious chronic fatigue: neurobehavioral correlates · 2026 · DOILongitudinal studies are needed to confirm the findings. Studies should investigate the relationship between kinesiophobia and work disability in other populations. Research should focus on developing interventions to reduce kinesiophobia and improve work disability outcomes. The role of pain catastrophizing in mediating the relationship between kinesiophobia and work disability should be further explored.
Kinesiophobia and Work Disability in Fibromyalgia: Cognitive Mediation in a Population-Based Study of Women · 2026 · DOIFibromyalgia is a complex disease with unclear etiology. The disease has a significant impact on patients' quality of life. There is a need to develop effective treatment programmes for FM patients.
Exploring Emotional Eating and Emotion Dysregulation in Fibromyalgia Patients: Implications for Disease Management · 2026 · DOIThe etiology of FM is not clearly understood. There is a need to investigate the relationship between emotional eating, emotional dysregulation, and FM symptom severity.
Exploring Emotional Eating and Emotion Dysregulation in Fibromyalgia Patients: Implications for Disease Management · 2026 · DOIThe study was cross-sectional. The sample was limited to women with fibromyalgia. The study relied on self-reported data. The study did not control for all potential confounding variables.
Kinesiophobia and Work Disability in Fibromyalgia: Cognitive Mediation in a Population-Based Study of Women · 2026 · DOISmall sample size of 100 participants, - Study was conducted in a single tertiary-care hospital in India, - Limited generalizability to other…
Assessment of the 2016 Revised American College of Rheumatology Fibromyalgia Diagnostic Criteria in an Indian Tertiary-Care Population: A Prospective Observational Study · 2026 · DOIExternal validation of the CPR, - Investigation of the impact of the CPR on postoperative outcomes, - Development of a mechanism-based pain management strategy for patients with elevated CS-related symptom…
Central sensitization-related symptoms in patients undergoing lumbar spine surgery: development and internal validation of a clinical prediction rule for first-stage screening · 2026 · DOIFurther analysis of the origin of respective mitochondrial dysfunction, - Investigation of the effects of prolonged inactivity or immobility on mitochondrial function, - Study of the direct viral-induced chronic impact on mitochondrial function…
Functional and Morphological Differences of Muscle Mitochondria in Chronic Fatigue Syndrome and Post-COVID Syndrome · 2024 · DOIThis article documents the feasibility of the intervention, highlights some promising treatment effects, and describes considerations for further investigation of this novel therapeutic approach.
Reconsolidation blockade with propranolol as a novel treatment for fibromyalgia: A double-blind, randomized placebo-controlled feasibility study · 2026 · DOIInvestigating the relationship between chemosensory function and post-viral chronic illness. Developing novel therapeutic strategies for ME/CFS based on the paper's findings. Further studying the mechanisms of cellular metabolism, inflammation, vascular dysfunction, and autonomic dysregulation in ME/CFS and long-COVID pathophysiology.
A hypothesis connecting dysgeusia due to defects in ATP-P2X3 signaling and fatigue in myalgic encephalomyelitis/chronic fatigue syndrome: lessons learned from long-COVID · 2026 · DOIThere is a lack of understanding of the relationship between weight loss and psychotic symptoms in patients treated with continuous subcutaneous foslevodopa/foscarbidopa…
Psychosis after weight loss during continuous subcutaneous foslevodopa/foscarbidopa therapy - a case series · 2026 · DOI
Most-cited papers in Fibromyalgia and Chronic Fatigue Syndrome Research
- The multidimensional Fatigue Inventory (MFI) psychometric qualities of an instrument to assess fatigue · Journal of Psychosomatic Research · 1995 · 3,048 citations
- Fatigue in neurological disorders · The Lancet · 2004 · 1,066 citations
- Dimensional assessment of chronic fatigue syndrome · Journal of Psychosomatic Research · 1994 · 1,060 citations
- Validity and reliability of a scale to assess fatigue · Psychiatry Research · 1991 · 1,053 citations
- Translating Fatigue to Human Performance · Medicine & Science in Sports & Exercise · 2016 · 787 citations
- The Prevalence of Symptoms in Medical Outpatients and the Adequacy of Therapy · Archives of Internal Medicine · 1990 · 709 citations
- A Community-Based Study of Chronic Fatigue Syndrome · Archives of Internal Medicine · 1999 · 620 citations
- Chronic Fatigue Syndrome: A Review · American Journal of Psychiatry · 2003 · 589 citations
- Fibromyalgia: Pathogenesis, Mechanisms, Diagnosis and Treatment Options Update · International Journal of Molecular Sciences · 2021 · 573 citations
- Chronic nociplastic pain affecting the musculoskeletal system: clinical criteria and grading system · Pain · 2021 · 545 citations
Most recent work
- Exercise in fibromyalgia and related inflammatory disorders: Known effects and unknown chances · PubMed · 2026
- Virus-induced endothelial senescence as a cause and driving factor for ME/CFS and long COVID: mediated by a dysfunctional immune system · Cell Death and Disease · 2026
- EFFECTS OF BRIEF GUIDED IMAGERY ON FEMALE PATIENTS DIAGNOSED WITH FIBROMYALGIA – AN EXPLORATORY CONTROLLED TRIAL · PubMed · 2026
- Exploring the effects of GLP-1 receptor agonists in fibromyalgia: a propensity-matched real-world cohort using the TriNetX research platform · Lara D. Veeken · 2026
- Prevalence of Multiple Chemical Sensitivity in Canada Between 2000 and 2020 · International Journal of Environmental Research and Public Health · 2026
- Psychiatric comorbidity patterns across disability-based fibromyalgia phenotypes · CNS Spectrums · 2026
- Association between central sensitization-related symptoms and pressure pain thresholds at local and remote sites in patients with knee osteoarthritis · International Orthopaedics · 2026
- Expert perspectives on Myalgic encephalomyelitis/chronic fatigue syndrome – Insights from the 3rd International Conference of the Charité Fatigue Center · Autoimmunity Reviews · 2026
- Clustering-based stratification of fibromyalgia subtypes: A comparative analysis of medicated and non-medicated cohorts from two academic centers · Seminars in Arthritis and Rheumatism · 2026
- The dual diversity crisis in EEG biomarker research for cognitive fatigue · Psychological Medicine · 2026
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