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Purpose: This two-phase project employed qualitative framing analyses to explore how fibromyalgia has been framed in some of the top sources of U.S. health information and how these sources address treatments related to fibromyalgia. Methods: Phase 1 of the project examined 95 stories and articles published between January 1, 2007, and October 15, 2010, in eight elite U.S. newspapers and five mosttrafficked health websites to determine the dominant framing of fibromyalgia in each source. Phase 2 analyzed 146 stories and articles published between January 1, 2007, and May 15, 2013, in 15 topcirculation U.S. daily print and online newspapers and five popular health websites. Phase 2 was conducted to examine changes in the dominant framing of fibromyalgia since Phase 1, and identify new frames in the ongoing debate about whether fibromyalgia is a medical or mental condition. Results: Project findings suggest a lessening in the debate insofar as the overall media representation shifted from a depiction of fibromyalgia as a mental to a medical condition. Moreover, changes found between the two phases in the identification of the frames demonstrate the evolving public discussion surrounding fibromyalgia amid FDA approval of drugs specifically for the treatment of the condition. Conclusion: Thus, the marketing of fibromyalgia-specific drugs may be a factor contributing to the legitimization of the controversial condition.

Is it Real? Qualitative Framing Analyses of the Depiction of Fibromyalgia in Newspapers and Health Websites