Psychological Intervention to Reduce Disability and Depression in Adolescents with Fibromyalgia

Main Digest

Psychological intervention reduces disability and depression in adolescents with fibromyalgia - Cognitive-behavioral therapy is safe and effective treatment for juvenile fibromyalgia.

The psychological intervention was found to be safe and effective, and proved to be superior to disease management education.

(Full findings from this multi-site clinical trial are published in Arthritis & Rheumatism, a peer-reviewed journal of the American College of Rheumatology (ACR).)

Medical evidence reports that juvenile fibromyalgia syndrome affects 2% to 7% of school age children. Similar to adult cases, the juvenile form of the disorder primarily strikes adolescent girls. Both adult and juvenile fibromyalgia patients experience widespread musculoskeletal pain, fatigue, as well as sleep and mood disturbances.

Juvenile Primary Fibromyalgia Syndrome (JPFS) is a musculoskeletal pain syndrome characterized by multiple discrete tender points (TPs), fatigue, and sleep disturbance in the child and adolescent. The pain experienced is modulated by factors such as activity, anxiety, stress, and weather changes.

Previous studies show that juvenile fibromyalgia patients are burdened with substantial physical, school, social and emotional impairments. However, studies investing treatment for the juvenile form of the disorder are limited.

For the current trial, led by Dr. Susmita Kashikar-Zuck from the Division of Behavioral Medicine and Clinical Psychology at Cincinnati Children's Hospital Medical Center in Ohio, investigators recruited 114 adolescents between the ages of 11 and 18 years who were diagnosed with juvenile fibromyalgia. The trial was conducted at four pediatric rheumatology centers between December 2005 through 2009, with participants randomized to cognitive-behavioral therapy or fibromyalgia education, receiving eight weekly individual therapy sessions and two additional sessions in the six months following the end of active therapy.

Analyses showed that both patient groups displayed significant reduction in functional disability, pain, and depressive symptoms at the end of the trial. Pediatric participants in the cognitive-behavioral therapy group reported a significantly greater reduction in functional disability compared to those receiving fibromyalgia education.

The therapy group had a 37% improvement in disability compared to 12% in the education cohort. Both groups had scores in the non-depressed range by the end of the study, but pain reduction was not clinically significant a decrease in pain of less than 30% for either group.

The drop-out rate was low with over 85% of participants attending all therapy sessions and no study-related adverse events were reported by investigators.

"Our trial confirms that cognitive-behavioral therapy is a safe and effective treatment for reducing functional disability and depression in patients with juvenile fibromyalgia," concludes Dr. Kashikar-Zuck. "When added to standard medical care, cognitive-behavioral therapy helps to improve daily functioning and overall wellbeing for adolescents with fibromyalgia."

Citation:

A Randomized Clinical Trial of Cognitive Behavioral Therapy for the Treatment of Juvenile Fibromyalgia." Susmita Kashikar-Zuck, Tracy V. Ting, Lesley M Arnold, Judy Bean, Scott W. Powers, T. Brent Graham, Murray H. Passo, Kenneth N. Schikler, Philip J. Hashkes, Steven Spalding, Anne M. Lynch-Jordan, Gerard Banez, Margaret M. Richards and Daniel J. Lovell. Arthritis & Rheumatism; Published Online: November 22, 2011 (DOI: 10.1002/art.30644).

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This quality-reviewed publication titled "Psychological Intervention to Reduce Disability and Depression in Adolescents with Fibromyalgia" was chosen for publishing by Disabled World's editors due to its relevance to our readers in the disability community. While the content may have been edited for style, clarity, or brevity, it was originally authored by Wiley-Blackwell and published 2011/11/22 (Edit Update: 2021/11/25). For further details or clarifications, you can contact Wiley-Blackwell directly at wiley.com. Please note that Disabled World does not provide any warranties or endorsements related to this article.

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Cite This Page (APA): Wiley-Blackwell. (2011, November 22). Psychological Intervention to Reduce Disability and Depression in Adolescents with Fibromyalgia. Disabled World. Retrieved April 19, 2024 from www.disabled-world.com/health/fibromyalgia/psychological-intervention.php

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