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A bio-psychosocial evaluation of ten adolescents with fibromyalgia (FM)

  [ 64 votes ]   [ Discuss This Article ]
www.ProHealth.com • July 3, 1994


A comprehensive assessment of 10 adolescents (mean age 15.7
years) fulfilling the ACR criteria for fibromyalgia, disclosed
that 3 patients also had juvenile chronic arthritis. Based on
semi-structured psychiatric interviews, testing and family
assessments, 6 of the patients had a psychiatric diagnosis
(over anxious and/or depressive disorders). The pain scores
for the group (mean 5.0, SD 1.5) were significantly higher
than for a comparison group of patients with juvenile chronic
arthritis (mean 2.5, SD 1.7), (p < 0.01). Average IQ was
normal (mean 102.3, SD 13.9), but striving for achievement and
high parental expectations were evident in 8 families. Seven
of the mothers and 3 of the fathers had chronic diseases. The
frequency of individual and family stress indicates a need for
psychosocial assessment and counselling soon after onset of
symptoms. This study also serves as a reminder that the
diagnosis of juvenile chronic arthritis does not exclude
fibromyalgia.

Vandvik IH, Forseth KO




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