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

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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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