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Abstract: Development and Evaluation of a Cognitive-Behavioral Intervention for Juvenile Fibromyalgia

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J Pediatr Psychol. 2005 Aug 24; [Epub ahead of print]

Degotardi PJ, Klass ES, Rosenberg BS, Fox DG, Gallelli KA, Gottlieb BS.

Schneider Children’s Hospital.

Objective: To describe the development and test the efficacy of a cognitive-behavioral intervention (CBT) for juvenile fibromyalgia.

Method: Sixty-seven children with fibromyalgia and their parents were recruited to participate in an 8-week intervention that included modules of pain management, psychoeducation, sleep hygiene, and activities of daily living. Children were taught techniques of cognitive restructuring, thought stopping, distraction, relaxation, and self-reward.

Additionally, they kept daily pain and sleep dairies. Children completed questionnaires of pre- and post-treatment measuring physical status and psychological functioning.

Results: Following CBT, children reported significant reductions (p < .006) in pain, somatic symptoms, anxiety, and fatigue, as well as improvements in sleep quality. Additionally, children reported improved functional ability and had fewer school absences.

Conclusion: Children with fibromyalgia can be taught CBT strategies that help them effectively manage this chronic and disabling musculoskeletal pain disorder.

PMID: 16120766 [PubMed – as supplied by publisher]

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