Pain coping strategies in children with juvenile primary fibromyalgia (FM) syndrome: correlation with pain, physical function, & psychological distress

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OBJECTIVES: The purpose of this study was twofold: 1) to describe
the coping strategies used by children with juvenile primary
fibromyalgia syndrome (JPFS), and 2) to examine how pain
coping relates to measures of pain, disability/function,
psychological distress, and pain behavior.

METHODS: Sixteen
children with JPFS completed the Child Version of the Coping
Strategies Questionnaire (CSQ-C), the visual analog scale for
pain, the McGill Pain Questionnaire, the Fibromyalgia Impact
Questionnaire modified for children, the Arthritis Impact
Measurement Scales 2, and the Symptom Checklist-90-Revised.
Subjects also also underwent pain behavior observation.
Pearson's product moment correlations were conducted to
examine the relationship of coping to measures of pain and

RESULTS: The Pain Control and Rational Thinking
composite factor score on the CSQ-C correlated with measures
of pain severity, functional disability, and psychological
distress. Results supported the internal reliability of the
CSQ-C in assessing pain coping.

CONCLUSIONS: These results
suggest that the CSQ-C may provide a reliable measure for
assessing variations in pain coping in JPFS patients.
Behavioral interventions aimed at increasing the perception of
pain control may be beneficial in treating JPFS.

Schanberg LE, Keefe FJ, Lefebvre JC, Kredich DW, Gil KM

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