Social context of pain in children with Juvenile Primary Fibromyalgia (FM) Syndrome: parental pain history & family environment

OBJECTIVE: The purpose of this study was to describe parental

pain history and the family environment as it relates to the

functional status of children with Juvenile Primary

Fibromyalgia Syndrome (JPFS).


Twenty-nine parents of children with JPFS completed a pain

history questionnaire, Von Korff Chronic Pain Grading system,

and the Family Environment Scale (FES). Twenty-one adolescents

with JPFS completed the FES, the Visual Analogue Scale for

Pain, the modified Fibromyalgia Impact Questionnaire for

Children, the Arthritis Impact Measurement Scales, and the

Symptom Checklist-90-Revised. Correlational analyses were


RESULTS: Parents of children with JPFS reported

multiple chronic pain conditions, including but not limited to

fibromyalgia. Parental pain history and the family environment

correlated with the health status of adolescents with JPFS.

Children with JPFS perceived the family environment as

significantly more cohesive than did their parents. Greater

incongruence between parent and child responses on the FES

positively correlated with greater impairment.


These results suggest that family environment and parental

pain history ay be related to how children cope with JPFS.

Behavioral interventions targeting the family may improve the

long-term functional status of children with JPFS.

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