Juvenile fibromyalgia: different from the adult chronic pain syndrome?
Abstract
While a majority of research has focused on adult fibromyalgia (FM), recent evidence has provided insights into the presence and impact of FM in children and adolescents. Commonly referred as juvenile fibromyalgia (JFM), youths, particularly adolescent girls, present with persistent widespread pain and cardinal symptoms observed in adult FM. A majority of youth with JFM continue to experience symptoms into adulthood, which highlights the importance of early recognition and intervention. Some differences are observed between adult and juvenile-onset FM syndrome with regard to comorbidities (e.g., joint hypermobility is common in JFM). Psychological comorbidities are common but less severe in JFM. Compared to adult FM, approved pharmacological treatments for JFM are lacking, but non-pharmacologic approaches (e.g., cognitive-behavioral therapy and exercise) show promise. A number of conceptual issues still remain including (1) directly comparing similarities and differences in symptoms and (2) identifying shared and unique mechanisms underlying FM in adults and youths.
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Symptom severity for several pain conditions including irritable bowel syndrome, temporomandibular disorders, headache, and fibromyalgia varies across the menstrual cycle.
“the severity of symptoms for several pain conditions including irritable bowel syndrome, temporomandibular disorders, headache, and fibromyalgia varies across the menstrual cycle 185–191.”
From Evaluating psychosocial contributions to chronic pain outcomes (2018) · cites this paper as [188]
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Evaluating psychosocial contributions to chronic pain outcomes
Meints, S. M., & Edwards, R. R. (2018) · Progress in Neuro-Psychopharmacology and Biological Psychiatry · doi:10.1016/j.pnpbp.2018.01.017 · Cited by 719 · see citing works
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- Authors
- Kashikar-Zuck, S., King, C., Ting, T. V., & Arnold, L. M.
- Affiliations
- Cincinnati Children's Hospital Medical Center (US)
- University of Cincinnati (US)
- Venue
- Current Rheumatology Reports
- Published
- 2016-03-17
- Volume
- 18
- Issue
- 4
- Pages
- 19-19
- ISSN
- 1523-3774 (ISSN-L)
- 1534-6307
- OpenAlex
- W2301285628
- Cited by
- 50
- References
- 62
- Citations by year
- 2026: 1 · 2025: 7 · 2024: 2 · 2023: 2 · 2022: 9 · 2021: 7 · 2020: 4 · 2019: 4 · 2018: 6 · 2017: 4 · 2016: 4
- FWCI
- 0.86
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Current Rheumatology Reports (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute of Dental and Craniofacial Research (R00 Grant (King, PI))
- National Institute of Arthritis and Musculoskeletal and Skin Diseases (K24AR056687)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Fibromyalgia and Chronic Fatigue Syndrome Research
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Pediatric Pain Management Techniques
- Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
- Keywords
- juvenile fibromyalgia, fibromyalgia, chronic widespread pain, adolescents, joint hypermobility, psychological comorbidity, pharmacotherapy, non-pharmacological treatment, cognitive behavioral therapy, physical activity, early recognition
- MeSH terms
- Age Factors, Fibromyalgia, Humans, Prognosis, Chronic Pain
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