Mindfulness-Based Stress Reduction for Adolescents with Functional Somatic Syndromes: A Pilot Cohort Study
Open accessAbstract
OBJECTIVE: To assess the feasibility of a mindfulness-based stress reduction (MBSR) program for adolescents with widespread chronic pain and other functional somatic symptoms and to make preliminary assessments of its clinical utility. STUDY DESIGN: Three cohorts of subjects completed an 8-week MBSR program. Child- and parent-completed measures were collected at baseline and 8 and 12 weeks later. Measures included the Functional Disability Inventory (FDI), the Fibromyalgia/Symptom Impact Questionnaire-Revised (FIQR/SIQR), the Pediatric Quality of Life Inventory, the Multidimensional Anxiety Scale (MASC2), and the Perceived Stress Scale. Subjects and parents were interviewed following the program to assess feasibility. RESULTS: Fifteen of 18 subjects (83%) completed the 8-week program. No adverse events occurred. Compared with baseline scores, significant changes were found in mean scores on the FDI (33% improvement, P = .026), FIQR/SIQR (26% improvement, P = .03), and MASC2 (child: 12% improvement, P = .02; parent report: 17% improvement, P = .03) at 8 weeks. MASC2 scores (child and parent) and Perceived Stress Scale scores were significantly improved at 12 weeks. More time spent doing home practice was associated with better outcomes in the FDI and FIQR/SIQR (44% and 26% improvement, respectively). Qualitative interviews indicated that subjects and parents reported social support as a benefit of the MBSR class, as well as a positive impact of MBSR on activities of daily living, and on pain and anxiety. CONCLUSIONS: MBSR is a feasible and acceptable intervention in adolescents with functional somatic syndromes and has preliminary evidence for improving functional disability, symptom impact, and anxiety, with consistency between parent and child measures. TRIAL REGISTRATION: ClinicalTrials.gov: NCT02190474.
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One pilot study presents data on a generic treatment across symptom profiles in an adolescent population.
“Hitherto one pilot study presents data on a generic treatment across symptom profiles in an adolescent population [42].”
From Feasibility of group-based acceptance and commitment therapy for adolescents (AHEAD) with multiple functional somatic syndromes: A pilot study (2020) · cites this paper as [42]
Another pilot study on Mindfulness Based Stress Reduction (MBSR) for adolescents with a range of FSS concluded that it was a feasible and acceptable intervention.
“These findings are supported by another pilot study on Mindfulness Based Stress Reduction (MBSR) for adolescents with a range of FSS, concluding that it was a feasible and acceptable intervention [42].”
From Feasibility of group-based acceptance and commitment therapy for adolescents (AHEAD) with multiple functional somatic syndromes: A pilot study (2020) · cites this paper as [42]
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- [52]Cunningham NR Jagpal A Tran ST Kashikar-Zuck S Goldschneider KR Coghill RC Anxiety Adversely Impacts Response to Cognitive Behavioral Therapy in Children with Chronic Pain J Pediatr 2016 PMC4808589 26879812
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- Authors
- Ali, A., Weiss, T. R., Dutton, A., McKee, D., Jones, K. D., Kashikar-Zuck, S., Silverman, W. K., & Shapiro, E. D.
- Affiliations
- Yale University (US)
- Oregon Health & Science University (US)
- Corresponding author
- Ali, Ather
- Venue
- The Journal of Pediatrics
- Publisher
- Elsevier BV
- Published
- 2017-04
- Volume
- 183
- Pages
- 184-190
- ISSN
- 0022-3476 (ISSN-L)
- PMC
- PMC5367961
- OpenAlex
- W2576358775
- Cited by
- 75
- References
- 67
- Citations by year
- 2026: 2 · 2025: 6 · 2024: 8 · 2023: 6 · 2022: 7 · 2021: 15 · 2020: 9 · 2019: 9 · 2018: 10 · 2017: 3
- FWCI
- 10.41
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- The Journal of Pediatrics (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health (UL1TR001863)
- National Institute of Arthritis and Musculoskeletal and Skin Diseases (K24AR056687)
- National Center for Advancing Translational Sciences
- National Center for Complementary and Integrative Health (K23AT006703)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
- Health Sciences › Medicine › Psychiatry and Mental health › Fibromyalgia and Chronic Fatigue Syndrome Research
- Keywords
- mindfulness-based stress reduction, functional somatic syndromes, adolescents, chronic widespread pain, fibromyalgia, functional disability, anxiety, perceived stress, home practice, feasibility, parent-child agreement, social support
- MeSH terms
- Adolescent, Child, Chronic Disease, Disability Evaluation, Female, Fibromyalgia, Headache, Humans, Male, Pilot Projects, Prognosis, Stress, Psychological, Cohort Studies, Fatigue Syndrome, Chronic, Treatment Outcome, Risk Assessment, Statistics, Nonparametric, Risk Adjustment, Irritable Bowel Syndrome, Musculoskeletal Pain, Mindfulness
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