Depression, coping, and functional disability in juvenile primary fibromyalgia syndrome

Kashikar-Zuck, Susmita; Vaught, Michelle H.; Goldschneider, Kenneth R.; Graham, Thomas B.; Miller, Jonathan C.

doi:10.1054/jpai.2002.126786

Cited by 164Fibromyalgia and Chronic Fatigue Syndrome ResearchPediatric Pain Management TechniquesPsychosomatic Disorders and Their Treatments

Depression, coping, and functional disability in juvenile primary fibromyalgia syndrome

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Kashikar-Zuck, Susmita, Vaught, Michelle H., Goldschneider, Kenneth R., Graham, Thomas B., Miller, Jonathan C.·2002·The Journal of Pain

DOI 10.1054/jpai.2002.126786

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Abstract

This study describes pain characteristics, coping, depression, and functional disability in children with juvenile primary fibromyalgia syndrome (JPFS) and compares them with a group of children with nonmalignant chronic back pain (CBP). Subjects were 18 female subjects (9 to 19 years of age) diagnosed with JPFS and 18 matched control subjects with CBP. Visual Analog Pain Rating Scales, the Pain Coping Questionnaire, the Children's Depression Inventory, and Functional Disability Inventory were administered. Results indicated that both JPFS and CBP groups reported significant disruption in functional abilities and school attendance as a result of chronic pain. Both groups reported mildly elevated symptoms of depression overall, but there was a subgroup of JPFS subjects who reported severe levels of depression. The JPFS group had suffered from pain for significantly longer than the CBP group before being referred for specialty care. However, pain duration was not significantly related to depression, functional disability, or pain coping efficacy. The levels of functional disability were similar in both groups, but the JPFS group reported somewhat more school absences. The longer time to receive specialty care and identification of a subgroup of depressed subjects at risk for long-term psychosocial consequences are of particular concern in JPFS.

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Studies have shown direct benefits of relaxation techniques for children with persistent pain, including slowing heart rate and breathing, increased blood flow to muscles, and decreased muscle tension.
“Studies have shown the direct benefits of relaxation techniques for children with persistent pain including slowing of heart rate and breathing, increased blood flow to the muscles, and decreased muscle tension e.g., [73].”
From Best-evidence for the rehabilitation of chronic pain part 1: Pediatric pain (2019) · cites this paper as [73]
The discussion (p. 416) concerns coping, disability, and the need for intervention research in children with chronic pain. Searches for relaxation, heart rate, breathing, blood flow, and muscle tension found no passage reporting the claimed physiological benefits. (LLM, conf=0.78)
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Kashikar-Zuck S, Graham TB, Huenefeld MD, Powers SW: A review of biobehavioral research in juvenile primary fibro- myalgia syndrome. Arthritis Care Res 13:388-397, 2000

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Authors: Kashikar-Zuck, S., Vaught, M. H., Goldschneider, K. R., Graham, T. B., & Miller, J. C.
Affiliations: University of Cincinnati (US)
ORCID: Goldschneider, Kenneth R.
Graham, Thomas B.
Venue: The Journal of Pain
Publisher: Elsevier BV
Published: 2002-10
Volume: 3
Issue: 5
Pages: 412-419
ISSN: 1526-5900 (ISSN-L)
DOI: 10.1054/jpai.2002.126786
OpenAlex: W2150583087
Cited by: 164
References: 41
Citations by year: 2026: 2 · 2025: 2 · 2024: 3 · 2023: 4 · 2022: 4 · 2021: 11 · 2020: 8 · 2019: 9 · 2018: 10 · 2017: 3 · 2016: 8 · 2015: 10 · 2014: 6 · 2013: 17 · 2012: 10
FWCI: 1.28
Type: journal article
Language: en
Open access: bronze
doi.org
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/legal/tdmrep-license (tdm)
www.elsevier.com/open-access/userlicense/1.0/ (vor, 7650 d)
Locations: Journal of Pain (publishedVersion)
PubMed (publishedVersion)
Funders: National Institutes of Health
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: chronic back pain, depression, pain coping, functional disability, school absenteeism, pain duration, psychosocial consequences, children

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Depression, coping, and functional disability in juvenile primary fibromyalgia syndrome

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