Quality of Life and Emotional Functioning in Youth With Chronic Migraine and Juvenile Fibromyalgia
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SUMMARY: Chronic pain in children is associated with significant negative impact on social, emotional, and school functioning. Previous studies on the impact of pain on children's functioning have primarily used mixed samples of pain conditions or single pain conditions (eg, headache and abdominal pain) with relatively small sample sizes. As a result, the similarities and differences in the impact of pain in subgroups of children with chronic pain have not been closely examined. OBJECTIVE: To compare pain characteristics, quality of life, and emotional functioning among youth with pediatric chronic migraine (CM) and juvenile fibromyalgia (JFM). METHODS: We combined data obtained during screening of patients for 2 relatively large intervention studies of youth (age range, 10 to 18 y) with CM (N=153) and JFM (N=151). Measures of pain intensity, quality of life (Pediatric Quality of Life; PedsQL, child and parent-proxy), depressive symptoms (Children's Depression Inventory), and anxiety symptoms (Adolescent Symptom Inventory-4-Anxiety subscale) were completed by youth and their parent. A multivariate analysis of covariance controlling for effects of age and sex was performed to examine differences in quality of life and emotional functioning between the CM and JFM groups. RESULTS: Youth with JFM had significantly higher anxiety and depressive symptoms, and lower quality of life in all domains. Among children with CM, overall functioning was higher but school functioning was a specific area of concern. DISCUSSION: Results indicate important differences in subgroups of pediatric pain patients and point to the need for more intensive multidisciplinary intervention for JFM patients.
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In at least a subset of youth with JPFS, pain is associated with significant and enduring impairment in the ability to participate in usual activities and maintain positive well-being.
“In at least a subset of youth with JPFS, pain is associated with significant and enduring impairment in the ability to participate in usual activities and maintain positive well-being [4–7].”
From Pain, functional disability, and their Association in Juvenile Fibromyalgia Compared to other pediatric rheumatic diseases (2019) · cites this paper as [5]
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- Authors
- Kashikar-Zuck, S., Zafar, M., Barnett, K. A., Aylward, B. S., Strotman, D., Slater, S. K., Allen, J. R., LeCates, S. L., Kabbouche, M. A., Ting, T. V., Hershey, A. D., & Powers, S. W.
- Affiliations
- University of Cincinnati (US)
- Neurology, Inc (US)
- Cincinnati Children's Hospital Medical Center (US)
- Corresponding author
- Zafar, Marium
- Barnett, Kimberly A.
- Aylward, Brandon S.
- Strotman, Daniel
- Slater, Shalonda K.
- Allen, Janelle R.
- Powers, Scott W.
- ORCID
- Venue
- The Clinical Journal of Pain
- Published
- 2013-12
- Volume
- 29
- Issue
- 12
- Pages
- 1066-1072
- ISSN
- 0749-8047 (ISSN-L)
- PMC
- PMC3675174
- OpenAlex
- W2062134923
- Cited by
- 77
- References
- 31
- Citations by year
- 2026: 2 · 2025: 5 · 2024: 5 · 2023: 4 · 2022: 7 · 2021: 3 · 2020: 3 · 2019: 7 · 2018: 8 · 2017: 5 · 2016: 10 · 2015: 9 · 2014: 8 · 2013: 1
- FWCI
- 6.64
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Clinical Journal of Pain (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health (UL1TR000077)
- National Institute of Neurological Disorders and Stroke (R01NS050536)
- National Institute of Arthritis and Musculoskeletal and Skin Diseases (K24AR056687, R01AR050028)
- National Center for Advancing Translational Sciences
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Migraine and Headache Studies
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Pediatric Pain Management Techniques
- Health Sciences › Medicine › Psychiatry and Mental health › Fibromyalgia and Chronic Fatigue Syndrome Research
- Keywords
- chronic migraine, juvenile fibromyalgia, pediatric chronic pain, quality of life, emotional functioning, depressive symptoms, anxiety symptoms, school functioning, children and adolescents
- MeSH terms
- Adaptation, Psychological, Adolescent, Child, Depression, Emotions, Female, Fibromyalgia, Humans, Male, Migraine Disorders, Pain Measurement, Quality of Life, Chronic Pain
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