Family factors, emotional functioning, and functional impairment in juvenile fibromyalgia syndrome

Kashikar‐Zuck, Susmita; Lynch, Anne M.; Slater, Shalonda; Graham, T. Brent; Swain, Nicole F.; Noll, Robert B.

doi:10.1002/art.24099

Cited by 108 publications

(92 citation statements)

References 31 publications

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“…Paralleling adult chronic pain findings, research with pediatric chronic pain patients suggests that pain intensity and duration only predict a moderate amount of the variance in disability 4,11 , and that psychological factors might help explain disability 48 . Whereas some studies have found positive associations between anxiety and disability in these pediatric patients 22,52 , other studies have not found an anxiety-disability link, particularly when controlling for other variables 11,13,21,35,48 . On the other hand, depression has consistently been found to predict disability in adolescents with chronic pain 4,11,20,22,23 .…”

Section: Introductionmentioning

confidence: 81%

The Impact of Adolescent Chronic Pain on Functioning: Disentangling the Complex Role of Anxiety

Cohen¹,

Vowles²,

Eccleston³

2010

The Journal of Pain

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A number of adolescents with chronic pain have clinically significant disability across physical, social, and academic activities, and pain severity only explains a portion of the variance in functioning. Thus, it is important to identify therapeutic options to improve adolescents' functioning. In contrast to studies with adults with chronic pain, research in pediatric pain has not consistently found anxiety to be a good predictor of pain-related disability. The present study evaluated pain, anxiety, and functioning in 222 adolescents with chronic pain. Results indicated that pain was consistently and linearly related to disability across measures of physical and social functioning, school attendance, and physician visits. The relation between anxiety and functioning was complex; increased anxiety was related to poorer physical and social functioning and was related to fewer physician visits, although it was not associated with school attendance. Additional analyses revealed that anxiety serves to moderate the relation between pain and functioning. Specifically, at high anxiety, pain was not related to functioning, but at low anxiety pain consistently predicted disability. In other words, highly anxious adolescents were functioning poorly regardless of the level of pain. The moderating role of anxiety highlights a number of research and clinical possibilities to explore with adolescents with chronic painrelated disability.Perspective: Data suggest that high anxiety is associated with poor functioning irrespective of pain intensity. At low anxiety, higher pain predicted greater disability.Anxiety is important to assess when investigating potential reasons for pain-related disability.

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Section: Introductionmentioning

confidence: 81%

The Impact of Adolescent Chronic Pain on Functioning: Disentangling the Complex Role of Anxiety

Cohen¹,

Vowles²,

Eccleston³

2010

The Journal of Pain

View full text Add to dashboard Cite

show abstract

“…Number of problems endorsed was also summed to create a 0-4 score indicating number of pain locations. Similar pain checklists and scoring systems have been used in previous research examining family pain history (e.g., Kashikar-Zuck et al, 2008;Laurell, Larsson, & EegOlofsson, 2005).…”

Section: Parent Pain Characteristicsmentioning

confidence: 99%

Parent Pain and Catastrophizing Are Associated With Pain, Somatic Symptoms, and Pain-Related Disability Among Early Adolescents

Wilson

Moss

Palermo

et al. 2013

Journal of Pediatric Psychology

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Objective To examine associations between parental history of pain and catastrophizing and their adolescent's pain, somatic symptoms, catastrophizing, and disability. Methods Participants included 178 youths aged 11-14 years recruited through public schools. Adolescents completed measures assessing pain characteristics, somatic symptoms, and pain catastrophizing. Parents reported on their own pain, and catastrophizing about their adolescent's pain. Results About one quarter of the adolescents and two thirds of parents reported having pain. Parent pain was associated with adolescent pain, somatic symptoms, and pain catastrophizing. Parent catastrophizing was a significant predictor of adolescent somatic symptoms and pain-related disability, beyond the contribution of parent pain. Adolescent catastrophizing mediated the association between parent catastrophizing and adolescent pain-related disability. Conclusions Parent history of pain and pain-related cognitions may contribute to adolescent risk for chronic pain.

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“…Parental and familial pain experiences are associated with patients' use of catastrophic thinking to cope with chronic pain [12]. Poor family functioning are evident in families of adolescents with JFM [13]. In our case, relatively healthy family functioning without parents' chronic pain might contribute to early disappearance of symptoms.…”

Section: Discussionmentioning

confidence: 79%

Early-Stage Juvenile Fibromyalgia in a 12-Year-Old Girl

Sakurai¹

2015

OJPed

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Juvenile fibromyalgia (JFM) is often diagnosed at a later stage. Therefore, little is known about its early phase. A 12-year-old girl with persistent lumbago without fever consulted an orthopedist, but imaging studies showed no abnormalities and analgesics were ineffective. She therefore visited our pediatric clinic. On digital palpation, she had pain in 13 of the 18 tender point sites of fibromyalgia. The blood test results were unremarkable. A medical interview revealed character tendencies often seen in patients with JFM; she was serious-minded, uncompromising, and showed excessive concern for others. Furthermore, psychological stress for the approaching annual sports day might have built up. All factors considered, early-stage JFM was the probable diagnosis. The patient accepted the diagnosis and understood that the disease may be psychogenic. Getting through the sports day cured her symptoms. This case highlights the importance of initial care, including a detailed explanation, in those with JFM.

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Family factors, emotional functioning, and functional impairment in juvenile fibromyalgia syndrome

Cited by 108 publications

References 31 publications

The Impact of Adolescent Chronic Pain on Functioning: Disentangling the Complex Role of Anxiety

The Impact of Adolescent Chronic Pain on Functioning: Disentangling the Complex Role of Anxiety

Parent Pain and Catastrophizing Are Associated With Pain, Somatic Symptoms, and Pain-Related Disability Among Early Adolescents

Early-Stage Juvenile Fibromyalgia in a 12-Year-Old Girl

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