Juvenile Primary Fibromyalgia Syndrome (JPFS) in an Adolescent Psychiatric Population

Joel Thompson

Status: Completed

Conditions: Juvenile Primary Fibromyalgia Syndrome

Treatments: Behavioral: Psychoeducational Seminar and Relaxation Technique

Study type: Interventional

Funder types: Other

Identifiers

NCT00909194

FIBRO1

Details and patient eligibility

About

The purpose of this study was to identify clinical characteristics and estimate the prevalence of Juvenile Primary Fibromyalgia in a female inpatient psychiatric population. The secondary purpose of this study was to determine the efficacy of an intervention (psychoeducational seminar and relaxation technique) on reducing the symptoms of Juvenile Primary Fibromyalgia Syndrome. We looked at the short-term and long-term effects of this intervention in comparison to the control (skin care seminar).

Full description

The specific aims of phase one of this study were to estimate the prevalence of Juvenile Primary Fibromyalgia Syndrome (JPFS) in an inpatient female psychiatric population and to identify characteristics associated with JPFS in this population. We chose to explore two primary hypotheses. Because of the common link between adult fibromyalgia and anxiety and depression, we hypothesize that those with JPFS will score higher on measures of these symptoms. Given the adult literature on the suspected link between physical and or sexual abuse and adult fibromyalgia, we also hypothesized that adolescents who meet criteria for JPFS will have higher rates of sexual and physical abuse.

The other specific aim of this study was to determine the short- and long-term impact of an intervention on reduction of JPFS symptoms. The intervention was a psychoeducational seminar on JPFS (pain management, diet, exercise and sleep hygiene) followed by a relaxation technique (audio-guided CD). The control group was involved in an educational seminar on skin care (WITHOUT relaxation technique). Study measures were obtained immediately before and after the intervention/control seminars (short-term) and 8 weeks after discharge (long-term). Each group was discharged with a CD player and CD with relaxation technique or skin care seminar. Participants recorded the use of the CD's and completed follow up questionnaires 8 weeks after discharge from the hospital.

Enrollment: 132 patients

Sex: Female

Ages: 12 to 18 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Admitted to inpatient child psychiatric facility
• Between 12-18 years of age
• in parental or family (relative as guardian) custody

Exclusion criteria

• In state custody
• low intellectual functioning (i.e. IQ less than or equal to 70)
• active psychosis

Trial design

Primary purpose: Treatment

Allocation: Non-Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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132 participants in 2 patient groups

Intervention

Experimental group

Description:

Educational Seminar on Juvenile Primary Fibromyalgia Syndrome and CD-guided total body relaxation technique

Treatment:

Behavioral: Psychoeducational Seminar and Relaxation Technique

Control

No Intervention group

Description:

Control Arm consisted of an educational seminar on skin care