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

Study Overview
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Brief Summary
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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).

Detailed Description
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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.

Official Title
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Juvenile Primary Fibromyalgia in a Female Adolescent Psychiatric Population

Conditions
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Juvenile Primary Fibromyalgia Syndrome

Intervention / Treatment
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* Behavioral: Psychoeducational Seminar and Relaxation Technique


Participation Criteria
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Eligibility Criteria
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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

Ages Eligible for Study
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Minimum Age: 12 Years
Maximum Age: 18 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Intervention<br>Educational Seminar on Juvenile Primary Fibromyalgia Syndrome and CD-guided total body relaxation technique | Behavioral: Psychoeducational Seminar and Relaxation Technique<br>* Psychoeducational seminar on Juvenile Primary Fibromyalgia (pain management, diet, exercise and sleep hygiene) followed by a total body relaxation technique<br>|
| No Intervention: Control<br>Control Arm consisted of an educational seminar on skin care | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| To characterize adolescents who are admitted to an inpatient psychiatric unit and meet criteria for JPFS |  |  | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| To determine the efficacy of an intervention on functioning and well-being (short-term and long-term) |  | Immediately after intervention and 8 weeks after discharge | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Juvenile Primary Fibromyalgia, Adolescents, Psychiatry