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Journal of Pediatric Psychology Advance Access originally published online on August 24, 2005
Journal of Pediatric Psychology 2006 31(7):714-723; doi:10.1093/jpepsy/jsj064
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© The Author 2005. Published by Oxford University Press on behalf of the Society of Pediatric Psychology. All rights reserved. For permissions, please e-mail: journals.permissions@oupjournals.org

Development and Evaluation of a Cognitive-Behavioral Intervention for Juvenile Fibromyalgia

Pamela J. Degotardi, PhD1, Emily S. Klass, PhD2, Batya S. Rosenberg, PhD1, Diana G. Fox, PsyD1, Kim A. Gallelli, PhD1 and Beth S. Gottlieb, MD, MS1

1 Schneider Children’s Hospital and 2 NYU Child Study Center

All correspondence concerning this article should be addressed to Pamela J. Degotardi, PhD, Honors Center, CUNY Honors College at Queens College, Room 133, 65-30 Kissena Boulevard, Flushing, New York 11367-1597. E-mail: pdegotardi{at}honorscollege.cuny.edu.

Objective To describe the development and test the efficacy of a cognitive-behavioral intervention (CBT) for juvenile fibromyalgia. Method Sixty-seven children with fibromyalgia and their parents were recruited to participate in an 8-week intervention that included modules of pain management, psychoeducation, sleep hygiene, and activities of daily living. Children were taught techniques of cognitive restructuring, thought stopping, distraction, relaxation, and self-reward. Additionally, they kept daily pain and sleep dairies. Children completed questionnaires of pre- and post-treatment measuring physical status and psychological functioning. Results Following CBT, children reported significant reductions (p < .006) in pain, somatic symptoms, anxiety, and fatigue, as well as improvements in sleep quality. Additionally, children reported improved functional ability and had fewer school absences. Conclusion Children with fibromyalgia can be taught CBT strategies that help them effectively manage this chronic and disabling musculoskeletal pain disorder.

Key words: cognitive-behavioral intervention; juvenile fibromyalgia; pain management.


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