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Journal of Pediatric Psychology Advance Access published online on August 24, 2005
Journal of Pediatric Psychology, doi:10.1093/jpepsy/jsj064
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Journal of Pediatric Psychology © 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
Received March 5, 2004
Revised June 22, 2004
Accepted July 26, 2004

Original research article

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
2 NYU Child Study Center

* To whom correspondence should be addressed.
Pamela J. Degotardi, E-mail: pdegotardi{at}honorscollege.cuny.edu


  Abstract

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.

Keywords: cognitive-behavioral intervention; juvenile fibromyalgia; pain management.
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