title: [Juvenile fibromyalgia syndrome].
abstract: OBJECTIVE
  The aim was to develop a guideline for diagnostic procedures and treatment of juvenile fibromyalgia syndrome (JFMS) in cooperation with 10 German medical and psychological associations and 2 patient self-help groups.
  
  
  METHODS
  A systematic literature search, including all controlled studies evaluating diagnosis and treatment of JFMS, was performed in the Cochran Collaboration Reviews (1993-12/2006), Medline (1980-12/2006), PsychInfo (1966-12/2006) and Scopus (1980-12/2006). Levels of evidence were assigned according to the classification system of the Oxford Centre for Evidence-Based Medicine. Grading of the strengths of recommendations was performed according to the German program for disease management guidelines. Standardized procedures to reach a consensus on recommendations were used.
  
  
  RESULTS
  Pain in children/adolescents involving several body areas and lasting >3 months without an obvious somatic cause is called JFMS or pain amplification syndrome. Therapeutically, a multidisciplinary concept with psychotherapy and physiotherapy, relaxation techniques and patient education is recommended.
  
  
  CONCLUSIONS
  These guideline will contribute to a better recognition and standardized care of patients with JFMS and facilitate clinical studies.
authors.affiliation: Deutsches Zentrum für Kinder- und Jugendrheumatologie, Gehfeldstrasse 24, 82467, Garmisch-Partenkirchen. michels.hartmut@rummelsberger.net
authors.forename: H
authors.initials: H
authors.lastname: Michels
authors.forename: K
authors.initials: K
authors.lastname: Gerhold
authors.forename: R
authors.initials: R
authors.lastname: Häfner
authors.forename: W
authors.initials: W
authors.lastname: Häuser
authors.forename: A
authors.initials: A
authors.lastname: Illhardt
authors.forename: K
authors.initials: K
authors.lastname: Mönkemöller
authors.forename: M
authors.initials: M
authors.lastname: Richter
authors.forename: L
authors.initials: L
authors.lastname: Schuchmann
mesh_terms: D000293:Adolescent; D002648:Child; D003131:Combined Modality Therapy; D003937:Diagnosis, Differential; D019317:Evidence-Based Medicine; D005356:Fibromyalgia / Q000175:diagnosis / Q000534:rehabilitation*; D006801:Humans; D010348:Patient Care Team; D012657:Self-Help Groups; D012955:Societies, Medical