title: Protective and exacerbating factors in children and adolescents with fibromyalgia.
abstract: OBJECTIVE
  To investigate protective and exacerbating factors in the adjustment of youth with juvenile primary fibromyalgia syndrome (JPFS), we examined the relationship of stress, coping strategies, social support, and self-efficacy to quality of life, pain, and depression.
  
  
  METHODS
  Participants were 57 youths (ages 10 to 18 years) and their parents from rheumatology clinics at 2 children's hospitals. The youths self-reported daily hassles, coping strategies, social support, self-efficacy, quality of life, pain, and depression. Parents reported on the youths' major life events and quality of life.
  
  
  RESULTS
  In regression analyses, daily hassles, catastrophizing (a coping strategies scale), and self-efficacy predicted child-rated quality of life; self-efficacy predicted pain; and daily hassles predicted depression. Self-efficacy and familial social support moderated the relationship between daily hassles and depression.
  
  
  CONCLUSIONS
  Daily hassles may be associated with health outcomes for youth with JPFS more than major life events are, and catastrophic thinking and self-efficacy beliefs could be appropriate intervention targets.
authors.affiliation: Department of Psychology.
authors.forename: Christopher J
authors.initials: CJ
authors.lastname: Libby
authors.affiliation: Department of Psychology.
authors.forename: David S
authors.initials: DS
authors.lastname: Glenwick
mesh_terms: D000223:Adaptation, Psychological; D000293:Adolescent; D000328:Adult; D002648:Child; D002908:Chronic Disease; D005260:Female; D005356:Fibromyalgia / Q000453:epidemiology / Q000523:psychology*; D006304:Health Status; D006801:Humans; D008297:Male; D010146:Pain / Q000188:drug therapy / Q000453:epidemiology; D011788:Quality of Life / Q000523:psychology; D020377:Self Efficacy; D012944:Social Support; D011795:Surveys and Questionnaires