title: A pilot study of a combined intervention for management of juvenile primary fibromyalgia symptoms in adolescents in an inpatient psychiatric unit.
abstract: BACKGROUND
  Juvenile primary fibromyalgia syndrome (JPFS) is a chronic condition characterized by widespread musculoskeletal pain and discrete tender points with no objective evidence of a muscle disease but with disordered central pain processing. Very little is known about the prevalence and treatment on inpatient psychiatric units.
  
  
  OBJECTIVE
  The purpose of this study was to determine the effect of an intervention for JPFS in adolescent females admitted to a psychiatric hospital.
  
  
  METHODS
  In total, 30 patients with JPFS were assigned to either the intervention (n = 15) or control group (n = 15). The intervention group attended a fibromyalgia seminar followed by an audio-guided total body relaxation exercise. The control group participated in a seminar on skin care. Both groups completed a visual analog scale for affective states and somatic sensations before and after the seminar.
  
  
  RESULTS
  Participants in the intervention group, but not the control group, demonstrated significant improvement in concentration, self-confidence, restfulness and comfort level (p < 0.001 to p < 0.05). They also reported a reduction in stress level, muscle tightness, stomach upset and feeling down (p < 0.001 to p < 0.05) immediately after the intervention.
  
  
  CONCLUSIONS
  This study provides evidence that a combined intervention can be used in the inpatient psychiatric setting to improve functioning and overall well-being of patients with comorbid psychiatric disorders and JPFS during acute hospitalization.
authors.affiliation: Department of Psychiatry, Division of Rheumatology, 3470 Blazer Parkway, University of Kentucky, Lexington, KY 40509, USA. karen.lommel@uky.edu
authors.forename: Karen
authors.initials: K
authors.lastname: Lommel
authors.forename: Anuja
authors.initials: A
authors.lastname: Bandyopadhyay
authors.forename: Catherine
authors.initials: C
authors.lastname: Martin
authors.forename: Shweta
authors.initials: S
authors.lastname: Kapoor
authors.forename: Leslie
authors.initials: L
authors.lastname: Crofford
mesh_terms: D000293:Adolescent; D002648:Child; D003863:Depression / Q000523:psychology; D019468:Disease Management; D005260:Female; D005356:Fibromyalgia / Q000628:therapy*; D006801:Humans; D010147:Pain Measurement; D010353:Patient Education as Topic / Q000379:methods*; D010865:Pilot Projects; D015995:Prevalence; D011567:Psychiatric Department, Hospital; D012064:Relaxation Therapy / Q000379:methods*; D020377:Self Efficacy; D013315:Stress, Psychological / Q000523:psychology