title: Cross-Sectional Study of Young Adults Diagnosed With Juvenile Fibromyalgia: Social Support and Its Impact on Functioning and Mood.
abstract: OBJECTIVE
  Juvenile-onset fibromyalgia (JFM) affects physical, social, and emotional functioning. Little is known about how social support and social interactions are impacted in the transition to young adulthood for patients diagnosed with JFM.
  
  
  METHODS
  Young adults (Mage = 21.6) diagnosed with JFM during adolescence (N = 94) and matched healthy controls (N = 33) completed measures of social network size and diversity, perceived social support, physical functioning, and depressive symptoms as part of a cross-sectional survey study.
  
  
  RESULTS
  No difference in social network diversity was found, although JFM patients reported fewer total people within their social networks. JFM patients reported poorer emotional and tangible support and fewer positive social interactions than healthy controls. After controlling for condition and pain intensity, the level of perceived social support was a significant predictor of physical functioning and depressive symptoms, whereas social network size also contributed uniquely to physical functioning.
  
  
  CONCLUSIONS
  Given the developmental importance of social support in adolescence and young adulthood, interventions should include methods of improving social support into fibromyalgia management.
authors.affiliation: Division of Behavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio; Department of Pediatrics, College of Medicine, University of Cincinnati, Cincinnati, Ohio. Electronic address: anne.lynch-jordan@cchmc.org.
authors.forename: Anne M
authors.initials: AM
authors.lastname: Lynch-Jordan
authors.affiliation: Aflac Cancer and Blood Disorders Center, Children's Healthcare of Atlanta, Department of Pediatrics, Emory University School of Medicine, Atlanta, Georgia.
authors.forename: Soumitri
authors.initials: S
authors.lastname: Sil
authors.affiliation: Center for Child Health, Behavior, and Development, Seattle Children's Research Institute, Seattle, Washington.
authors.forename: Maggie
authors.initials: M
authors.lastname: Bromberg
authors.affiliation: Department of Pediatrics, College of Medicine, University of Cincinnati, Cincinnati, Ohio; Division of Rheumatology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
authors.forename: Tracy V
authors.initials: TV
authors.lastname: Ting
authors.affiliation: Division of Behavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio; Department of Pediatrics, College of Medicine, University of Cincinnati, Cincinnati, Ohio.
authors.forename: Susmita
authors.initials: S
authors.lastname: Kashikar-Zuck
mesh_terms: D000223:Adaptation, Psychological; D000293:Adolescent; D000067697:Adolescent Health; D000339:Affect; D003430:Cross-Sectional Studies; D005260:Female; D005356:Fibromyalgia / Q000503:physiopathology / Q000523:psychology*; D006801:Humans; D007398:Interpersonal Relations; D008297:Male; D012944:Social Support; D011795:Surveys and Questionnaires; D055815:Young Adult
keywords: Depression; Fibromyalgia; Physical functioning; Social support; Young adults