title: 2010 American College of Rheumatology Adult Fibromyalgia Criteria for Use in an Adolescent Female Population with Juvenile Fibromyalgia.
abstract: OBJECTIVE
  To evaluate the utility of the 2010 American College of Rheumatology (ACR) adult fibromyalgia criteria for use in adolescents with juvenile fibromyalgia (JFM).
  
  
  METHODS
  Participants included 47 adolescent girls diagnosed with JFM (mean age = 15.3 years) and 48 age- and sex-matched adolescents (mean age = 15.0 years) with localized chronic pain (eg, headaches or abdominal pain). A trained examiner administered the Widespread Pain Index and Symptom Severity measures and also completed a manual tender point exam. Clinicians completed a form indicating the presence of active JFM per Yunus and Masi (1985) criteria, the only available and most commonly used measure for JFM. Criterion validity analysis was performed as well as t tests comparing symptoms between JFM and controls.
  
  
  RESULTS
  With the Yunus and Masi criteria used as the gold standard, the 2010 ACR fibromyalgia criteria showed a sensitivity of 89.4% and specificity of 87.5%.
  
  
  CONCLUSIONS
  The 2010 ACR measure appears to be a valuable tool for the identification of JFM. However, a slight modification to the 2010 ACR measure and inclusion of a clinical exam is recommended.
authors.affiliation: Division of Rheumatology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH; Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH. Electronic address: tracy.ting@cchmc.org.
authors.forename: Tracy V
authors.initials: TV
authors.lastname: Ting
authors.affiliation: Department of Psychology, Brigham Young University, Provo, UT.
authors.forename: Kimberly
authors.initials: K
authors.lastname: Barnett
authors.affiliation: Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH; Division of Behavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH.
authors.forename: Anne
authors.initials: A
authors.lastname: Lynch-Jordan
authors.affiliation: Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH.
authors.forename: Catharine
authors.initials: C
authors.lastname: Whitacre
authors.affiliation: Division of Rheumatology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH; Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH.
authors.forename: Michael
authors.initials: M
authors.lastname: Henrickson
authors.affiliation: Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH; Division of Behavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH.
authors.forename: Susmita
authors.initials: S
authors.lastname: Kashikar-Zuck
mesh_terms: D000293:Adolescent; D000328:Adult; D000367:Age Factors; D005260:Female; D005356:Fibromyalgia / Q000175:diagnosis*; D017408:Guidelines as Topic; D006801:Humans; D012219:Rheumatology; D012955:Societies, Medical; D014481:United States