Startseite A pilot study of a combined intervention for management of juvenile primary fibromyalgia symptoms in adolescents in an inpatient psychiatric unit
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A pilot study of a combined intervention for management of juvenile primary fibromyalgia symptoms in adolescents in an inpatient psychiatric unit

  • Karen Lommel EMAIL logo , Anuja Bandyopadhyay , Catherine Martin , Shweta Kapoor und Leslie Crofford
Veröffentlicht/Copyright: 27. Juni 2011
International Journal of Adolescent Medicine and Health
Aus der Zeitschrift Band 23 Heft 3

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.


Corresponding author: Karen Lommel, DO, MHA, MS, Department of Psychiatry, 3470 Blazer Parkway, University of Kentucky, Lexington, KY 40509, USA Phone: +1-859-323-6021, ext. 79341, Fax: +1-859-323-3898

Received: 2010-8-3
Revised: 2010-9-5
Accepted: 2010-9-16
Published Online: 2011-06-27
Published Online: 2011-06-27
Published in Print: 2011-09-01

©2011 by Walter de Gruyter Berlin Boston

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