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

Karen Lommel, Anuja Bandyopadhyay, Catherine Martin, Shweta Kapoor, Leslie Crofford

Research output: Contribution to journalArticlepeer-review

3 Scopus citations


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.

Original languageEnglish
Pages (from-to)193-197
Number of pages5
JournalInternational Journal of Adolescent Medicine and Health
Issue number3
StatePublished - Sep 1 2011

Bibliographical note

Funding Information:
This publication was made possible by Grant Number K12 DA14040 from the Office of Women s Health Research and the National Institute on Drug Abuse at the National Institutes of Health (NIH). Its contents are solely the responsibility of the authors and do not necessarily represent the official views of NIH. Financial support was also provided by the University of Kentucky Center for the Advancement of Women s Health and the American Academy of Child and Adoles- cent Psychiatry Pilot Research Award (with the support of Eli Lilly and Company).


  • intervention juvenile primary fibromyalgia
  • psychiatric
  • relaxation

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Public Health, Environmental and Occupational Health


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