{"id":141,"date":"2011-11-22T14:45:17","date_gmt":"2011-11-22T19:45:17","guid":{"rendered":"http:\/\/therapytoronto.ca\/news\/?p=141"},"modified":"2011-11-22T14:45:57","modified_gmt":"2011-11-22T19:45:57","slug":"psychological-intervention-reduces-disability-and-depression-in-adolescents-with-fibromyalgia","status":"publish","type":"post","link":"https:\/\/therapytoronto.ca\/news\/2011\/11\/psychological-intervention-reduces-disability-and-depression-in-adolescents-with-fibromyalgia\/","title":{"rendered":"Psychological Intervention Reduces Disability and Depression in Adolescents with Fibromyalgia"},"content":{"rendered":"<p>From the Wiley-Blackwell press release:<\/p>\n<blockquote><p><img loading=\"lazy\" class=\"alignright\" title=\"depression\" src=\"http:\/\/therapytoronto.ca\/images\/blogpics\/Stress.jpg\" alt=\"\" width=\"170\" height=\"248\" \/>A recent trial shows <strong>cognitive-behavioral therapy (CBT) reduces  functional disability and depressive symptoms in adolescents with  juvenile fibromyalgia<\/strong>. The <strong>psychological intervention was found to be  safe and effective, and proved to be superior to disease management  education<\/strong>. Full findings from this multi-site clinical trial are  published in <em>Arthritis &amp; Rheumatism,<\/em> a peer-reviewed journal of the American College of Rheumatology (ACR).<\/p>\n<p>Medical evidence reports that juvenile fibromyalgia syndrome affects  2% to 7% of school age children. Similar to adult cases, the juvenile  form of the disorder primarily strikes adolescent girls. Both adult and  juvenile fibromyalgia patients experience widespread musculoskeletal  pain, fatigue, as well as sleep and mood disturbances. Previous studies  show that juvenile fibromyalgia patients are burdened with substantial  physical, school, social and emotional impairments. However, studies  investing treatment for the juvenile form of the disorder are limited.<\/p>\n<p>For the current trial, led by Dr. Susmita Kashikar-Zuck from the  Division of Behavioral Medicine and Clinical Psychology at Cincinnati  Children&#8217;s Hospital Medical Center in Ohio, investigators recruited 114  adolescents between the ages of 11 and 18 years who were diagnosed with  juvenile fibromyalgia. The trial was conducted at four pediatric  rheumatology centers between December 2005 through 2009, with  participants randomized to cognitive-behavioral therapy or fibromyalgia  education, receiving eight weekly individual therapy sessions and two  additional sessions in the six months following the end of active  therapy.<\/p>\n<p>Analyses showed that both patient groups displayed significant  reduction in functional disability, pain, and depressive symptoms at the  end of the trial. <strong>Pediatric participants in the cognitive-behavioral  therapy group reported a significantly greater reduction in functional  disability compared to those receiving fibromyalgia education. The  therapy group had a 37% improvement in disability compared to 12% in the  education cohort<\/strong>. Both groups had scores in the non-depressed range by  the end of the study, but pain reduction was not clinically  significant\u00e2\u20ac\u201da decrease in pain of less than 30% for either group.<\/p>\n<p>The drop-out rate was low with over 85% of participants attending  all therapy sessions and no study-related adverse events were reported  by investigators. &#8220;Our trial confirms that <strong>cognitive-behavioral therapy  is a safe and effective treatment for reducing functional disability and  depression in patients with juvenile fibromyalgia<\/strong>,&#8221; concludes Dr.  Kashikar-Zuck. &#8220;When added to standard medical care,  cognitive-behavioral therapy <strong>helps to improve daily functioning and  overall wellbeing for adolescents with fibromyalgia<\/strong>.&#8221;<\/p><\/blockquote>\n<!-- AddThis Advanced Settings generic via filter on the_content --><!-- AddThis Share Buttons generic via filter on the_content -->","protected":false},"excerpt":{"rendered":"<p>From the Wiley-Blackwell press release: A recent trial shows cognitive-behavioral therapy (CBT) reduces functional disability and depressive symptoms in adolescents with juvenile fibromyalgia. The psychological intervention was found to be&#8230; <a class=\"read-more-link\" href=\"https:\/\/therapytoronto.ca\/news\/2011\/11\/psychological-intervention-reduces-disability-and-depression-in-adolescents-with-fibromyalgia\/\">Read more &raquo;<\/a><!-- AddThis Advanced Settings generic via filter on get_the_excerpt --><!-- AddThis Share Buttons generic via filter on get_the_excerpt --><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[10],"tags":[47,48,14,49,51,50],"_links":{"self":[{"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/posts\/141"}],"collection":[{"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/comments?post=141"}],"version-history":[{"count":3,"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/posts\/141\/revisions"}],"predecessor-version":[{"id":143,"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/posts\/141\/revisions\/143"}],"wp:attachment":[{"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/media?parent=141"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/categories?post=141"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/tags?post=141"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}