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Preliminary Outcomes of a Cross‐Site Cognitive–Behavioral and Neuromuscular Integrative Training Intervention for Juvenile Fibromyalgia

Objective Cognitive–behavioral therapy (CBT) is effective in reducing disability among youth with juvenile fibromyalgia (FM); however, engagement in moderate to vigorous physical activity remains poor, even after CBT. The purpose of this study was to evaluate the feasibility and preliminary outcomes...

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Published in:Arthritis care & research (2010) 2017-03, Vol.69 (3), p.413-420
Main Authors: Tran, Susan T., Guite, Jessica W., Pantaleao, Ashley, Pfeiffer, Megan, Myer, Gregory D., Sil, Soumitri, Thomas, Staci M., Ting, Tracy V., Williams, Sara E., Edelheit, Barbara, Ounpuu, Sylvia, Rodriguez‐MacClintic, Jennifer, Zemel, Lawrence, Zempsky, William, Kashikar‐Zuck, Susmita
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Language:English
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Summary:Objective Cognitive–behavioral therapy (CBT) is effective in reducing disability among youth with juvenile fibromyalgia (FM); however, engagement in moderate to vigorous physical activity remains poor, even after CBT. The purpose of this study was to evaluate the feasibility and preliminary outcomes of an innovative program combining CBT with specialized neuromuscular exercise: the Fibromyalgia Integrative Training for Teens (FIT Teens) program. Methods Adolescents with juvenile FM (n = 22, all female, ages 12–18 years) from 2 urban children's hospitals participated in the 8‐week FIT Teens intervention. Participants completed measures of pain intensity, functional disability, depressive symptoms, pain catastrophizing, fear of movement, and readiness to change at baseline and after the intervention. Results The feasibility of the intervention across 2 sites was documented, including high retention rates (80%). Participants showed significant decreases in functional disability (P 
ISSN:2151-464X
2151-4658
DOI:10.1002/acr.22946