[Juvenile fibromyalgia syndrome].
H Michels1, K Gerhold, R Häfner
1Deutsches Zentrum für Kinder- und Jugendrheumatologie, Gehfeldstrasse 24, 82467, Garmisch-Partenkirchen. michels.hartmut@rummelsberger.net
Schmerz (Berlin, Germany)
|May 13, 2008
Summary
Juvenile fibromyalgia syndrome (JFMS) is characterized by widespread pain in children lasting over three months. A multidisciplinary approach including psychotherapy and physiotherapy is recommended for effective JFMS treatment.
Area of Science:
- Pediatric Rheumatology
- Pain Management
- Psychosomatic Medicine
Background:
- Juvenile fibromyalgia syndrome (JFMS), also known as pain amplification syndrome, affects children and adolescents with widespread pain lasting over three months without a clear somatic cause.
- Developing standardized diagnostic and treatment guidelines is crucial for improving patient outcomes.
Framework:
- A systematic literature search was conducted across major databases (Cochran, Medline, PsychInfo, Scopus) from 1980 to 2006.
- Evidence levels were assessed using the Oxford Centre for Evidence-Based Medicine criteria.
- Recommendation strength was graded according to German disease management guidelines.
Implementation:
- The guideline development involved collaboration with 10 German medical and psychological associations and 2 patient self-help groups.
- Standardized consensus procedures were employed to formulate recommendations.
- The guideline focuses on a multidisciplinary treatment concept.
Implications:
- This guideline aims to enhance the recognition and standardize the care of pediatric patients with JFMS.
- It is expected to facilitate future clinical research in juvenile fibromyalgia syndrome.
- Improved diagnostic and therapeutic protocols can lead to better management of chronic pain in children and adolescents.
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