Preliminary Outcomes of a Cross-Site Cognitive-Behavioral and Neuromuscular Integrative Training Intervention for Juvenile Fibromyalgia
Preliminary Outcomes of a Cross-Site Cognitive-Behavioral and Neuromuscular Integrative Training Intervention for Juvenile Fibromyalgia
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DOI：
10.1002/acr.22946
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发表时间：
2017-03-01
影响因子：
4.7
通讯作者：
Kashikar-Zuck, Susmita
中科院分区：
文献类型：
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作者：
Tran, Susan T.;Guite, Jessica W.;Kashikar-Zuck, Susmita
目标。认知行为疗法（CBT）可有效降低青少年纤维肌痛（FM）患者的残疾程度。然而，即使在CBT之后，参与中度到剧烈的体育活动仍然很差。本研究的目的是评估CBT与专业神经肌肉运动相结合的创新项目的可行性和初步结果：青少年纤维肌痛综合训练（FIT Teens）项目。来自两家城市儿童医院的青少年FM患者（n=22，均为女性，年龄12-18岁）参加了为期8周的FIT青少年干预。参与者在基线和干预后完成疼痛强度、功能残疾、抑郁症状、疼痛灾难化、运动恐惧和准备改变的测量。对跨2个站点进行干预的可行性进行了记录，包括高保留率（80%）。参与者的功能障碍显著降低(P
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