Psychiatric Disorders in Young Adults Diagnosed with Juvenile Fibromyalgia in Adolescence.
Psychiatric Disorders in Young Adults Diagnosed with Juvenile Fibromyalgia in Adolescence.
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DOI：
10.3899/jrheum.141369
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发表时间：
2015-12
期刊：
影响因子：
--
通讯作者：
Kashikar-Zuck S
中科院分区：
文献类型：
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作者：
Cunningham NR;Tran ST;Lynch-Jordan AM;Ting TV;Sil S;Strotman D;Noll JG;Powers SW;Arnold LM;Kashikar-Zuck S
Adolescents with juvenile fibromyalgia (JFM) have increased rates of psychiatric disorders, but no studies have examined psychiatric disorders in adolescents with JFM when they enter young adulthood. This study examined the prevalence of psychiatric disorders in young adults diagnosed with JFM during adolescence and the relationship between mental health diagnoses and physical functioning. Ninety-one young adults (Mage = 21.60, SD=1.96) with a history of JFM being followed as part of a prospective longitudinal study, and 30 matched healthy controls (Mage = 21.57, SD = 1.55) completed a structured interview of psychiatric diagnoses and a self-report measure of physical impairment. Young adults with a history of JFM were more likely to have current and lifetime history of anxiety disorders (70.3% and 76.9%, respectively) compared with controls (33.3% for both; both p's < 0.001). Individuals with JFM were also more likely to have current and lifetime history of major mood disorders (29.7% and 76.9%, respectively) compared with controls (10% and 40%; p's < 0.05). The presence of a current major mood disorder was significantly related to impairment in physical functioning (F (1, 89) = 8.30, p < 0.01) and role limitations due to a physical condition (F (1, 89) = 7.09, p < 0.01). Psychiatric disorders are prevalent in young adulthood for individuals with a history of JFM, and a current major mood disorder is associated with greater physical impairment. Greater attention to early identification and treatment of mood disorders in patients with JFM is warranted.
