Psychiatric Disorders in Young Adults Diagnosed with Juvenile Fibromyalgia in Adolescence

• Authors: Natoshia Raishevich Cunningham, University of Cincinnati; Susan T. Tran, Cincinnati Children's Hospital Medical Center; Anne Lynch-Jordan, University of Cincinnati; Tracy V. Ting, University of Cincinnati; Soumitri Sil, Emory University; Daniel Strotman, Cincinnati Children's Hospital Medical Center; Jennie Noll, University of Cincinnati; Scott Powers, University of Cincinnati; Lesley M. Arnold, University of Cincinnati; Susmita Kashikar-Zuck, University of Cincinnati
• Journal Title: Journal of Rheumatology
• Volume: Volume 42, Number 12
• Publisher: Journal of Rheumatology | 2015-12-01, Pages 2427-2433
• Type of Work: Article | Post-print: After Peer Review
• Publisher DOI: http://doi.org/10.3899/jrheum.141369
• Subjects: Biology, Neuroscience; Psychology, Clinical
• Keywords: Science & Technology; Life Sciences & Biomedicine; Rheumatology; FIBROMYALGIA; ANXIETY DISORDERS; AFFECTIVE DISORDERS; JUVENILE FIBROMYALGIA; COMORBIDITY SURVEY REPLICATION; DSM-IV DISORDERS; ANXIETY; PREVALENCE; MOOD; RELIABILITY; DEPRESSION; SEVERITY; LIFETIME; CRITERIA

Abstract

Objective. Adolescents with juvenile-onset fibromyalgia (JFM) have increased rates of psychiatric disorders, but to our knowledge 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. Methods. Ninety-one young adults (mean age 21.60, SD 1.96) with a history of JFM being followed as part of a prospective longitudinal study and 30 matched healthy controls (mean age 21.57, SD 1.55) completed a structured interview of psychiatric diagnoses and a self-report measure of physical impairment. Results. Young adults with a history of JFM were more likely to have current and lifetime histories of anxiety disorders (70.3% and 76.9%, respectively) compared with controls (33.3% for both, both p < 0.001). Individuals with JFM were also more likely to have current and lifetime histories of major mood disorders (29.7% and 76.9%, respectively) compared with controls (10% and 40%, p < 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 attributable to a physical condition [F (1, 89) = 7.09, p < 0.01]. Conclusion. 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.