[Juvenile fibromyalgia syndrome]

Schmerz. 2008 Jun;22(3):339-48. doi: 10.1007/s00482-008-0679-z.
[Article in German]


Objective: The aim was to develop a guideline for diagnostic procedures and treatment of juvenile fibromyalgia syndrome (JFMS) in cooperation with 10 German medical and psychological associations and 2 patient self-help groups.

Methods: A systematic literature search, including all controlled studies evaluating diagnosis and treatment of JFMS, was performed in the Cochran Collaboration Reviews (1993-12/2006), Medline (1980-12/2006), PsychInfo (1966-12/2006) and Scopus (1980-12/2006). Levels of evidence were assigned according to the classification system of the Oxford Centre for Evidence-Based Medicine. Grading of the strengths of recommendations was performed according to the German program for disease management guidelines. Standardized procedures to reach a consensus on recommendations were used.

Results: Pain in children/adolescents involving several body areas and lasting >3 months without an obvious somatic cause is called JFMS or pain amplification syndrome. Therapeutically, a multidisciplinary concept with psychotherapy and physiotherapy, relaxation techniques and patient education is recommended.

Conclusion: These guideline will contribute to a better recognition and standardized care of patients with JFMS and facilitate clinical studies.

Publication types

  • Consensus Development Conference
  • English Abstract
  • Practice Guideline

MeSH terms

  • Adolescent
  • Child
  • Combined Modality Therapy
  • Diagnosis, Differential
  • Evidence-Based Medicine
  • Fibromyalgia / diagnosis
  • Fibromyalgia / rehabilitation*
  • Humans
  • Patient Care Team
  • Self-Help Groups
  • Societies, Medical