Evidence map›Paper›PMID 30335681›Full record

ArticlePain2019

Long-term outcomes of adolescents with juvenile-onset fibromyalgia into adulthood and impact of depressive symptoms on functioning over time.

Susmita Kashikar-Zuck, Natoshia Cunningham, James Peugh, William R Black, Sarah Nelson, Anne M Lynch-Jordan, Megan Pfeiffer, Susan T Tran, Tracy V Ting, Lesley M Arnold and 4 more

Open access · greenAbstract read
In one paragraph

Article in Pain, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed
4.6field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

34 citing papers in PubMed, 74 citations in OpenAlex.

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  8. Coping in youth living with chronic pain: A systematic review of qualitative evidence.Canadian journal of pain = Revue canadienne de la douleur · 2025
    Article
  9. Article
  10. Neurophysiology of Resilience in Juvenile Fibromyalgia.medRxiv : the preprint server for health sciences · 2024
    Article
  11. Article
  12. Article
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  16. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 6 institutions in 1 country.

Susmita Kashikar-ZuckDepartment of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH, United States.
Natoshia CunninghamDepartment of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH, United States.
James PeughDepartment of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH, United States.
William R BlackDivision of Behavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, United States.
Sarah NelsonDepartment of Anesthesia, Pain and Perioperative Medicine, Boston Children's Hospital, Boston, MA, United States.
Anne M Lynch-JordanDepartment of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH, United States.
Megan PfeifferDivision of Behavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, United States.
Susan T TranDepartment of Psychology, DePaul University, Chicago, IL, United States.
Tracy V TingDepartment of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH, United States.
Lesley M ArnoldDepartment of Psychiatry and Behavioral Neuroscience, University of Cincinnati College of Medicine, Cincinnati, OH, United States.
Adam CarleDepartment of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH, United States.
Jennie NollDepartment of Human Development and Family Studies, The Pennsylvania State University, Cincinnati, OH, United States.
Scott W PowersDepartment of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH, United States.
Daniel J LovellDepartment of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH, United States.
Cincinnati Children's Hospital Medical Center · USUniversity of Cincinnati · USDePaul University · USHarvard University · USPennsylvania State University · USUniversity of Cincinnati Medical Center · US

Funding

Longitudinal Determination of Outcomes of Adolescents with FibromyalgiaR01AR054842 · NIAMS · CINCINNATI CHILDRENS HOSP MED CTR · PI KASHIKAR-ZUCK, SUSMITA · 2009 to 2013
$2.0M
Behavioral Interventions and Long Term Outcomes in Juvenile Fibromyalgia SyndromeK24AR056687 · NIAMS · CINCINNATI CHILDRENS HOSP MED CTR · PI KASHIKAR-ZUCK, SUSMITA · 2009 to 2018
$1.4M
NIAMS NIH HHS K24 AR056687NIAMS NIH HHS R01 AR054842
6 · The paper itself

Abstract

Juvenile-onset fibromyalgia (JFM) is typically diagnosed in adolescence and characterized by widespread pain and marked functional impairment. The long-term impact of JFM into adulthood is poorly understood. The objectives of this study were to describe physical and psychosocial outcomes of youth diagnosed with JFM in early adulthood (∼8-year follow-up), examine longitudinal trajectories of pain and depressive symptoms from adolescence to young adulthood, and examine the impact of pain and depressive symptoms on physical functioning over time. Participants were 97 youth with JFM enrolled in a prospective longitudinal study in which pain symptoms, and physical and psychosocial functioning were assessed at 4 time points over approximately 8 years. At the time 4 follow-up (Mage = 24.2 years), the majority continued to suffer from pain and impairment in physical, social, and psychological domains. However, trajectories of pain and emotional symptoms showed varying patterns. Longitudinal analysis using growth mixture modeling revealed 2 pain trajectories (Steady Improvement and Rapid Rebounding Improvement), whereas depressive symptoms followed 3 distinct trajectories (Low-Stable, Improving, and Worsening). Membership in the Worsening Depressive symptoms group was associated with poorer physical functioning over time (P < 0.001) compared with the Low-Stable and Improving groups. This study offers evidence that although JFM symptoms persist for most individuals, pain severity tends to decrease over time. However, depressive symptoms follow distinct trajectories that indicate subgroups of JFM. In particular, JFM patients with worsening depressive symptoms showed decreasing physical functioning and may require more intensive and consistent intervention to prevent long-term disability.

Indexed as

AdolescentAge of OnsetChildCohort StudiesDepressionDisease ProgressionExerciseFemaleFibromyalgiaHumansMalePainPain MeasurementPatient Acceptance of Health CarePsychiatric Status Rating ScalesYoung Adult

Identifiers

PMID30335681
PMCPMC6344278
OpenAlexW2897031396

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.