{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,10]],"date-time":"2026-02-10T19:56:11Z","timestamp":1770753371735,"version":"3.50.0"},"reference-count":30,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2013,5,30]],"date-time":"2013-05-30T00:00:00Z","timestamp":1369872000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arthritis Care &amp;amp; Research"],"published-print":{"date-parts":[[2013,6]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>Little is known about the impact of family environment on the long\u2010term adjustment of patients with juvenile\u2010onset fibromyalgia (JFM). Our objective was to evaluate whether family environment in early adolescence predicted later physical functioning and depressive symptoms of adolescents with JFM as they transitioned to early adulthood in the context of a controlled long\u2010term followup study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Participants consisted of 39 youth (mean age 18.7 years) with JFM and 38 healthy matched controls who completed web\u2010based surveys about their health status (Short Form 36 health survey) and depressive symptoms (Beck Depression Inventory II) \u223c4 years after a home\u2010based, in\u2010person assessment of child and family functioning. During the initial assessment, parents of the participants (94% mothers) completed the Family Environment Scale and adolescents (mean age 14.8 years) completed self\u2010report questionnaires about pain (visual analog scale) and depressive symptoms (Children's Depression Inventory).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The results indicated that family environment during early adolescence significantly predicted greater depressive symptoms in early adulthood for both the JFM group and the healthy controls. In particular, a controlling family environment (use of rules to control the family and allowing little independence) during early adolescence was the driving factor in predicting poorer long\u2010term emotional functioning for patients with JFM. Family environment did not significantly predict longer\u2010term physical impairment for either group.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Adolescents with JFM from controlling family environments are at an increased risk for poorer emotional functioning in early adulthood. Behavioral and family interventions should foster independent coping among adolescents with JFM and greater parenting flexibility to enhance successful long\u2010term coping.<\/jats:p><\/jats:sec>","DOI":"10.1002\/acr.21921","type":"journal-article","created":{"date-parts":[[2012,12,21]],"date-time":"2012-12-21T14:05:22Z","timestamp":1356098722000},"page":"903-909","source":"Crossref","is-referenced-by-count":24,"title":["Influence of Family Environment on Long\u2010Term Psychosocial Functioning of Adolescents With Juvenile Fibromyalgia"],"prefix":"10.1002","volume":"65","author":[{"given":"Soumitri","family":"Sil","sequence":"first","affiliation":[{"name":"Cincinnati Children's Hospital Medical Center Cincinnati Ohio"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anne","family":"Lynch\u2010Jordan","sequence":"additional","affiliation":[{"name":"Cincinnati Children's Hospital Medical Center and University of Cincinnati College of Medicine Cincinnati 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