Long-term outcomes of adolescents with juvenile fibromyalgia and the role of cognitive-behavioral therapy

RCT and longitudinal follow-up of 114 adolescents with juvenile fibromyalgia. CBT (vs. fibromyalgia education) reduced functional disability and depression at post-treatment; effects on pain intensity smaller. 6-year follow-up showed persistence of JFM diagnosis into young adulthood in ~50% - documenting that JFM is a chronic condition with adult continuity, not a passing teenage phase. CBT is supportive but not curative.