S. Sil
Cincinnati Children's Hospital Medical Center
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Publication
Featured researches published by S. Sil.
The Journal of Pain | 2013
Susmita Kashikar-Zuck; S. Sil; A. Lynch-Jordan; Tracy V. Ting; James Peugh; Kenneth N. Schikler; Philip J. Hashkes; Lesley M. Arnold; Murray H. Passo; Margaret M. Richards-Mauze; Scott W. Powers; Daniel J. Lovell
UNLABELLED A recent randomized multisite clinical trial found that cognitive-behavioral therapy (CBT) was significantly more effective than fibromyalgia education (FE) in reducing functional disability in adolescents with juvenile fibromyalgia (JFM). The primary objective of this study was to examine the psychological processes of CBT effectiveness by evaluating changes in pain coping, catastrophizing, and coping efficacy and to test these changes as mediators of continued improvements in functional disability and depressive symptoms at 6-month follow-up. One hundred adolescents (11-18 years old) with JFM completed the clinical trial. Coping, catastrophizing, and coping efficacy (Pain Coping Questionnaire) and the outcomes of functional disability (Functional Disability Inventory) and depressive symptoms (Childrens Depression Inventory) were measured at baseline, posttreatment, and 6-month follow-up. Participants in both conditions showed significant improvement in coping, catastrophizing, and efficacy by the end of the study, but significantly greater improvements were found immediately following treatment for those who received CBT. Treatment gains were maintained at follow-up. Baseline to posttreatment changes in coping, catastrophizing, and efficacy were not found to mediate improvements in functional disability or depressive symptoms from posttreatment to follow-up. Future directions for understanding mechanisms of CBT effectiveness in adolescents with chronic pain are discussed. PERSPECTIVE CBT led to significant improvements in pain coping, catastrophizing, and efficacy that were sustained over time in adolescents with juvenile fibromyalgia. Clinicians treating adolescents with JFM should focus on teaching a variety of adaptive coping strategies to help patients simultaneously regain functioning and improve mood.
Arthritis Care and Research | 2013
Susmita Kashikar-Zuck; S. Flowers; D. Strotman; S. Sil; Tracy V. Ting; Kenneth N. Schikler
Juvenile fibromyalgia (JFM) is a chronic musculoskeletal pain condition that is associated with reduced physical function. Recent research has demonstrated that cognitive–behavioral therapy (CBT) is effective in improving daily functioning among adolescents with JFM. However, it is not known whether these improvements were accompanied by increased physical activity levels. Our objective was to analyze secondary data from a randomized clinical trial of CBT to examine whether CBT was associated with improvement in objectively measured physical activity and whether actigraphy indices corresponded with self‐reported functioning among adolescents with JFM.
Arthritis Care and Research | 2013
S. Sil; A. Lynch-Jordan; Tracy V. Ting; James Peugh; Jennie G. Noll; Susmita Kashikar-Zuck
Little is known about the impact of family environment on the long‐term adjustment of patients with juvenile‐onset 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‐term followup study.
The Journal of Pain | 2014
A. Lynch-Jordan; Susmita Kashikar-Zuck; S. Sil; N. Cunningham; D. Wolf; H. Stahlman; T. Rogers; M. Burke; K. Barnett; James Peugh; J. Rose; A. Szabova; Kenneth R. Goldschneider
The Journal of Pain | 2013
S. Sil; Staci Thomas; D. Strotman; Christopher A. DiCesare; Tracy V. Ting; Gregory D. Myer; Susmita Kashikar-Zuck
The Journal of Pain | 2012
S. Sil; D. Strotman; S. Flowers; N. Cunningham; Tracy V. Ting; Kenneth N. Schikler; Susmita Kashikar-Zuck
The Journal of Pain | 2015
Megan Pfeiffer; Susmita Kashikar-Zuck; Staci Thomas; S. Sil; Sara E. Williams; D. Strotman; Tracy V. Ting; Christopher A. DiCesare; Susan T. Tran; Gregory D. Myer
The Journal of Pain | 2014
Susan T. Tran; Lesley M. Arnold; D. Strotman; N. Cunningham; S. Sil; A. Lynch-Jordan; Susmita Kashikar-Zuck
The Journal of Pain | 2014
K. Barnett; D. Strotman; M. Bromberg; S. Sil; Tracy V. Ting; Susmita Kashikar-Zuck
The Journal of Pain | 2014
D. Strotman; S. Sil; N. Cunningham; James Peugh; A. Lynch-Jordan; Tracy V. Ting; Susmita Kashikar-Zuck