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Causes of pain in children with arthritis

L E Schanberg1, M J Sandstrom

  • 1Division of Pediatric Rheumatology, Duke University Medical Center, Durham, North Carolina, USA.

Rheumatic Diseases Clinics of North America
|March 20, 1999
PubMed

Insights

Pain in children with juvenile rheumatoid arthritis (JRA) is often undertreated. Utilizing child-specific pain tools and addressing psychosocial factors alongside medical care can improve pain management in JRA.

Area of Science:

  • Pediatric Rheumatology
  • Pain Management
  • Child Psychology

Background:

  • Juvenile rheumatoid arthritis (JRA) pain is frequently underestimated and inadequately managed in pediatric populations.
  • Effective pain management in JRA requires recognizing the complexity beyond purely physical symptoms.

Purpose of the Study:

  • To highlight the importance of specialized pain assessment instruments for children with JRA.
  • To emphasize the role of psychosocial factors and disease severity in predicting pain experiences.

Main Methods:

  • Review of recent studies on pain predictors in pediatric JRA.
  • Analysis of the impact of coping variables and disease severity on pain perception.

Main Results:

  • Coping strategies and disease severity are identified as significant predictors of pain in children with JRA.
  • Current pain management may be incomplete due to underrecognition of pain.

Conclusions:

  • Pain in JRA is multifactorial, influenced by both disease and psychosocial elements.
  • A multidisciplinary approach, integrating medical treatment with psychosocial support, is crucial for optimal pain control in pediatric JRA.
  • Implementing child-specific pain assessment tools can improve recognition and treatment efficacy.

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