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Pain experience and pain coping strategies in children with juvenile idiopathic arthritis

M Thastum1, R Zachariae, T Herlin

  • 1Department of Pediatrics, Aarhus University Hospital, Skejby Sygehus, Aarhus University, Denmark. mikael@psy.au.dk

The Journal of Rheumatology
|May 22, 2001
PubMed

Insights

Juvenile idiopathic arthritis (JIA) patients show lower pain tolerance and use more distraction coping strategies than healthy children. Their pain coping strategies are linked to their parents' and their own pain experiences.

Area of Science:

  • Pediatric Rheumatology
  • Pain Management
  • Psychology

Background:

  • Juvenile idiopathic arthritis (JIA) presents complex challenges in pain perception and management.
  • Understanding pain responses and coping mechanisms in JIA patients is crucial for effective treatment.

Purpose of the Study:

  • To compare cold pressor pain responses and pain coping strategies between children with JIA and healthy children.
  • To investigate the relationship between JIA patients' and their parents' pain coping strategies.
  • To explore correlations between coping strategies and both experimental and clinical pain measures in JIA.

Main Methods:

  • A study involving 16 children with JIA (divided into high and low pain groups) and their parents, alongside 14 healthy children and their parents.
  • Assessment of pain threshold, discomfort, intensity, and tolerance using the cold pressor test.
  • Evaluation of pain coping strategies, including Behavioral Distraction, Catastrophizing, and Positive Self-statements.

Main Results:

  • JIA patients demonstrated significantly lower pain tolerance compared to healthy children.
  • JIA patients utilized more Behavioral Distraction coping strategies.
  • Correlations were observed between children's and parents' use of coping strategies (e.g., Distraction, Approach).
  • Disease duration in JIA correlated with various pain measures.
  • Lower pain JIA patients employed more Distraction strategies than high pain patients.

Conclusions:

  • JIA patients exhibit distinct experimental pain responses and coping strategies compared to healthy children.
  • Parental and child pain coping strategies are interconnected in the context of JIA.
  • The use of pain coping strategies is associated with both experimental pain responses and clinical pain experiences in JIA.
Abstract

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