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Health-related quality of life and emotional problems in juvenile idiopathic arthritis

Dejan Stevanovic1, Gordana Susic

  • 1Department of Psychiatry, General Hospital Sombor, Apatinski put 38, 25000, Sombor, Serbia. dejanstevanovic@eunet.rs

Quality of Life Research : an International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation
|April 10, 2012
PubMed

Insights

Depressive symptoms significantly impact health-related quality of life (HRQOL) in children with juvenile idiopathic arthritis (JIA). Screening for depression is crucial for comprehensive JIA care.

Area of Science:

  • Pediatric Rheumatology
  • Child Psychology
  • Health Outcomes Research

Background:

  • Children with juvenile idiopathic arthritis (JIA) face elevated risks for emotional difficulties.
  • Health-related quality of life (HRQOL) is a critical outcome measure in pediatric chronic conditions.

Purpose of the Study:

  • To investigate the association between depressive and anxiety symptoms and HRQOL in children with JIA.
  • To identify which emotional symptoms most significantly predict HRQOL in this population.

Main Methods:

  • Sixty-seven children with JIA and their parents participated.
  • Anxiety symptoms were assessed using the Screen for Child Anxiety Related Emotional Disorders Questionnaire (SCARED).
  • Depressive symptoms were measured by the Mood and Feeling Questionnaire (MFQ), and HRQOL by the Pediatric Quality of Life Inventory (PedsQL).
  • Hierarchical multiple-regression analysis controlled for demographics, clinical factors, and pain.

Main Results:

  • The regression model explained 63% of the variance in children's PedsQL scores and 49% in parents' scores.
  • Depressive symptoms (MFQ scores) were significant predictors of HRQOL.
  • Anxiety symptoms (SCARED scores) did not significantly contribute to the variance in HRQOL.

Conclusions:

  • Depressive symptoms, not anxiety, substantially accounted for variability in HRQOL among children with JIA.
  • Routine screening for depression should be integrated into the multimodal assessment and treatment of JIA.
Abstract

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