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Psychological profile in children and adolescents with severe course Juvenile Idiopathic Arthritis
Emanuela Russo1, E Trevisi, F Zulian
1E Medea Scientific Institute, Conegliano Research Centre, Via Costa Alta 37, 31015 Conegliano, Italy. emanuela.russo@cn.lnf.it
Insights
Juvenile Idiopathic Arthritis (JIA) affects children, but standard assessments miss their psychological distress. A holistic approach reveals JIA significantly impacts family life and a child's overall well-being.
Area of Science:
- Pediatric Rheumatology
- Child Psychology
- Family Studies
Background:
- Juvenile Idiopathic Arthritis (JIA) is a common chronic rheumatic condition in children.
- Assessing JIA solely on clinical outcomes is insufficient for understanding its impact on a child's life.
- A multidisciplinary approach is needed to evaluate both physical and emotional functioning in pediatric arthritis.
Purpose of the Study:
- To investigate the psychosocial functioning of children and adolescents diagnosed with JIA.
- To examine disease-related changes within families affected by JIA.
- To highlight the importance of a holistic assessment in pediatric rheumatic diseases.
Main Methods:
- Study included 33 hospitalized patients aged 6-16 years.
- Participants (children and parents) completed various questionnaires.
- Clinical data was gathered through interviews.
Main Results:
- Self-reported psychological functioning (depression, anxiety, behavior) did not significantly differ from the general population.
- Clinical interviews revealed significant psychological suffering in children with JIA.
- JIA was identified as a disruptive event impacting family quality of life.
Conclusions:
- Standardized assessments may not detect the full psychological impact of JIA in children and adolescents.
- A clinically-oriented, holistic approach is crucial for identifying the true effects of JIA.
- JIA significantly alters the quality of life for affected families, underscoring the need for comprehensive support.
Objective:
Juvenile Idiopathic Arthritis (JIA) is the most common chronic pediatric rheumatic disease. It is recognized that only reliance on clinical signs of disease outcome is inadequate for understanding the impact of illness and its treatment on child's life and functioning. There is a need for a multidisciplinary and holistic approach to children with arthritis which considers both physical and emotional functioning. This study investigated the psychosocial functioning of children and adolescent with JIA and the disease-related changes in their family.
Methods:
The sample consisted of 33 hospitalized patients, aged 6-16 years. Both parents and the children were given a number of questionnaire to fill out. Clinical information was extracted from the interviews.
Results:
Self-reported psychological functioning (depression, anxiety, and behavior) was not different from the normal population; however significant psychological suffering was detected by the clinical interview.
Conclusions:
Children and adolescents with JIA do not show overt psychopathology by structured assessment; nevertheless a more clinically oriented holistic approach confirms JIA as a disrupting event causing relevant changes in the quality of life of the affected families.
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