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Assessment and management of pain in juvenile idiopathic arthritis
Jennifer N Stinson1, Nadia J C Luca, Lindsay A Jibb
1The Hospital for Sick Children, Toronto, Canada. jennifer.stinson@sickkids.ca
Insights
Juvenile idiopathic arthritis (JIA) causes significant pain impacting children's lives. This review covers JIA pain assessment and management, including new internet-based self-management strategies.
Area of Science:
- Pediatric Rheumatology
- Pain Management
- Childhood Chronic Illness
Background:
- Juvenile idiopathic arthritis (JIA) is a prevalent chronic condition in children.
- Pain is the most frequent and distressing symptom of JIA, negatively affecting physical, social, and emotional functioning.
- Many children with JIA experience persistent pain despite standard medical treatments.
Purpose of the Study:
- To review the prevalence and characteristics of pain in JIA.
- To explore biopsychosocial factors influencing the JIA pain experience.
- To outline current and novel approaches for assessing and managing pain in youth with JIA.
Main Methods:
- Literature review of studies on JIA pain.
- Analysis of biopsychosocial contributors to pain.
- Examination of pharmacological, physical, and psychological therapeutic strategies.
- Exploration of internet-based disease self-management interventions.
Main Results:
- Pain significantly impacts multiple functional domains in children with JIA.
- Biopsychosocial factors play a crucial role in the JIA pain experience.
- Comprehensive management strategies are necessary, integrating various therapies.
- Digital health solutions offer potential for improved self-management.
Conclusions:
- Effective pain management in JIA requires a multifaceted approach.
- Understanding biopsychosocial factors is key to addressing pain.
- Innovative treatments, including internet-based programs, are emerging for JIA self-management.
Abstract:
Juvenile idiopathic arthritis (JIA) is a common chronic childhood illness. Pain is the most common and distressing symptom of JIA. Pain has been found to negatively impact all aspects of functioning, including physical, social, emotional and role functions. Children with arthritis continue to experience clinically significant pain despite adequate doses of disease-modifying antirheumatic drugs and anti-inflammatory agents. The present article reviews the prevalence and nature of pain in JIA, the biopsychosocial factors that contribute to the pain experience, current approaches to assessing pain in this population, and ways of managing both acute and persistent pain using pharmacological, physical and psychological therapies. Finally, new approaches to delivering disease self-management treatment for youth with JIA using the Internet will be outlined.
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