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

Pain Research & Management
|December 19, 2012
PubMed

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.

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