Fri0722-Hpr the Investigation of the Relationship Between Psychosocial and Functional Status of Children With Jia

Abstract

BackgroundJIA is the most common rheumatic disease in children and may result in significant morbidity with joint deformity, growth disorder, and persistence of active arthritis to adulthood (1). According to the model of biopsychosocial pain, emotions affect the degree of functional impairment (2).ObjectivesThe aim of this study is to investigate the relatıonshıp between the psychosocial and functional status of children with juvenile idiopathic arthritis (JIA).Methods382 children with JIA were included in the study. Individuals were assessed with the Juvenile Arthritis Biopsychosocial Questionnaire (JAB-Q) (3) and Children Health Assessment Questionaire (CHAQ) was applied for functional status (4).ResultsThe mean age of the subjects included in the study (n = 386) was 12.48 ± 3.81 years. The median value of the JAB-Q functional status was 2 (min: 0 max: 34), psychosocial status was 10 (min: 0 max: 38). And the median value of the CHAQ was 0,25 (min: 0 max: 3). Correlation coefficients and statistical significance were calculated by using Pearson’s test. There was a low positive correlation between BETY-BQ functional status and BETY-BQ psychosocial status (r = 0.347, p <0.001), a low positive correlation between CHAQ and BETY-BQ psychosocial status (r = 0.395, p <0.001). There was a good positive correlation between BETY-BQ functional status and CHAQ (r = 0.678, p <0.001) (Table 1).FRI0722HPR Table 1 Comparison of JAB-Q Psychosocial, JAB-Q Function and CHAQ scores of children with JIABETY-BQ PsychosocialBETY-BQ FunctionCHAQBETY-BQ Psychosocialr10,347**0.395**p0.0000.000BETY-BQ Functionr0,346**10.678**p0.0000.000CHAQr0.395**0.678**1p0.0000.000ConclusionThe psychosocial status of children is not affected by functional status. Psychosocial status may be affected by different variables. It was concluded that children should be encouraged to participate in social activities independently their functional problems. Further studies are needed to examine the other variables’ effects on psychosocial status in children with JIA.References[1] Kahn, P. Juvenile idiopathic arthritis: current and future therapies. Bulletin of the NYU hospital for joint diseases, 2009, 67(3), 291-291.[2] Gatchel R, Peng Y, Peters M, Fuchs P, Turk D. The biopsychosocial approach to chronic pain: Scientific advances and future directions, Psychological Bulletin, 2007, vol.1334 (pg.581-624)[3] Unal, Edibe, et al. ”A new biopsychosocial and clinical questionnaire to assess juvenile idiopathic arthritis: JAB-Q.”Rheumatology international2018: 1-8.[4] Singh G, Athreya BH, Fries JF, Goldsmith DP. Measurement of health status in children with juvenile rheumatoid arthritis. Arthritis Rheum1994;37:1761–9.Disclosure of InterestsNone declared