Pain in Juvenile Idiopathic Arthritis—A Family Matter

Vuorimaa, Hanna; Tamm, Katariina; Honkanen, Visa; Komulainen, Erkki; Konttinen, Yrjö T.; Santavirta, Nina

doi:10.1080/02739615.2011.537937

Cited by 13 publications

(21 citation statements)

References 44 publications

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“…In the 6 studies that did report race, ≥70% of the subjects were Caucasian or white. [24][25][26][27][28][29] JIA disease duration ranged between 3 months to 15 years in children and 10 to 27 years in adults. [24][25][26][27][28][30][31][32][33][34][35][36][37][38][39][40][41][42][43][44] JIA subtype was described in 14 studies: 13 included polyarticular, [24][25][26]30,31,[35][36][37][38][39][40]45,46 11 included oligoarticular, 24,26,30,31,[35][36][37][38][39][40]46 10 included systemic, ...…”

Section: Population Characteristicsmentioning

confidence: 99%

“…Most studies that used validated screens for depressive symptoms reported prevalences of clinically significant symptoms in the range of 7-36% in children with JIA. [23][24][25][26]28,29,35,38,39,41,46,47 Reda et al used the MINI-KID psychiatric interview and reported that 93% of the patients had dysthymic disorder while 3% had major depressive disorder. 30 El Najjar et al found that all JIA patients scored above the cut-off for clinically significant symptoms on the CES-DC questionnaire.…”

Section: Prevalence Of Depressive Symptoms In Jiamentioning

confidence: 99%

“…37 There were 4 studies that reported no clinically significant depressive symptoms within their study population. 27,[31][32][33] These studies all used the CDI or BDI, screens that were used to detect prevalence rates of clinically significant symptoms in other studies from 9% to 36%, 24,25,39 but were notable for patient populations from reportedly high socioeconomic levels 27,33 and/or restricted to either non-acute patients 32,33 or patients without comorbid psychiatric diagnoses. 31 Three studies compared JIA patients to healthy controls, of which two found that JIA patients had worse depressive symptoms.…”

Section: Prevalence Of Depressive Symptoms In Jiamentioning

confidence: 99%

“…Many studies evaluated the relationship between mental health symptoms and pain and most found an association between pain and either symptoms of anxiety or depression. 24,37,46,50 The experience of pain may be influenced by particular stress-coping strategies reflective of a child or adolescent's level of anxiety. 50 Hanns et al noted that a higher baseline depression score predicted worse pain at one and four years later.…”

Section: Painmentioning

confidence: 99%

“…Children's pain was significantly associated with their parents' depressive symptoms and children's depressive and anxiety symptoms moderately correlated with those of their parents. 24 Russo et al found that 17% of the mothers of children with JIA and a third of their siblings sought psychological support, while a quarter of mothers endorsed being on an anti-depressant. 32 Through a health-related quality of life questionnaire, parents of children with active disease scored significantly worse in depressive symptoms than the parents of children with inactive disease.…”

Section: Impact On Parents and Familymentioning

confidence: 99%

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<p>Depression And Anxiety In Patients With Juvenile Idiopathic Arthritis: Current Insights And Impact On Quality Of Life, A Systematic Review</p>

Fair

Rodriguez

Knight

et al. 2019

OARRR

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Depression and anxiety are prevalent in children with rheumatologic diseases, including juvenile idiopathic arthritis (JIA). However, prevalence rates and the relationship with disease outcomes, including quality of life are conflicting in the early literature. To review the current literature, determine gaps in our knowledge, and identify areas in need of further investigation, we conducted a systematic review of studies examining depression and anxiety symptoms among children with JIA and the impact these symptoms may have on disease outcomes and quality of life. Six electronic databases were searched up until January 2019. Of 799 potential articles, 60 articles were included with the main focus on 28 articles from 2009 to 2019, to concentrate on the most current evidence. We found that JIA patients experience symptoms of depression and anxiety similar to other childhood chronic diseases and at higher rates than in healthy children. Patients who experience these symptoms have worse quality of life, with some evidence pointing to depression and anxiety symptoms having a greater impact on quality of life than other disease features, such as active joint count. Family members of JIA patients experience high rates of anxiety and depression symptoms which may impact their child's mental health and pain symptoms related to JIA. Conflicting reports of associations between depression/anxiety symptoms and disease features/disease outcomes and a paucity of longitudinal studies investigating the impact of treatment on mental health symptoms indicate areas in need of further research to effectively identify patients at greatest risk of depression and anxiety and to better understand how to treat and prevent these symptoms in youth with JIA. Family mental health should also be considered in investigations concerning mental health and disease outcomes of children with JIA.

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Section: Population Characteristicsmentioning

confidence: 99%

Section: Prevalence Of Depressive Symptoms In Jiamentioning

confidence: 99%

Section: Prevalence Of Depressive Symptoms In Jiamentioning

confidence: 99%

Section: Painmentioning

confidence: 99%

Section: Impact On Parents and Familymentioning

confidence: 99%

See 3 more Smart Citations

<p>Depression And Anxiety In Patients With Juvenile Idiopathic Arthritis: Current Insights And Impact On Quality Of Life, A Systematic Review</p>

Fair

Rodriguez

Knight

et al. 2019

OARRR

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Validation of the Pain Coping Questionnaire in Finnish

Marttinen

Santavirta

Kauppi

et al. 2018

European Journal of Pain

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This study showed both culturally and statistically satisfactory factor structure of PCQ in the Finnish translation. This result supports reliability and validity of the PCQ in the national use in the future. The result shows that the PCQ is a reliable method to be used in different linguistic and cultural surroundings and, thus, encourages using it in various countries. The data consist of two patient groups, adolescents with JIA and musculoskeletal pain. Pain and specifically coping with pain are important aspects of clinical work. A valid pain coping scale may enhance distinguishing vulnerable pain coping style in children and adolescent before pain becomes chronic.

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Prevalence and risk factors of depressive symptoms in children and adolescents with juvenile idiopathic arthritis

2023

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Depression is a serious disorder disproportionately affecting people with chronic diseases, yet, to date is rarely recognized comorbidity in pediatric rheumatology clinical routine care. The aim of this study was to investigate the prevalence of depressive symptoms and depression in children with Juvenile idiopathic arthritis (JIA) and to identify associations to risk factors. Depressive symptoms were assessed using the Beck’s Depression Inventory (BDI)-Fast Screen Questionnaire validated for ages 13 and older and confirmed by the BDI or Hamilton Depression Scale. A cross-sectional analysis of 148 patients attending the rheumatology outpatient clinic of the Asklepios Children’s Hospital Sankt Augustin between January 2018 and May 2019 was performed. Possible associations between routinely assessed parameters of disease activity and treatment were analysed. 148 JIA patients (71.5% female), median age 14.7 years, were included. The prevalence for depressive symptoms was 13% and for depression 9.5%, of which 71.4% were newly identified with depression. Significant associations with depressive symptoms included rheumatoid factor negative polyarthritis, higher pain scores, functional limitations, higher disease activity, decreased general well-being, higher number of medications taken and not being in remission. In addition, poor treatment response (persistent pain despite therapy) and failure to achieve minimal activity/remission of disease despite intensified therapy with biologics correlated significantly with depressive symptoms. Depressive symptoms are an important comorbidity in JIA. Early recognition and treatment of psychological distress is essential to prevent deterioration in quality of life and long-term prognosis. Consequently, treat-to-target principles should include mental health as a therapeutic goal.

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Pain in Juvenile Idiopathic Arthritis—A Family Matter

Cited by 13 publications

References 44 publications

<p>Depression And Anxiety In Patients With Juvenile Idiopathic Arthritis: Current Insights And Impact On Quality Of Life, A Systematic Review</p>

<p>Depression And Anxiety In Patients With Juvenile Idiopathic Arthritis: Current Insights And Impact On Quality Of Life, A Systematic Review</p>

Validation of the Pain Coping Questionnaire in Finnish

Prevalence and risk factors of depressive symptoms in children and adolescents with juvenile idiopathic arthritis

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