Dejan Stevanovic1, Gordana Susic. 1. Department of Psychiatry, General Hospital Sombor, Apatinski put 38, 25000, Sombor, Serbia. dejanstevanovic@eunet.rs
Abstract
PURPOSE: Children with juvenile idiopathic arthritis (JIA) are at an increased risk of developing emotional problems. This study evaluated the associations between levels of depressive and anxiety symptoms and health-related quality of life (HRQOL) in these children. METHODS: Sixty-seven children with JIA, together with one parent, participated. Anxiety symptoms were identified using the Screen for Child Anxiety Related Emotional Disorders Questionnaire (SCARED), while depressive symptoms were identified using the Mood and Feeling Questionnaire (MFQ). The Pediatric Quality of Life Inventory (PedsQL) was used for HRQOL assessments. Using hierarchical multiple-regression analysis, demographics, clinical factors, and pain were control variables, while anxiety (the SCARED score) and depressive symptoms (the MFQ score) were HRQOL (the PedsQL score) predictors. RESULTS: The regression model emerged with specified variables explaining 63 % of the variance in the PedsQL score (F = 11.92, p < 0.01) among children. Among parents, the same set of variables accounted for 49 % the variance (F = 6.99, p < 0.01). The MFQ score, but not the SCARED, added most to the variance. CONCLUSIONS: Depressive symptoms, but not anxiety, accounted for substantial variability in levels of HRQOL when considered with demographics, clinical factors, and pain. Thus, screening for depression needs to be considered as a part of multimodal assessment and treatment approaches in JIA.
PURPOSE:Children with juvenile idiopathic arthritis (JIA) are at an increased risk of developing emotional problems. This study evaluated the associations between levels of depressive and anxiety symptoms and health-related quality of life (HRQOL) in these children. METHODS: Sixty-seven children with JIA, together with one parent, participated. Anxiety symptoms were identified using the Screen for ChildAnxiety Related Emotional Disorders Questionnaire (SCARED), while depressive symptoms were identified using the Mood and Feeling Questionnaire (MFQ). The Pediatric Quality of Life Inventory (PedsQL) was used for HRQOL assessments. Using hierarchical multiple-regression analysis, demographics, clinical factors, and pain were control variables, while anxiety (the SCARED score) and depressive symptoms (the MFQ score) were HRQOL (the PedsQL score) predictors. RESULTS: The regression model emerged with specified variables explaining 63 % of the variance in the PedsQL score (F = 11.92, p < 0.01) among children. Among parents, the same set of variables accounted for 49 % the variance (F = 6.99, p < 0.01). The MFQ score, but not the SCARED, added most to the variance. CONCLUSIONS:Depressive symptoms, but not anxiety, accounted for substantial variability in levels of HRQOL when considered with demographics, clinical factors, and pain. Thus, screening for depression needs to be considered as a part of multimodal assessment and treatment approaches in JIA.
Authors: Amanda B Feinstein; Evan M Forman; Akihiko Masuda; Lindsey L Cohen; James D Herbert; L Nandini Moorthy; Donald P Goldsmith Journal: J Clin Psychol Med Settings Date: 2011-09
Authors: L Haverman; M A Grootenhuis; J M van den Berg; M van Veenendaal; K M Dolman; J F Swart; T W Kuijpers; M A J van Rossum Journal: Arthritis Care Res (Hoboken) Date: 2012-05 Impact factor: 4.794
Authors: B Birmaher; D A Brent; L Chiappetta; J Bridge; S Monga; M Baugher Journal: J Am Acad Child Adolesc Psychiatry Date: 1999-10 Impact factor: 8.829
Authors: M G Sawyer; J N Whitham; D M Roberton; J E Taplin; J W Varni; P A Baghurst Journal: Rheumatology (Oxford) Date: 2003-10-17 Impact factor: 7.580
Authors: Sharon Bout-Tabaku; Marc P Michalsky; Todd M Jenkins; Amy Baughcum; Meg H Zeller; Mary L Brandt; Anita Courcoulas; Ralph Buncher; Michael Helmrath; Carroll M Harmon; Mike K Chen; Thomas H Inge Journal: JAMA Pediatr Date: 2015-06 Impact factor: 16.193
Authors: Minna S Kyllönen; Hanna Ebeling; Hannu Kautiainen; Kari Puolakka; Paula Vähäsalo Journal: Pediatr Rheumatol Online J Date: 2021-07-02 Impact factor: 3.054