bekhterevОбозрение психиатрии и медицинской психологии имени В.М.БехтереваV.M. BEKHTEREV REVIEW OF PSYCHIATRY AND MEDICAL PSYCHOLOGY2313-70532713-055XV. M. BEKHTEREV NATIONAL RESEARCH MEDICAL CENTER FOR PSYCHIATRY AND NEUROLOGY OF THE RUSSIAN FEDERATION MINISTRY OF HEALTH10.31363/2313-7053-2019-4-2-78-86bekhterev-345Research ArticleНАУЧНО-ИССЛЕДОВАТЕЛЬСКИЕ РАБОТЫRESEARCH PAPERSУровень тревоги и депрессии у детей и подростков с хроническим болевым синдромом (на примере ювенильного идиопатического артрита)The level of anxiety and depression in children and adolescents with chronic pain syndrome (on the example of juvenile idiopathic arthritis)СантимовА. В.SantimovA. V.

Сантимов Андрей Вячеславович — аспирант кафедры госпитальной педиатрии.

Санкт-Петербург.

Saint Petersburg.

a.santimoff@gmail.comЧасныкВ. Г.CHasnykV. G.

Часнык Вячеслав Григорьевич — доктор медицинских наук, профессор, заведующий кафедрой госпитальной педиатрии.

Санкт-Петербург.

Saint Petersburg.

chasnyk@gmail.comГречаныйС. В.GrechanyiS. V.

Гречаный Северин Вячеславович — доктор медицинских наук, доцент, заведующий кафедрой психиатрии и наркологии.

Санкт-Петербург.

Saint Petersburg.

svgrechany@mail.ruСанкт-Петербургский государственный педиатрический медицинский университетРоссияSt. Petersburg State Pediatric Medical UniversityRussian Federation20190201202004-27886Copyright © Сантимов А.В., Часнык В.Г., Гречаный С.В., 20202020Сантимов А.В., Часнык В.Г., Гречаный С.В.Santimov A.V., CHasnyk V.G., Grechanyi S.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.bekhterevreview.com/jour/article/view/345

С целью изучения влияния уровня тревоги и депрессии на выраженность хронического болевого синдрома обследовано 216 пациентов с диагнозом ювенильный идиопатический артрит (ЮИА). Всем детям, включенным в исследование, проводилось традиционное ревматологическое обследование с оценкой активности заболевания и психометрическая оценка выраженности болевого синдрома, тревоги и депрессии. Сравнение различных клинических групп показало достоверно более высокие уровни выраженности тревоги и депрессии в случае наличия хронического болевого синдрома независимо от наличия активной или неактивной фазы ЮИА, что подтверждает необходимость применения доказательно обоснованных психологических вмешательств, таких как релаксационные техники и когнитивно-поведенческая терапия всем пациентам с ЮИА, страдающим болевым синдромом.

In order to study the effect of anxiety and depression on the severity of chronic pain syndrome, 216 patients with the diagnosis of juvenile idiopathic arthritis (JIA) were examined. All children included in the study underwent a traditional rheumatological examination, with an assessment of the disease activity, and a psychometric assessment of the severity of pain, anxiety and depression. Comparison of various clinical groups showed significantly higher levels of severity of anxiety and depression in the case of chronic pain syndrome regardless of the presence of active or inactive phase of JIA, which confirms the necessity of using evidence-based psychological interventions such as relaxation techniques and cognitive behavioral therapy in all patients with JIA suffering from pain.

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The authors declare that there are no conflicts of interest present.