Preview

V.M. BEKHTEREV REVIEW OF PSYCHIATRY AND MEDICAL PSYCHOLOGY

Advanced search

The level of anxiety and depression in children and adolescents with chronic pain syndrome (on the example of juvenile idiopathic arthritis)

https://doi.org/10.31363/2313-7053-2019-4-2-78-86

Abstract

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.

About the Authors

A. V. Santimov
St. Petersburg State Pediatric Medical University
Russian Federation

Saint Petersburg.



V. G. CHasnyk
St. Petersburg State Pediatric Medical University
Russian Federation

Saint Petersburg.



S. V. Grechanyi
St. Petersburg State Pediatric Medical University
Russian Federation

Saint Petersburg.



References

1. Baranov AA, Alekseeva EI, Bzarova TM et al. Protocol of management of patients with juvenile arthritis. Voprosy sovremennoi pediatrii — Current Pediatrics. 2013; 12 (1): 37-56.

2. Santimov AV, Treshchevskaia AA, Grechanyi SV. Psychotherapeutic approach to the treatment of patients with chronic pain syndrome in the practice of pediatric rheumatologist. Pediatr—Pediatrician. 2017; 8:285-286

3. Ang DC, Choi H, Kroenke K, Wolfe F. Comorbid depression is an independent risk factor for mortality in patients with rheumatoid arthritis. J Rheumatol. 2005; 32(6):1013-1019.

4. Anthony KK, Schanberg LE. Assessment and management of pain syndromes and arthritis pain in children and adolescents. Rheum Dis Clin North Am. 2007; 33:625-660.

5. Azad N, Gondal M, Abbas N. Frequency of depression and anxiety in patients attending a rheumatology clinic. J Coll Physicians Surg Pak. 2008; 18(9):569-573. doi: 09.2008/JCPSP.569573.

6. Eccleston C, Palermo TM, Williams AC, Lewandowski Holley A, Morley S, Fisher E, Law E. Psychological therapies for the management of chronic and recurrent pain in children and adolescents. Cochrane Database Syst Rev. 2014; 5. CD003968

7. Kashikar-Zuck S, Graham TB, Huenefeld MD, et al. A review of biobehavioral research in juvenile primary fibromyalgia syndrome. Arthritis Care Res. 2000; 13(6):388-397.

8. Lovell DJ, Walco GA. Pain associated with juvenile rheumatoid arthritis. Pediatr Clin North Am. 1989; 36(4):1015-1027.

9. Margetic B, Aukst-Margetic B, Bilic E, et al. Depression, anxiety and pain in children with juvenile idiopathic arthritis (JIA). Eur Psychiatry. 2005; 20:274-276.

10. Memari AH, Chamanara E, Ziaee V, Kordi R, Raeeskarami SR. Behavioral Problems in Juvenile Idiopathic Arthritis: A Controlled Study to Ex-amine the Risk of Psychopathology in a Chronic Pediatric Disorder. Int J Chronic Dis. 2016. doi: 10.1155/2016/5726236. Epub 2016 Aug 30.

11. Palermo TM, Eccleston C, Lewandowski AS, et al. Randomized controlled trails of psychological therapies for management of chronic pain in children and adolescents: an updated meta-analytic review. Pain. 2010; 148(3):387-397.

12. Ravelli A, Martini A. Juvenile idiopathic arthritis. Lancet. 2007; 3:767-778.

13. Robinson ME, Riley IIIJL. The Role of emotion in pain. In: Gatchel RJ, Turk DC, editors. Psychosocial factors in pain. 1st ed. NewYork: Guilford Press. 1999; 74-88.

14. Ross CK, Lavigne JV, Hayford JR, et al. Psychological factors affecting reported pain in juvenile rheumatoid arthritis. J Pediatr Psychol. 1993; 18:561-573.

15. Schanberg LE, Anthony KK, Gil KM, Lefebvre JC, Kredich DW, Macharoni LM. Family pain history predicts child health status in children with chronic rheumatic disease. Pediatrics. 2001; 108:E47.

16. Schanberg LE, Gil KM, Anthony KK, et al. Pain, stiffness, and fatigue in juvenile polyarticular arthritis: contemporaneous stressful events and mood as predictors. Arthritis Rheum. 2005; 52:1196-1204.

17. Sherry DD, Bohnsack J, Salmonson K, et al. Painless juvenile rheumatoid arthritis. J Pediatr. 1990; 116:921-923.

18. Spence, S. H. Structure of anxiety symptoms among children: a confirmatory factor-analytic study. Journal of Abnormal Psychology. 1997; 106:280-297.

19. Spence, S. H., Rapee, R., McDonald, C., Ingram, M. The structure of anxiety symptoms among preschoolers. Behavior Research and Therapy. 2001; 39:1293-1316.

20. Stinson JN, Luca NJ, Jibb LA. Assessment and management of pain in juvenile idiopathic arthritis. Pain Res Manag. 2012; 17:391-396.

21. Weiss JE, Luca NJ, Boneparth A, Stinson J. Assessment and management of pain in juvenile idiopathic arthritis. Paediatr Drugs. 2014; 16(6):473-481.


Review

For citations:


Santimov A.V., CHasnyk V.G., Grechanyi S.V. The level of anxiety and depression in children and adolescents with chronic pain syndrome (on the example of juvenile idiopathic arthritis). V.M. BEKHTEREV REVIEW OF PSYCHIATRY AND MEDICAL PSYCHOLOGY. 2019;(4-2):78-86. (In Russ.) https://doi.org/10.31363/2313-7053-2019-4-2-78-86

Views: 703


ISSN 2313-7053 (Print)
ISSN 2713-055X (Online)