Skip Navigation

This Article
Right arrow Full Text Freely available
Right arrow FREE Full Text (PDF) Freely available
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in ISI Web of Science
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My Personal Archive
Right arrow Download to citation manager
Right arrow Search for citing articles in:
ISI Web of Science (25)
Right arrowRequest Permissions
Right arrow Disclaimer
Google Scholar
Right arrow Articles by Packham, J. C.
Right arrow Articles by Pimm, T. J.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Packham, J. C.
Right arrow Articles by Pimm, T. J.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us  
What's this?

Rheumatology 2002; 41: 1444-1449
© 2002 British Society for Rheumatology

Paediatric Rheumatology

Long-term follow-up of 246 adults with juvenile idiopathic arthritis: predictive factors for mood and pain

J. C. Packham, M. A. Hall and T. J. Pimm1

Oxford Regional Paediatric Rheumatology Unit, Wexham Park Hospital, Slough SL2 4HL and
1 Oxford Regional Rheumatic Diseases Research Centre, Stoke Mandeville Hospital, Aylesbury HP21 8AL, UK

Abstract

Objective. To examine the predictive factors for anxiety, depression and pain in adults with juvenile idiopathic arthritis (JIA).

Patients and methods. Two hundred and forty-six adults identified with long-standing JIA had an average disease duration of 28.3 yr. Candidate factors potentially predictive for pain, anxiety and depression were assessed by multiple regression analysis.

Results. Of the patients, 31.6% were anxious, 5.2% were depressed, and 21.1% had previously suffered from depression. The percentage of the variance accounted for by other variables was 78.8 for anxiety variance and 54.5 for depression, but there was little influence from physical disease-related factors. Severe pain, measured on a visual analogue scale, occurred in 32.9% of patients, and 22.8% had poor perceived control over their pain. Function, coping strategies, pain self-efficacy, inflammation and previous depression could predict 39.6% of the variance in pain.

Conclusions. Comparing adults with children, disease activity and control over pain remain predictors of pain but become less important than disability and coping strategies.

KEY WORDS: Juvenile idiopathic arthritis, Pain, Anxiety, Depression, Mood, Self-efficacy, Coping strategies, Long-term follow-up.

Notes

Correspondence to: J. C. Packham, Staffordshire Rheumatology Centre, Haywood Hospital, High Lane, Burslem, Stoke-on-Trent ST6 7AG, UK.


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us    What's this?


This article has been cited by other articles:


Home page
 Rheumatology (Oxford)Home page
K. L. Shaw, T. R. Southwood, J. E. McDonagh, and on behalf of the British Society of Paediatric and
Growing up and moving on in rheumatology: a multicentre cohort of adolescents with juvenile idiopathic arthritis
Rheumatology, June 1, 2005; 44(6): 806 - 812.
[Abstract] [Full Text] [PDF]

Home page
 Rheumatology (Oxford)Home page
G. J. Treharne, E. D. Hale, A. C. Lyons, D. A. Booth, M. J. Banks, N. Erb, K. M. Douglas, D. L. Mitton, and G. D. Kitas
Cardiovascular disease and psychological morbidity among rheumatoid arthritis patients
Rheumatology, February 1, 2005; 44(2): 241 - 246.
[Abstract] [Full Text] [PDF]

Home page
 Rheumatology (Oxford)Home page
J. E. McDonagh, T. R. Southwood, and K. L. Shaw
Unmet education and training needs of rheumatology health professionals in adolescent health and transitional care
Rheumatology, June 1, 2004; 43(6): 737 - 743.
[Abstract] [Full Text] [PDF]

Home page
 Rheumatology (Oxford)Home page
P. Chira and C. Sandborg
Adolescent rheumatology transitional care: steps to bringing health policy into practice
Rheumatology, June 1, 2004; 43(6): 687 - 689.
[Full Text] [PDF]

Home page
 Rheumatology (Oxford)Home page
J. C. Packham and M. A. Hall
Long-term follow-up of 246 adults with juvenile idiopathic arthritis: education and employment
Rheumatology, December 1, 2002; 41(12): 1436 - 1439.
[Abstract] [Full Text] [PDF]


Disclaimer: Please note that abstracts for content published before 1996 were created through digital scanning and may therefore not exactly replicate the text of the original print issues. All efforts have been made to ensure accuracy, but the Publisher will not be held responsible for any remaining inaccuracies. If you require any further clarification, please contact our Customer Services Department.