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01-08-2013 | Original Article

Body experiences, emotional competence, and psychosocial functioning in juvenile idiopathic arthritis

Authors: Monica Bomba, Antonella Meini, Anna Molinaro, Marco Cattalini, Silvia Oggiano, Elisa Fazzi, Francesca Neri, Alessandro Plebani, Renata Nacinovich

Published in: Rheumatology International | Issue 8/2013

Abstract

We investigated self-image, psychological functioning, and quality of life in children and adolescents with juvenile idiopathic arthritis (JIA). Thirty-nine children with JIA were compared with 80 healthy peers. We first administered the Human Figure Drawing Test (HFDT) to all subjects; children also completed standardized questionnaires evaluating health-related quality of life (PEDSQL™ 4.0 Generic Core Scales) and the main aspects of psychological functioning: anxiety (SAFA-A) and depression (CDI). Parents were asked to complete the Child Behaviour Checklist (CBCL) and the PEDSQL™ 4.0. For each patient with JIA, clinical notes were gathered and a global disease assessment (visual analog scale––VAS) was performed. Compared to healthy peers, patients with JIA reported reduced maturity quotients at HFDT, more depressive traits, greater anxiety, and lower health-related quality of life. Among the subjects with JIA, HFDT revealed that adolescents had a greater impairment in all areas investigated. Furthermore, there was a significant correlation between the physical well-being rated by VAS and the perception of poorer quality of life in patients, mostly in the psychosocial domains. Children and adolescents with JIA exhibit emotional difficulties and a delay of psychological development leading to low self-esteem, a distorted self-image, more anxiety and depression traits, and a worse quality of life, when compared to healthy subjects.

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Title: Body experiences, emotional competence, and psychosocial functioning in juvenile idiopathic arthritis
Authors: Monica Bomba
Antonella Meini
Anna Molinaro
Marco Cattalini
Silvia Oggiano
Elisa Fazzi
Francesca Neri
Alessandro Plebani
Renata Nacinovich
Publication date: 01-08-2013
Publisher: Springer Berlin Heidelberg
Published in: Rheumatology International / Issue 8/2013
Print ISSN: 0172-8172
Electronic ISSN: 1437-160X
DOI: https://doi.org/10.1007/s00296-013-2685-4

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