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The Impact on Health-Related Quality of Life from Non-Steroidal Anti-Inflammatory Drugs, Methotrexate, or Steroids in Treatment for Juvenile Idiopathic Arthritis
Objective To assess and compare the impact of medication treatments on health-related quality of life (HRQOL), family function, and medical status in children with juvenile idiopathic arthritis (JIA). Methods Fifty-seven children diagnosed with JIA were assessed by a pediatric rheumatologist and pla...
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| Published in: | Journal of pediatric psychology 2006-04, Vol.31 (3), p.262-271 |
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| container_end_page | 271 |
| container_issue | 3 |
| container_start_page | 262 |
| container_title | Journal of pediatric psychology |
| container_volume | 31 |
| creator | Riddle, Russ Ryser, Christina N. Morton, Anne A. Sampson, J. D. Browne, Richard H. Punaro, Marilynn G. Gatchel, Robert J. |
| description | Objective To assess and compare the impact of medication treatments on health-related quality of life (HRQOL), family function, and medical status in children with juvenile idiopathic arthritis (JIA). Methods Fifty-seven children diagnosed with JIA were assessed by a pediatric rheumatologist and placed into one of three treatment groups: (1) non-steroidal anti-inflammatory; (2) methotrexate; or (3) steroids via IV methylprednisolone. Questionnaires were administered at baseline and 4-month follow-up. The attending pediatric rheumatologist provided additional medical information. Results Data document the impact of JIA on HRQOL, particularly on physical and pain domains. Steroid patients experienced improved HRQOL at follow-up relative to other groups, despite reporting more problems with side effects. Conclusion These results demonstrate positive benefits of steroids in treating JIA children, despite the greatest incidence of adverse side effects. |
| doi_str_mv | 10.1093/jpepsy/jsj014 |
| format | article |
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D. ; Browne, Richard H. ; Punaro, Marilynn G. ; Gatchel, Robert J.</creator><creatorcontrib>Riddle, Russ ; Ryser, Christina N. ; Morton, Anne A. ; Sampson, J. D. ; Browne, Richard H. ; Punaro, Marilynn G. ; Gatchel, Robert J.</creatorcontrib><description>Objective To assess and compare the impact of medication treatments on health-related quality of life (HRQOL), family function, and medical status in children with juvenile idiopathic arthritis (JIA). Methods Fifty-seven children diagnosed with JIA were assessed by a pediatric rheumatologist and placed into one of three treatment groups: (1) non-steroidal anti-inflammatory; (2) methotrexate; or (3) steroids via IV methylprednisolone. Questionnaires were administered at baseline and 4-month follow-up. The attending pediatric rheumatologist provided additional medical information. Results Data document the impact of JIA on HRQOL, particularly on physical and pain domains. Steroid patients experienced improved HRQOL at follow-up relative to other groups, despite reporting more problems with side effects. Conclusion These results demonstrate positive benefits of steroids in treating JIA children, despite the greatest incidence of adverse side effects.</description><identifier>ISSN: 0146-8693</identifier><identifier>EISSN: 1465-735X</identifier><identifier>DOI: 10.1093/jpepsy/jsj014</identifier><identifier>PMID: 15872147</identifier><identifier>CODEN: JPPSDW</identifier><language>eng</language><publisher>Atlanta, GA: Oxford University Press</publisher><subject>Adolescent ; Anti-Inflammatory Agents, Non-Steroidal - adverse effects ; Anti-Inflammatory Agents, Non-Steroidal - therapeutic use ; Antirheumatic Agents - adverse effects ; Antirheumatic Agents - therapeutic use ; Arthritis, Juvenile - drug therapy ; Biological and medical sciences ; Child ; Child clinical studies ; Child, Preschool ; Diseases of the osteoarticular system ; Female ; Follow-Up Studies ; Glucocorticoids - adverse effects ; Glucocorticoids - therapeutic use ; Health Status ; health-related quality of life ; Humans ; Infant ; Inflammatory joint diseases ; juvenile arthritis ; Male ; Medical sciences ; Methotrexate - adverse effects ; Methotrexate - therapeutic use ; Methylprednisolone - adverse effects ; Methylprednisolone - therapeutic use ; Multivariate Analysis ; outcomes ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; Quality of Life</subject><ispartof>Journal of pediatric psychology, 2006-04, Vol.31 (3), p.262-271</ispartof><rights>2007 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c398t-fe2426c5c715131a23d0f094ba2545caf048ffc9d7b3306aee1f18697da9bd053</citedby><cites>FETCH-LOGICAL-c398t-fe2426c5c715131a23d0f094ba2545caf048ffc9d7b3306aee1f18697da9bd053</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=17672141$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15872147$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Riddle, Russ</creatorcontrib><creatorcontrib>Ryser, Christina N.</creatorcontrib><creatorcontrib>Morton, Anne A.</creatorcontrib><creatorcontrib>Sampson, J. D.</creatorcontrib><creatorcontrib>Browne, Richard H.</creatorcontrib><creatorcontrib>Punaro, Marilynn G.</creatorcontrib><creatorcontrib>Gatchel, Robert J.</creatorcontrib><title>The Impact on Health-Related Quality of Life from Non-Steroidal Anti-Inflammatory Drugs, Methotrexate, or Steroids in Treatment for Juvenile Idiopathic Arthritis</title><title>Journal of pediatric psychology</title><addtitle>J. Pediatr. Psychol</addtitle><description>Objective To assess and compare the impact of medication treatments on health-related quality of life (HRQOL), family function, and medical status in children with juvenile idiopathic arthritis (JIA). Methods Fifty-seven children diagnosed with JIA were assessed by a pediatric rheumatologist and placed into one of three treatment groups: (1) non-steroidal anti-inflammatory; (2) methotrexate; or (3) steroids via IV methylprednisolone. Questionnaires were administered at baseline and 4-month follow-up. The attending pediatric rheumatologist provided additional medical information. Results Data document the impact of JIA on HRQOL, particularly on physical and pain domains. Steroid patients experienced improved HRQOL at follow-up relative to other groups, despite reporting more problems with side effects. Conclusion These results demonstrate positive benefits of steroids in treating JIA children, despite the greatest incidence of adverse side effects.</description><subject>Adolescent</subject><subject>Anti-Inflammatory Agents, Non-Steroidal - adverse effects</subject><subject>Anti-Inflammatory Agents, Non-Steroidal - therapeutic use</subject><subject>Antirheumatic Agents - adverse effects</subject><subject>Antirheumatic Agents - therapeutic use</subject><subject>Arthritis, Juvenile - drug therapy</subject><subject>Biological and medical sciences</subject><subject>Child</subject><subject>Child clinical studies</subject><subject>Child, Preschool</subject><subject>Diseases of the osteoarticular system</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Glucocorticoids - adverse effects</subject><subject>Glucocorticoids - therapeutic use</subject><subject>Health Status</subject><subject>health-related quality of life</subject><subject>Humans</subject><subject>Infant</subject><subject>Inflammatory joint diseases</subject><subject>juvenile arthritis</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Methotrexate - adverse effects</subject><subject>Methotrexate - therapeutic use</subject><subject>Methylprednisolone - adverse effects</subject><subject>Methylprednisolone - therapeutic use</subject><subject>Multivariate Analysis</subject><subject>outcomes</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. Psychiatry</subject><subject>Quality of Life</subject><issn>0146-8693</issn><issn>1465-735X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><recordid>eNpFkMGO0zAQhi0EYsvCkSvyhdt6146TuDlWu0ALAcRS0IqLNXXGxCWJI9tdbR-HNyWrVvQ00sw3_4w-Ql4Lfil4Ja-2I45xf7WNWy7yJ2Qm8rJgShZ3T8ls6pRsXlbyjLyIE8B5nsvyOTkTxVxlIlcz8nfdIl31I5hE_UCXCF1q2S12kLCh33bQubSn3tLaWaQ2-J5-8QP7njB410BHF0NybDXYDvoekg97ehN2v-MF_Yyp9Sngw5R0QX2gx51I3UDXASH1OCRqp8nH3T0OrpseaZwfIbXO0EVIbXDJxZfkmYUu4qtjPSc_3r9bXy9Z_fXD6npRMyOreWIWszwrTWGUKIQUkMmGW17lG8iKvDBgeT631lSN2kjJS0AUVkxuVAPVpuGFPCfskGuCjzGg1WNwPYS9Flw_qtYH1fqgeuLfHPhxt-mxOdFHtxPw9ghANNDZAINx8cSp8pETp8MuJnz4P4fwR5dKqkIv737p259LUX8Sta7kP0RRm6A</recordid><startdate>20060401</startdate><enddate>20060401</enddate><creator>Riddle, Russ</creator><creator>Ryser, Christina N.</creator><creator>Morton, Anne A.</creator><creator>Sampson, J. D.</creator><creator>Browne, Richard H.</creator><creator>Punaro, Marilynn G.</creator><creator>Gatchel, Robert J.</creator><general>Oxford University Press</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope></search><sort><creationdate>20060401</creationdate><title>The Impact on Health-Related Quality of Life from Non-Steroidal Anti-Inflammatory Drugs, Methotrexate, or Steroids in Treatment for Juvenile Idiopathic Arthritis</title><author>Riddle, Russ ; Ryser, Christina N. ; Morton, Anne A. ; Sampson, J. D. ; Browne, Richard H. ; Punaro, Marilynn G. ; Gatchel, Robert J.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c398t-fe2426c5c715131a23d0f094ba2545caf048ffc9d7b3306aee1f18697da9bd053</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2006</creationdate><topic>Adolescent</topic><topic>Anti-Inflammatory Agents, Non-Steroidal - adverse effects</topic><topic>Anti-Inflammatory Agents, Non-Steroidal - therapeutic use</topic><topic>Antirheumatic Agents - adverse effects</topic><topic>Antirheumatic Agents - therapeutic use</topic><topic>Arthritis, Juvenile - drug therapy</topic><topic>Biological and medical sciences</topic><topic>Child</topic><topic>Child clinical studies</topic><topic>Child, Preschool</topic><topic>Diseases of the osteoarticular system</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Glucocorticoids - adverse effects</topic><topic>Glucocorticoids - therapeutic use</topic><topic>Health Status</topic><topic>health-related quality of life</topic><topic>Humans</topic><topic>Infant</topic><topic>Inflammatory joint diseases</topic><topic>juvenile arthritis</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Methotrexate - adverse effects</topic><topic>Methotrexate - therapeutic use</topic><topic>Methylprednisolone - adverse effects</topic><topic>Methylprednisolone - therapeutic use</topic><topic>Multivariate Analysis</topic><topic>outcomes</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychopathology. Psychiatry</topic><topic>Quality of Life</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Riddle, Russ</creatorcontrib><creatorcontrib>Ryser, Christina N.</creatorcontrib><creatorcontrib>Morton, Anne A.</creatorcontrib><creatorcontrib>Sampson, J. 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D.</au><au>Browne, Richard H.</au><au>Punaro, Marilynn G.</au><au>Gatchel, Robert J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Impact on Health-Related Quality of Life from Non-Steroidal Anti-Inflammatory Drugs, Methotrexate, or Steroids in Treatment for Juvenile Idiopathic Arthritis</atitle><jtitle>Journal of pediatric psychology</jtitle><addtitle>J. Pediatr. Psychol</addtitle><date>2006-04-01</date><risdate>2006</risdate><volume>31</volume><issue>3</issue><spage>262</spage><epage>271</epage><pages>262-271</pages><issn>0146-8693</issn><eissn>1465-735X</eissn><coden>JPPSDW</coden><abstract>Objective To assess and compare the impact of medication treatments on health-related quality of life (HRQOL), family function, and medical status in children with juvenile idiopathic arthritis (JIA). Methods Fifty-seven children diagnosed with JIA were assessed by a pediatric rheumatologist and placed into one of three treatment groups: (1) non-steroidal anti-inflammatory; (2) methotrexate; or (3) steroids via IV methylprednisolone. Questionnaires were administered at baseline and 4-month follow-up. The attending pediatric rheumatologist provided additional medical information. Results Data document the impact of JIA on HRQOL, particularly on physical and pain domains. Steroid patients experienced improved HRQOL at follow-up relative to other groups, despite reporting more problems with side effects. Conclusion These results demonstrate positive benefits of steroids in treating JIA children, despite the greatest incidence of adverse side effects.</abstract><cop>Atlanta, GA</cop><pub>Oxford University Press</pub><pmid>15872147</pmid><doi>10.1093/jpepsy/jsj014</doi><tpages>10</tpages><oa>free_for_read</oa></addata></record> |
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| source | Oxford Journals Online |
| subjects | Adolescent Anti-Inflammatory Agents, Non-Steroidal - adverse effects Anti-Inflammatory Agents, Non-Steroidal - therapeutic use Antirheumatic Agents - adverse effects Antirheumatic Agents - therapeutic use Arthritis, Juvenile - drug therapy Biological and medical sciences Child Child clinical studies Child, Preschool Diseases of the osteoarticular system Female Follow-Up Studies Glucocorticoids - adverse effects Glucocorticoids - therapeutic use Health Status health-related quality of life Humans Infant Inflammatory joint diseases juvenile arthritis Male Medical sciences Methotrexate - adverse effects Methotrexate - therapeutic use Methylprednisolone - adverse effects Methylprednisolone - therapeutic use Multivariate Analysis outcomes Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Quality of Life |
| title | The Impact on Health-Related Quality of Life from Non-Steroidal Anti-Inflammatory Drugs, Methotrexate, or Steroids in Treatment for Juvenile Idiopathic Arthritis |
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