Psychological Intervention for Adolescents with Juvenile Idiopathic Arthritis: For Whom and When?

To study which adolescents with juvenile idiopathic arthritis (JIA) benefit from psychological intervention, and what is the best moment for it. In 3 months, 28 adolescents with JIA and 14 healthy adolescents as a control group received psychological intervention with the Self-confrontation Method (...

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Bibliographic Details
Published in:Journal of rheumatology 2013-04, Vol.40 (4), p.528-534
Main Authors: FUCHS, Coralie Elisabeth, MATTHIJS VAN GEELEN, Stefan, MATTHIAS HERMANS, Hubertus Johannes, MACHTELD VAN DE PUTTE, Elise, VAN GEEL, Rolf, SINNEMA, Gerben, KUIS, Wietse
Format: Article
Language:English
Subjects:
Adolescent
Arthritis, Juvenile - complications
Arthritis, Juvenile - psychology
Biological and medical sciences
Diseases of the osteoarticular system
Fatigue - complications
Fatigue - psychology
Fatigue - therapy
Female
Health Surveys
Humans
Inflammatory joint diseases
Male
Medical sciences
Mental Health
Pain - complications
Psychotherapy
Quality of Life - psychology
Severity of Illness Index
Treatment Outcome
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Summary:To study which adolescents with juvenile idiopathic arthritis (JIA) benefit from psychological intervention, and what is the best moment for it. In 3 months, 28 adolescents with JIA and 14 healthy adolescents as a control group received psychological intervention with the Self-confrontation Method (SCM), which combines the personal narrative with its affective structure. The adolescents with JIA were split into groups with low health-related quality of life (HRQOL) and high HRQOL. The Child Health Questionnaire, Checklist Individual Strength, and Childhood Health Assessment Questionnaire were used to measure fatigue and physical and psychosocial functioning at baseline, and at 3 months and 9 months after baseline. Adolescents with JIA and low HRQOL at baseline reported less fatigue and better HRQOL after psychological intervention. These changes could not be explained by changes in disease activity. Low HRQOL at baseline was associated with a more recent onset of JIA, higher levels of pain, more severe physical disability, and higher levels of fatigue. Two-thirds of adolescents with JIA function well before and after psychological intervention. One-third of adolescents with JIA reporting low HRQOL at baseline benefit from guided self-reflections and should be the focus of psychological intervention. The most effective moment for this psychological intervention is when the adolescent reports difficulties in HRQOL.
ISSN:0315-162X
1499-2752
DOI:10.3899/jrheum.120741