A systematic review of the psychosocial factors associated with pain in children with juvenile idiopathic arthritis
Authors' conclusion
Despite the heterogeneous results, this review highlights important associations between psychosocial factors and JIA pain.
Study context
- Population
- Children 0–17 years with Juvenile Idiopathic Arthritis (JIA) and their caregivers61 studies · 516 associations
- Outcome
- Psychosocial factors associated with and predictive of later JIA pain intensity, frequency and sensitivity
Methodological detailsJoanna Briggs Institute methodology for etiology and risk, PRISMA-guided, two independent reviewers
- Joanna Briggs Institute methodology for etiology and risk
- PRISMA-guided
- Two independent reviewers
Pooled result
As reported in the abstract
Cross-sectional associations of psychosocial factors with pain
- Predominantly significant associations between pain and primary and secondary appraisals (e.g., more child pain beliefs, lower parent/child self-efficacy, lower child social functioning), parent/child internalizing symptoms, and lower child well-being and health-related quality of life
- Results heterogeneous, likely due to methodological differences and moderate study quality
Further pooled results
Prognostic associations with pain at follow-up · 1-to-60-month follow-up
- Fewer beliefs of harm, disability, and no control associated with lower pain at follow-up
- Internalizing symptoms and lower well-being predictive of higher pain at follow-up
- Bidirectional relationships were also identified
Original publication
A systematic review of the psychosocial factors associated with pain in children with juvenile idiopathic arthritis. Pediatr Rheumatol Online J. Published 16 June 2023. doi:10.
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