Pediatric rheumatology

Mental comorbidities in adolescents and young adults with juvenile idiopathic arthritis: an analysis of German nationwide health insurance data

Pediatr Rheumatol Online JPublished Retrospective cohort study

Authors' conclusion

Selected mental health conditions among 12-20-year-old JIA patients are diagnosed more frequently compared to general population.

Study context

Population
And young adults (AYA) aged 12 to 20 years with juvenile idiopathic arthritis (JIA) and matched controls, German nationwide statutory health insurance data, 2020 and 2021
Participants
628 vs 6,270
Exposure
AYA with JIA vs age- and sex-matched general population controls
  • JIAn = 628
  • Controlsn = 6,270reference
Outcome
Prevalence of selected mental health diagnoses (depression, anxiety, emotional and adjustment disorders)
Methodological detailsnationwide statutory health insurance data, age- and sex-matched controls
  • Nationwide statutory health insurance data
  • Age- and sex-matched controls

Main finding

As reported in the abstract

Diagnosed mental health condition

Observational data: associations, not effects.

Further findings

Receiving related drugs and/or psychotherapy, among those with a mental health diagnosis

Psycholeptics, among AYA with any psychiatric diagnosis

Psychoanaleptics, among AYA with any psychiatric diagnosis

Age and sex patterns

In both groups, depression diagnosis became more common in older teenagers, whereas emotional disorders declined
Females with and without JIA were more likely to have a mental health diagnosis than males

Original publication

Mental comorbidities in adolescents and young adults with juvenile idiopathic arthritis: an analysis of German nationwide health insurance data. Pediatr Rheumatol Online J. Published 5 January 2024. doi:10.1186/s12969-023-00948-y

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