Paint me a picture: illustrating the psychosocial impact of different juvenile idiopathic arthritis categories
Authors' conclusion
JIA psychosocial impact was most severe at diagnosis, varied by JIA category, and improved by 1 year for many children, but few patients showed persisting or worsening JIA impact. Physical disability, fatigue, and pain interference were independently associated with psychosocial impact.
Study context
- Population
- Children with JIA enrolled in the Canadian Alliance of Pediatric Rheumatology Investigators (CAPRI) registry within three months of diagnosispatients included
- Participants
- 1,072 children
- Exposure
- JIA categories; scores at enrollment and one year
- Outcome
- JAQQ-psychosocial (1=nil to 7=severe), median
- Follow-up
- Enrollment
Methodological detailspatients enrolled within three months of diagnosis, hierarchical clustering, Spearman correlation and linear regression
- Patients enrolled within three months of diagnosis
- Hierarchical clustering
- Spearman correlation and linear regression
Main finding
As reported in the abstract
RF+ polyarthritis
3.2
median · IQR 1.8–4.4
Oligoarthritis
1.8
median · IQR 1–3
Observational data: associations, not effects.
Further findings
Change in JAQQ-psychosocial from enrollment · one year
- Scores improved significantly for RF+ and RF- polyarthritis, psoriatic and systemic arthritis
- P < 0.05
- Wilcoxon ranked-sum tests
Clustering of JAQQ-psychosocial items
- Items clustered into externalizing behaviours, internalizing behaviours, and school-related problems
Heatmap clusters of JIA psychosocial impact (share of patients)
- Mild
- 51.0%
- Moderate
- 30.6%
- Severe
- 9.3%
- Very severe
- 9.1%
- Proportions in each cluster varied by JIA category
Course of psychosocial impact · 1 year
- Most patients improved; few patients in each category had persisting or worsening psychosocial impact
Factors associated with JAQQ-psychosocial scores · enrollment
- Physical disability, fatigue, and pain interference independently associated with scores
Original publication
Composed by AI from the published abstract and checked against it. How Briefs are made →