title: Body experiences, emotional competence, and psychosocial functioning in juvenile idiopathic arthritis.
abstract: We investigated self-image, psychological functioning, and quality of life in children and adolescents with juvenile idiopathic arthritis (JIA). Thirty-nine children with JIA were compared with 80 healthy peers. We first administered the Human Figure Drawing Test (HFDT) to all subjects; children also completed standardized questionnaires evaluating health-related quality of life (PEDSQL 4.0 Generic Core Scales) and the main aspects of psychological functioning: anxiety (SAFA-A) and depression (CDI). Parents were asked to complete the Child Behaviour Checklist (CBCL) and the PEDSQL 4.0. For each patient with JIA, clinical notes were gathered and a global disease assessment (visual analog scale--VAS) was performed. Compared to healthy peers, patients with JIA reported reduced maturity quotients at HFDT, more depressive traits, greater anxiety, and lower health-related quality of life. Among the subjects with JIA, HFDT revealed that adolescents had a greater impairment in all areas investigated. Furthermore, there was a significant correlation between the physical well-being rated by VAS and the perception of poorer quality of life in patients, mostly in the psychosocial domains. Children and adolescents with JIA exhibit emotional difficulties and a delay of psychological development leading to low self-esteem, a distorted self-image, more anxiety and depression traits, and a worse quality of life, when compared to healthy subjects.
authors: Child and Adolescent Mental Health, San Gerardo Hospital, University of Milan Bicocca, Via Pergolesi 33, 20900 Monza, Italy. monica.bomba@gmail.com
authors: Monica
authors: M
authors: Bomba
authors: Antonella
authors: A
authors: Meini
authors: Anna
authors: A
authors: Molinaro
authors: Marco
authors: M
authors: Cattalini
authors: Silvia
authors: S
authors: Oggiano
authors: Elisa
authors: E
authors: Fazzi
authors: Francesca
authors: F
authors: Neri
authors: Alessandro
authors: A
authors: Plebani
authors: Renata
authors: R
authors: Nacinovich
mesh_terms: D000203:Activities of Daily Living; D000293:Adolescent; D001007:Anxiety / Q000523:psychology; D001171:Arthritis, Juvenile / Q000523:psychology*; D002648:Child; D002675:Child, Preschool; D003863:Depression / Q000523:psychology; D004644:Emotions; D005260:Female; D006304:Health Status; D006801:Humans; D008297:Male; D011788:Quality of Life / Q000523:psychology*; D012649:Self Concept; D012917:Social Adjustment; D011795:Surveys and Questionnaires
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