6118 Psychiatric comorbidity in juvenile idiopathic arthritis: a literature review
Notice bibliographique
Résumé
Objectives Depression is a significant comorbidity in pediatric patients with chronic diseases, including Juvenile Idiopathic Arthritis (JIA).1 This literature review aims to investigate the prevalence, risk factors comprehensively, and outcomes of depression and anxiety disorders in JIA patients, shedding light on the need for mental health screening and support in pediatric rheumatology care. Methods A systematic search was conducted using Proquest (BNI, MEDLINE databases), with search terms ‘Juvenile Idiopathic Arthritis’ AND ‘mental health’ in the title and abstract. A total of 43 studies were initially identified, and through title and abstract screening, 18 studies remained. After a full-text review, 4 studies were included in this review. Results The review encompassed studies from different countries, providing a multifaceted perspective on the mental health of JIA patients. The key findings are as follows: Prevalence and Risk Factors: JIA patients exhibit a higher prevalence of depressive symptoms, clinically diagnosed depression, and suicidal ideation than the general pediatric population[2]. Risk factors include chronic pain, functional limitations, medication use, and the burden of frequent medical examinations. A significant portion of patients, often newly diagnosed, experience clinical depression, emphasizing the importance of early detection and intervention.2 Psychiatric Disorders in Incident JIA Patients: A cohort study in Finland identified a higher frequency of psychiatric diagnoses, especially among female JIA patients.3 Age at onset of JIA appeared to influence the risk of psychiatric illnesses, suggesting potential windows for intervention. Parental Socioeconomic Status: Danish national registers revealed that children with JIA had a 17% higher risk of psychiatric diagnoses, particularly depression and adjustment disorders, compared to their peers. This association was not influenced by parental socioeconomic status.4 Adolescents in Canada: A study in a Canadian sample of adolescents with JIA reported high rates of symptoms of major depressive disorder and panic disorder, highlighting the pressing need for mental health screening protocols and services.5 Conclusion This literature review underscores the substantial prevalence of depression and anxiety in JIA patients, necessitating a shift toward routine screening for psychiatric comorbidities in pediatric rheumatology care. There is an urgent need for standardized assessment tools and a systematic pathway to refer affected children to mental health professionals. Mental health screening should be incorporated into initial pediatric rheumatology assessments and periodic reviews, particularly during periods of increased disease activity. This comprehensive understanding of the mental health burden in JIA patients advocates for a holistic approach to their care, addressing both somatic and psychological well-being, ultimately enhancing their overall quality of life. References Depression and other common mental disorders: global health estimates, World Health Organization 2017. Prevalence and risk factors of depressive symptoms in children and adolescents with juvenile idiopathic arthritis, Johanna Roemer, 2023. Minna S Kyllone. Psychiatric disorders in incident patients with Juvenile idiopathic arthritis- a case-control cohort study 2021. Psychiatric morbidity is common among children with juvenile idiopathic arthritis – a national matched cohort study. Lydia Li. High rates of symptoms of major depressive disorder and panic disorder in a canadian sample of adolescents with juvenile idiopathic arthritis 2023.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,002 | 0,008 |
| Méta-épidémiologie (sens strict) | 0,001 | 0,001 |
| Méta-épidémiologie (sens large) | 0,003 | 0,003 |
| Bibliométrie | 0,013 | 0,012 |
| Études des sciences et des technologies | 0,001 | 0,000 |
| Communication savante | 0,002 | 0,002 |
| Science ouverte | 0,001 | 0,001 |
| Intégrité de la recherche | 0,001 | 0,001 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,007 | 0,001 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».