Psychological intervention for adolescents with juvenile idiopathic arthritis: For whom and when?

Coralie Elisabeth Fuchs*, Stefan Matthijs Van Geelen, Hubertus Johannes Matthias Hermans, Elise Machteld Van De Putte, Rolf Van Geel, Gerben Sinnema, Wietse Kuis

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

Objective. To study which adolescents with juvenile idiopathic arthritis (JIA) benefit from psychological intervention, and what is the best moment for it. Methods. In 3 months, 28 adolescents with JIA and 14 healthy adolescents as a control group received psychological intervention with the Self-confrontation Method (SCM), which combines the personal narrative with its affective structure. The adolescents with JIA were split into groups with low health-related quality of life (HRQOL) and high HRQOL. The Child Health Questionnaire, Checklist Individual Strength, and Childhood Health Assessment Questionnaire were used to measure fatigue and physical and psychosocial functioning at baseline, and at 3 months and 9 months after baseline. Results. Adolescents with JIA and low HRQOL at baseline reported less fatigue and better HRQOL after psychological intervention. These changes could not be explained by changes in disease activity. Low HRQOL at baseline was associated with a more recent onset of JIA, higher levels of pain, more severe physical disability, and higher levels of fatigue. Conclusion. Two-thirds of adolescents with JIA function well before and after psychological intervention. One-third of adolescents with JIA reporting low HRQOL at baseline benefit from guided self-reflections and should be the focus of psychological intervention. The most effective moment for this psychological intervention is when the adolescent reports difficulties in HRQOL. The Journal of Rheumatology

Original languageEnglish
Pages (from-to)528-534
Number of pages7
JournalJournal of Rheumatology
Volume40
Issue number4
DOIs
Publication statusPublished - 1 Apr 2013
Externally publishedYes

Cite this

Fuchs, C. E., Van Geelen, S. M., Hermans, H. J. M., Van De Putte, E. M., Van Geel, R., Sinnema, G., & Kuis, W. (2013). Psychological intervention for adolescents with juvenile idiopathic arthritis: For whom and when? Journal of Rheumatology, 40(4), 528-534. https://doi.org/10.3899/jrheum.120741