慢性关节炎患者的心理社会适应能力:患有幼年型特发性关节炎和反应性关节炎的儿童和青少年的行为特征

作     者：Müller-Godeffroy E. Lehmann H. Küster R.M. ThyenU 郭战宏 

作者机构：Klinik für Kinder-und JugendmedizinUniversittsklinikum Schleswig-Holstein Campus LübeckRatzeburger Allee 160 23538 Lübeck Germany 

出 版 物：《世界核心医学期刊文摘（儿科学分册）》 (Dkgest of the World Latest Medical Information)

年 卷 期：2006年第2卷第11期

页      面：61-62页

学科分类：0402[教育学-心理学(可授教育学、理学学位）] 040203[教育学-应用心理学] 04[教育学] 1002[医学-临床医学] 100201[医学-内科学(含：心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学] 

主　　题：特发性关节炎 慢性关节炎 反应性关节炎 社会适应能力 幼年型 CBCL 自我评价 生活质量 功能障碍 

摘      要：We sought to measure psychosocial adaptation in children and adolescents with different forms of chronic arthritis and to determine associated factors. Mothers of 68 children aged 8-17 years with juvenile idiopathic arthritis (JIA) or reactive arthritis reported behaviour problems (CBCL), children reported their actual stress level (SSK), functional disability in conducting activities of daily living (CHAQ) and health-related quality of life (HRQOL) including self-esteem (KINDL-R). Children and adolescents with JIA or reactive arthritis reported lower self-esteem compared to normative data. Almost 20%of the samples were reported to have serious behaviour problems,mostly social isolation and depression/anxiety. Children with lower HRQOL, more functional limitations and a higher stress level showed more behaviour problems. Self-esteem and behaviour problems may be relevant outcome measures in children and adolescents with chronic arthritis and useful to monitor psychosocial support in this population.