Session Information
Date: Monday, November 9, 2015
Session Type: ACR Poster Session B
Session Time: 9:00AM-11:00AM
Background/Purpose:
Juvenile Idiopathic Arthritis (JIA) is one of the most common rheumatic diseases in childhood, affecting at least 1 in 1000 children (1). Children with JIA, experience joint inflammation and swelling, pain and tenderness, morning stiffness, limited mobility. Also, children with JIA and their parents complain fatigue easily and sleep disturbances such as falling asleep, fragmented sleep with more nightly awakenings, and daytime sleepiness. The aim of this study to determine the prevalence of fatigue, disturbed sleep and pain in patients with JIA, at the same time to identify relationship between fatigue, pain, sleep quality and activity limitation and participation restriction.
Methods:
84 patients (51 female, 33 male) with JIA and their parents were enrolled in the study. The subjects were recruited in a pediatric rheumatology clinic. They were diagnosed with JIA by a pediatric rheumatologist based on the ILAR diagnostic criteria. Patients with recent diagnoses of JIA and those with mental deficits were excluded. PedsQL Multidimensional Fatigue Scale was used to evaluate fatigue.
Pittsburg sleep quality index (PSQI) was used to evaluate quality of sleep, daytime sleepiness. Pain was evaluated with 10 cm Visual Analog Scale (VAS). Childhood Health Assessment Questionnaire (CHAQ) was used to evaluate activity limitation and participation restriction.
Results:
Respectively, the mean age, disease duration and number of affected joint were 12.90±3.50 years, 5.70±3.76 years and 1.99±1.94. The mean of scores of CHAQ was 1.20±1.69, the mean of PSQI-daytime sleepiness was 0.76±0.81, the mean of PSQI-sleep quality was 0.89±0.74, the mean of PSQI-Total was 4.34±2.34 and the mean of scores was PedsQL-fatigue 66.21±23.27. The relationships of scores of VAS, PedsQL-fatigue, PSQI and CHAQ were demonstrated Table I.
Conclusion:
This study confirmed that patients with JIA suffer from pain, fatigue and sleep disturbances. In addition to, sleep disturbance and fatigue are strongly associated with increased pain. Due to this relationship, activity limitation and participation restriction may be observed in patients with JIA. Strategies aimed at improving sleep quality and reducing fatigue and pain should be studied as possible ways of improving participation in activities in children with JIA.
Table I. The correlations scores of VAS, CHAQ, PedsQL-fatigue, PSQI
|
|
VAS |
PSQI-Daytime |
PSQI-Sleep Quality |
PSQI-Total |
PedsQL-Total |
PedsQL-General Fatigue |
PedsQL-Sleep/rest
|
PedsQL-Cognitive
|
|
CHAQ |
0.283** |
0.157 |
0.240* |
0.230* |
-0.546** |
-0.501** |
-0.440** |
-0.506** |
|
VAS |
|
0.352** |
0.212 |
0.351** |
-0.372** |
-.0289** |
-0.387** |
-0.317** |
|
PSQI-Daytime |
|
|
0.374** |
0.726** |
-0.418** |
-0.430** |
-0.411** |
-0.283** |
|
PSQI-Sleep Quality |
|
|
|
0.615** |
-0.478** |
-0.439** |
-0.442** |
-0.394** |
|
PSQI-Total |
|
|
|
|
-0497** |
-0.482** |
-0.466** |
-0.383** |
|
PedsQL-Total |
|
|
|
|
|
0.929** |
0.870** |
0.862** |
|
PedsQL-General Fatigue |
|
|
|
|
|
|
0.789** |
0.692** |
|
PedsQL-Sleep/rest |
|
|
|
|
|
|
|
0.562** |
To cite this abstract in AMA style:
Tarakci E, Baydogan SN, Barut K, Kasapcopur O. Fatigue, Quality of SLEEP and PAIN in Children with Juvenile Idiopathic Arthritis [abstract]. Arthritis Rheumatol. 2015; 67 (suppl 10). https://acrabstracts.org/abstract/fatigue-quality-of-sleep-and-pain-in-children-with-juvenile-idiopathic-arthritis/. Accessed .« Back to 2015 ACR/ARHP Annual Meeting
ACR Meeting Abstracts - https://acrabstracts.org/abstract/fatigue-quality-of-sleep-and-pain-in-children-with-juvenile-idiopathic-arthritis/