Psychische Komorbidität bei der juvenilen idiopathischen Arthritis

Claudia Sengler; Martina Niewerth; Reinhard W. Holl; Reinhold Kilian; Thomas Meissner; Doris Staab; Petra Warschburger; Harald Baumeister; Kirsten Minden

doi:10.1055/a-0838-4301

Arthritis und Rheuma, Table of Contents

Arthritis und Rheuma 2019; 39(01): 46-53
DOI: 10.1055/a-0838-4301

Kinderrheumatologie| Übersichtsartikel

Psychische Komorbidität bei der juvenilen idiopathischen Arthritis

Bestandsaufnahme und AusblickMental comorbidity in juvenile idiopathic arthritisReview and outlook

Claudia Sengler

¹Deutsches Rheuma-Forschungszentrum Berlin, Programmbereich Epidemiologie

,

Martina Niewerth

¹Deutsches Rheuma-Forschungszentrum Berlin, Programmbereich Epidemiologie

,

Reinhard W. Holl

²Universität Ulm, Institut für Epidemiologie und medizinische Biometrie, ZIBMT

,

Reinhold Kilian

³Universität Ulm, Klinik für Psychiatrie und Psychotherapie II

,

Thomas Meissner

⁴Universität Düsseldorf, Klinik für Kinder- und Jugendmedizin

,

Doris Staab

⁵Charité - Universitätsmedizin Berlin, Klinik für Klinik für Pädiatrie mit Schwerpunkt Pneumologie, Immunologie und Intensivmedizin

,

Petra Warschburger

⁶Universität Potsdam - Department Psychologie

,

Harald Baumeister

⁷Universität Ulm, Institut für Psychologie und Pädagogik

,

Kirsten Minden

¹Deutsches Rheuma-Forschungszentrum Berlin, Programmbereich Epidemiologie

⁸Charité - Universitätsmedizin Berlin, kooperatives Mitglied der Freien Universität Berlin, der Humboldt-Universität zu Berlin und des Berliner Instituts für Gesundheitsforschung, Klinik für Rheumatologie und klinische Immunologie

› Author Affiliations

Abstract

Zusammenfassung

Psychische Erkrankungen wie Depression und Angst beginnen häufig im Jugend- und jungen Erwachsenenalter. Heranwachsende mit einer chronischen rheumatischen Erkrankung haben hierfür ein besonderes Risiko. In Untersuchungen zur psychischen Gesundheit gaben in der Regel über 10 % der Jugendlichen mit juveniler idiopathischer Arthritis (JIA) depressive Symptome an. Die frühzeitige Erkennung von psychischen Belastungen ist notwendig, um Betroffenen rechtzeitig adäquate Unterstützung anbieten zu können. Geschieht das nicht, werden Möglichkeiten, die Langzeitprognose und Lebensqualität der Betroffenen zu verbessern, verpasst. Psychische Störungen werden in der klinischen Praxis oft nur am Rande berücksichtigt. Wie groß das Problem unter den bundesweit kinder- und jugendrheumatologisch betreuten Patienten mit JIA ist, wird in diesem Jahr im Rahmen des interdisziplinären Forschungsverbundes COACH untersucht.

Abstract

Mental disorders such as depression and anxiety often begin in adolescence and young adulthood. Young people with a chronic rheumatic disease are particularly at risk. More than 10 % of young people with juvenile idiopathic arthritis reported depressive symptoms in most mental health studies. Early recognition of mental health problems is necessary in order to be able to support those affected in a timely and adequate manner. If this does not happen, opportunities to improve the long-term prognosis and quality of life of the young people affected are missed. Psychological stress is often only marginally considered in clinical practice. In order to improve this, the interdisciplinary research network COACH will, starting this year, investigate the extent of mental health problems in adolescents and young adults with JIA, who are receiving nationwide paediatric rheumatological care.

Schlüsselwörter:

Psychische Komorbidität - Depression - Angst - juvenile idiopathische Arthritis - COACH-Projekt

Keywords

Mental comorbidity - depression - anxiety - juvenile idiopathic arthritis - COACH project

Full Text

References

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