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AB1438-HPR Effect of psychological peculiarities of personality of patients with juvenile idiopathic arthritis on self-appraisal of quality of life
  1. V. Malievsky,
  2. G. Gareeva
  1. Department of Pediatrics, Bashkir State Medical University, Ufa, Russian Federation

Abstract

Background The quality of life is an integral parameter of the state of health that reflects peculiarities of the child’s physical, social, and psychological functioning.

Objectives We carried out a study of psychological peculiarities and quality of life of 92 patients with juvenile idiopathic arthritis (32 boys and 60 girls) and 109 healthy children (45 boys and 64 girls) at the age of 7-17 years.

Methods To evaluate psychological peculiarities of children’s personality, we used the children’s and teenagers’ variants of the R. Kettel test. The quality of life was also studied with aid of Pierce–Harris test composed of 126 questions. The test was represented by scales “Behavior”, “Intellectual and school status”, Physical appearance”, “Anxiety”, “Popularity”, “Happiness and satisfaction”, “Health”, “Psycho-social status”. The scale “Health” includes subscales “Health”, “Necessity in care”, “Physical development and mobility”, “Everyday life activity”, “Nutrition”, “Pain”.

Results In children and teenagers with juvenile idiopathic arthritis there was revealed deterioration of the life quality with respect both of health and of their psycho-social status. The degree of the decrease of the life quality level depends not only on duration and activity of arthritis, functional insufficiency, “internal picture of disease”, but also on the child’s personality peculiarities. Children with such personality peculiarities as sociability, communicability, emotional stability, high self-control, social courage, which determine successful psycho-social adaptation, are characterized by the higher parameters of the majority of Pearce–Harris subscales and, accordingly, by the higher quality of life. Such personality peculiarities as anxiety, tension, the lack of motivations for changes and achievements, determine the lower life quality parameters. Besides, it is to be taken into account that these interconnections of parameters of the life quality can be due to the level of self-appraisal depending on psychological peculiarities of the child’s personality.

Conclusions The quality of life of patients with juvenile idiopathic arthritis is determined as the subjective evaluation not only by peculiarities of the course of the disease, but also by the psychological peculiarities, which indicates necessity of the social and psychological support of such children.

Disclosure of Interest None Declared

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