Investigation of Catastrophizing of Pain Reported by Parents in JIA Patients

Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age7-18
SponsorHacettepe University

About this trial

Juvenile idiopathic arthritis (JIA) is the primary rheumatic disease reported to affect the pediatric population. Research suggests that parents' thoughts and feelings about their child's pain, specifically with JIA diagnosis, may influence treatment compliance. Considering that this situation may also affect children's adherence to treatment, the identification and management of parents' catastrophizing of pain is emphasized as important in improving treatment outcomes. This study aimed to examine the biopsychosocial characteristics of parents of children diagnosed with JIA according to their reported catastrophizing of pain.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Between 7-18 years of age

Diagnosed with JIA

Individuals who volunteer to participate in the study will be included.

Disqualifiers

Having advanced heart/lung/liver/kidney disease, neurological disease, or malignancies

Having undergone major orthopedic surgery

Not volunteering to participate in the study

Trial population

The study population will consist of individuals who come to the university hospital for routine controls.

Trial design

Design model

Cohort

Time perspective

Prospective

Treatments tested in this trial

  • Questionnaire application for JIA cases and their parents

    Other intervention

    Scales will be applied to cases diagnosed with JIA and their parents

Treatment groups

50 Participants
are divided into 1 treatment group
Group A: Cases diagnosed with JIA1 intervention

Trial outcomes

Primary outcomes

1

Pain Catastrophizing Scale-Parent (PCS-P)

It is assessed using a 5-point Likert scale ranging from 0 (never) to 4 (always) and consists of 13 items. Similar to the child questionnaire, it assesses 3 domains: rumination, magnification, and helplessness. A total score between 0 and 52 is obtained; higher scores reflect a higher level of catastrophizing in parents.

Time frame
Baseline
2

Pain Catastrophizing Scale-Children (PCS-C)

Consists of 13 items that describe the different thoughts and feelings children may experience when they feel pain. The questionnaire measures three domains: rumination, magnification, and helplessness. All items are rated on a 5-point Likert scale ranging from 0 (never) to 4 (always). Higher scores indicate more catastrophic pain beliefs. The total score ranges from 0 to 52.

Time frame
Baseline

Secondary outcomes

1

Juvenile Arthritis Biopsychosocial Scale-JAB-Q-Patient

It is a patient/parent-centered measurement method that helps assess the patient's biopsychosocial aspects, such as disease activity, posture, functional and psychosocial status, fatigue, and school performance. The results from the questions are used to assess the functional status of children, while their psychosocial status is recorded based on their answers to 21 questions (ranging from 0 to 358). A high score indicates a poor psychosocial status.

Time frame
Baseline
2

Childhood Health Assessment Questionnaire (CHAQ)

The CHAQ assesses the functional abilities of children diagnosed with rheumatic diseases in their daily living activities. It consists of eight subscales (dressing and personal care, standing up, eating, walking, body care, reaching, grasping, activities) (0-3) and also assesses pain and general well-being using a visual analog scale (0-100). A high score indicates low functionality.

Time frame
Baseline
3

Juvenile Arthritis Quality of Life Questionnaire (JAQQ)

It consists of 74 items covering various health domains, including physical functioning, emotional well-being, and general symptoms. The items are divided into four dimensions related to the child's quality of life: gross motor function (GMF), fine motor function (FMF), psychosocial function (PF), and systemic or general symptoms (SGS). Each domain is scored on a Likert-type scale from 1 to 7; higher scores indicate poorer health-related quality of life. There is also a "not applicable to me" option for the items. The scale also includes a pain measurement (10 cm Visual Analog Scale (VAS)) to assess pain, but this score is not included in the total score.

Time frame
Baseline
4

Juvenile Arthritis Biopsychosocial Scale-JAB-Q-Family

JAB-Q is a multidimensional questionnaire and a parent (family) form. Developed in Turkish by Ünal and colleagues, the questionnaire is completed by one of the child's parents. The family form evaluates the parents' biopsychosocial status from their own perspective and provides scores ranging from 0 to 102. Higher scores indicate a worse biopsychosocial status.

Time frame
Baseline

Other outcomes

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