Kinder- und Jugendmedizin 2019; 19(06): 419-429
DOI: 10.1055/a-1046-1069
Übersichtsarbeit
© Georg Thieme Verlag KG Stuttgart · New York

Psychische Komorbidität bei der juvenilen idiopathischen Arthritis

Bestandsaufnahme und AusblickMental comorbidity in juvenile idiopathic arthritisReview and outlook
Claudia Sengler
1   Deutsches Rheuma-Forschungszentrum Berlin, Programmbereich Epidemiologie
,
Martina Niewerth
1   Deutsches Rheuma-Forschungszentrum Berlin, Programmbereich Epidemiologie
,
Reinhard W. Holl
2   Universität Ulm, Institut für Epidemiologie und medizinische Biometrie, ZIBMT
,
Reinhold Kilian
3   Universität Ulm, Klinik für Psychiatrie und Psychotherapie II
,
Thomas Meissner
4   Universität Düsseldorf, Klinik für Kinder- und Jugendmedizin
,
Doris Staab
5   Charité – Universitätsmedizin Berlin, Klinik für Klinik für Pädiatrie mit Schwerpunkt Pneumologie, Immunologie und Intensivmedizin
,
Petra Warschburger
6   Universität Potsdam – Department Psychologie
,
Harald Baumeister
7   Universität Ulm, Institut für Psychologie und Pädagogik
,
Kirsten Minden
1   Deutsches Rheuma-Forschungszentrum Berlin, Programmbereich Epidemiologie
8   Charité – 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
Further Information

Publication History

Publication Date:
13 December 2019 (online)

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.

 
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