Introduction: Our study examines the association between the disease characteristics of inflammatory arthritis and patients' self-perception of mental health, parenting disability, parenting stress and child behaviour in early inflammatory arthritis (EIA). Methods: Patients in the early phase (more than 6 weeks, less than 18 months) of inflammatory arthritis were recruited from a larger EIA registry that recorded sociodemographic data and measures of pain, physical functioning and disease activity. Patient-perceived parenting disability, parenting stress, depression and children's behaviour problems were assessed using the Parenting Disability Index, Parenting Stress Index, Center for Epidemiologic Studies - Depression Mood Scale and Child Behavior Checklist, respectively. Results: Pain, physical dysfunction, number of tender joints and physician global assessment of disease activity were associated with parenting disability. Self-report measures of parenting disability were associated with those of depression and parenting stress. Parenting stress was associated with children internalizing and externalizing behaviour problems while parenting disability was associated with children externalizing behaviour problems. Conclusion: This study suggests a possible reciprocal relationship among physical aspects of disease activity, parenting disability and parent and child distress in EIA.
机构:
City Univ Hong Kong, Dept Appl Social Sci, Tat Chee Ave, Kowloon, Hong Kong, Peoples R ChinaCity Univ Hong Kong, Dept Appl Social Sci, Tat Chee Ave, Kowloon, Hong Kong, Peoples R China
Rochelle, Tina L.
Cheng, H. T.
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City Univ Hong Kong, Dept Appl Social Sci, Tat Chee Ave, Kowloon, Hong Kong, Peoples R ChinaCity Univ Hong Kong, Dept Appl Social Sci, Tat Chee Ave, Kowloon, Hong Kong, Peoples R China
机构:
Univ Helsinki, Childrens Hosp, Helsinki 00029, Finland
Univ Helsinki, Cent Hosp, Helsinki 00029, FinlandUniv Helsinki, Childrens Hosp, Helsinki 00029, Finland
Lonnqvist, T.
Schmitt, F.
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Turku Univ Hosp, FIN-20520 Turku, Finland
Turku Univ, Child Psychiat Clin, Turku, FinlandUniv Helsinki, Childrens Hosp, Helsinki 00029, Finland
Schmitt, F.
Almqvist, F.
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Univ Helsinki, Childrens Hosp, Helsinki 00029, Finland
Univ Helsinki, Cent Hosp, Helsinki 00029, FinlandUniv Helsinki, Childrens Hosp, Helsinki 00029, Finland
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Univ Missouri St Louis, Dept Psychol Sci, 1 Univ Blvd, St Louis, MO 63121 USAUniv Missouri St Louis, Dept Psychol Sci, 1 Univ Blvd, St Louis, MO 63121 USA
Froelich, Jessilyn M.
Gerstein, Emily D.
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Univ Missouri St Louis, Dept Psychol Sci, 1 Univ Blvd, St Louis, MO 63121 USAUniv Missouri St Louis, Dept Psychol Sci, 1 Univ Blvd, St Louis, MO 63121 USA