Physical and social functioning in adolescents with rheumatological conditions: a study of predictors
Article first published online: 27 DEC 2012
©2012 The Author(s)/Acta Pædiatrica ©2012 Foundation Acta Pædiatrica
Volume 102, Issue 3, pages e131–e136, March 2013
How to Cite
Gauntlett-Gilbert, J., Kavirayani, A. and Clinch, J. (2013), Physical and social functioning in adolescents with rheumatological conditions: a study of predictors. Acta Paediatrica, 102: e131–e136. doi: 10.1111/apa.12094
- Issue published online: 5 FEB 2013
- Article first published online: 27 DEC 2012
- Accepted manuscript online: 28 NOV 2012 07:53PM EST
- Manuscript Accepted: 14 NOV 2012
- Manuscript Revised: 10 OCT 2012
- Manuscript Received: 22 JUN 2012
This study examines possible predictors of physical and social functioning in adolescents with rheumatological conditions. Condition-related variables and psychosocial variables were studied, and their relative contribution as predictors was examined.
The study population was one hundred and twelve adolescents (11–18 years) attending secondary and tertiary paediatric rheumatology outpatient clinics in south-west England. These adolescents completed validated self-report accounts of disease history, pain and functioning (condition-related variables) and the Bath Adolescent Pain Questionnaire (psychosocial variables). Correlation and regression analyses were used to establish influences on physical and social functioning, examining condition-related variables and psychosocial variables as separate blocks.
Physical functioning was independently associated with age at onset, intensity of pain, presence of depression and pain-specific anxiety. Social functioning was only associated with general anxiety. The presence of an inflammatory diagnosis had no bearing on optimal functioning in this study.
Condition-related variables (age at onset, pain intensity) and psychosocial variables (depression, pain-specific anxiety) were equally important for physical functioning, whereas psychosocial variables (general anxiety) were more influential for social functioning. Understanding the impact of disease and associated variables in the adolescent rheumatology population should optimize targeted multidisciplinary rehabilitation for the young person and their family.