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Many studies have shown that affective disorders in childhood may predict the recurrence of depressive episodes (11). To not falsify the results, in general, the assessment of depressive manifestations should be made during the remission periods, because some symptoms of depression may be directly related to exacerbations of the disease. Until now, there are no unitary studies to offer definitory elements of depression to diagnose the form of depression in children. No unitary studies have been used to define child depression and can provide defining elements of depression (9, 10). All above mentioned issues can eventually lead to depression that can be correlated with disease progression. It has been observed that children with JIA are more likely to develop sleep disorders that may have consequences on their behavior and psychology and ultimately may lead to fatigue with decreased physical performance and altered mood (7, 8). There may occur adaptation issues for the child and also for the family.Ĭhildren with exacerbation of the disease may become irritable and experience regression of behavior, loss of appetite, weight loss and communication difficulties (6). These manifestations can also affect the family who may experience depression (5).
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This condition requires frequent visits to the doctor, reduces free time due to disease manifestations and therapeutic measures, and leads to limiting daily activity. These manifestations can lead to the perception of a modified body image, anxiety, fear of not being socially acceptable, and anxiety about the evolution of the disease and the response to treatment that may affect their future (3, 4). The disease itself causes pain, physical limitations and ultimately depression. Some children may have symptoms only for a few months due to a good response to treatment, but others may have symptoms throughout their entire lives (2). Juvenile idiopathic arthritis has an undulant evolution with periods of exacerbation and remission. The worldwide prevalence of JIA is around 1-2 in 1 000 children. Juvenile idiopathic arthritis (JIA) is a heterogeneous group of chronic disorders characterized by the occurrence of immune-mediated inflammation in the joints and connective tissue with a duration longer than six weeks (1). Depression does not influence the disease, but the disease induces depression. The symptoms of depression have been correlated with disease activity. Depression has been present in one-third of patients with JIA selected for this study. After administering the most appropriate treatment, symptoms of depression have been improved and the depression score has decreased.Ĭonclusion: The Hamilton questionnaire adapted for children is easy to apply and it is an important tool for assessing depression. In the control group, depression was found in only 5% of subjects. Results: The results obtained using the Hamilton scale showed that, from the total of 145 patients suffering from JIA, 35 (24%) experienced mild depression, 10 (7%) moderate depression and 26 were borderline 74 children did not experience the depressive syndrome. It has a maximum score of 28 points, and one with eight points defines depression. The scale assesses overall depression intensity. This scale consists of 11 fields with multiple questions, the evaluation was made by counting the score. The assessment of depression was made using the Hamilton scale adapted for children by us. The study was conducted over three years between 20. Material and methods: We followed 145 patients suffering from JIA according to ILAR and Edmonton classification in 2001. We also monitored the evolution of depression with the improvement of the disease under treatment. Objective: This study proposed to analyze depression's incidence in children with JIA. Background: The depressive syndrome is commonly found in children suffering from chronic diseases, which is also present in patients with juvenile idiopathic arthritis (JIA).