Work

Parent and Physician Global Assessment Discordance in Juvenile Arthritis: The Role of Pain Coping Strategies

Year: 2025

Type: article

Abstract: Objective: To evaluate the factors underlying the discordance in physicians', patients', and caregivers' perceptions of disease state in patients with juvenile idiopathic arthritis and their caregivers in a prospective observational study. Study design: We invited all children in 8 centers in Finland from November 2021 to March 2024 presenting with newly confirmed or suspected juvenile idiopathic arthritis and the accompanying parents to participate. Children older than 8.0 years and all the parents completed the patient and parent proxy pain and global assessment of wellbeing at 0 and 3 months and the pain coping scale at 3 months after diagnosis. The discordance between patient or parent global assessment and physician global assessment of disease activity was determined by subtracting the physician global from the patient or parent global assessment. The factors explaining discordance between the global assessments, were evaluated by a multivariable linear model. Results: < .005), the greater the discordance between parent and physician global assessment. Conclusion: The discordance between parent's and physician's global assessment is greater among parents who use catastrophizing as a pain coping strategy.

Source: The Journal of Pediatrics Clinical Practice

DOI: 10.1016/j.jpedcp.2025.200186