OBJECTIVE: To describe the long-term psychosocial outcome in a prospectively followed cohort of @entity1 with @entity4932 ( @entity4932 ), to assess the associations between psychosocial outcome and disease variables and to explore family stressors as predictors of long-term psychosocial and physical outcome. METHODS: Fifty-two @entity1 with @entity4932 were assessed psychosocially at first admission to a pediatric rheumatology clinic and were reassessed 9 years later. Assessment methods included semi-structured @entity146 interviews and standardized parental questionnaires and self-reports. RESULTS: At follow-up, 9 @entity1 (17%) fulfilled the criteria for a @entity146 diagnosis and 8 (15%) had mild to moderate impairment in psychosocial functioning ( @entity1 's or adult Global Assessment Scale). Mental health and psychosocial functioning were significantly improved from the first hospital admission to follow-up. In @entity1 < 18 years of age (n = 26), psychosocial functioning at follow-up correlated with @entity717 according to the Childhood Health Assessment Questionnaire (r = -0.52, p < 0.01). Psychosocial outcome was unrelated to other measures of disease severity. Chronic family difficulties in the disease course predicted psychosocial functioning at follow-up in @entity1 < 18 years old (R2 = 0.22). Chronic family difficulties at disease onset, together with gender and chronic family difficulties in the disease course, predicted psychosocial functioning at follow-up in @entity1 > or = 18 years old (R2 = 0.61). Family stressors were unrelated to the physical outcome. CONCLUSION: The long-term psychosocial outcome was favorable in most of the @entity1 . Psychosocial outcome was predicted by chronic family difficulties, but was not closely related to disease severity at follow-up.

Psychosocial outcome in XXXX : a nine-year follow-up.

@entity1 :: ('9606', 'Species') :: ['children', 'patients'] @entity717 :: ('MESH:D009069', 'Disease') :: ['physical disability'] @entity146 :: ('MESH:D001523', 'Disease') :: ['psychiatric'] @entity4932 :: ('MESH:D001171', 'Disease') :: ['juvenile chronic arthritis', 'JCA']
@entity4932 :: (MESH:D001171,Disease) :: ['juvenile chronic arthritis']
