Chronic Non-inflammatory Pains in Rheumatopediatrics

Study Overview
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Brief Summary
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The purpose of this study is to determine the frequency of chronic pain in adolescent with juvenile idiopathic arthritis, especially when the disease is inactive or with minimal activity. Secondary objectives are, first to determine intensity of pain and its repercussion in daily life and second to determine risk factor of chronic pain.

Detailed Description
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Juvenile idiopathic arthritis is the most frequent pathology in paediatric rheumatology clinic. Pain is an important symptom in paediatric rheumatology. It is actually poorly studied and is not evaluate in disease activity score like the Juvenile Arthritis Disease Activity Score (JADAS). It is source of handicap, social and psychological distress and greatly contribute to poor quality of life. Chronic pain is frequently multifactorial, even in inflammatory disease. In adult population, rheumatologists have shown an association between inflammatory disease like spondylarthritis or rheumatology polyarthritis and fibromyalgia. There is no specific data on chronic pain in juvenile idiopathic arthritis. Pain is mostly evaluated by the Visual Analogue Scale (VAS) with no evaluation of pain repercussion on daily life or its chronicity. This study's primary objective is to determine the frequency of chronic pain and its relationship with disease activity. Secondaries objectives are to determine repercussion of pain in daily life, and risk factor of chronic pain. To responded to this objective, we will conduct a transversal study in a paediatric rheumatology refence centre in Necker-Enfants malades Hospital. We will include all patients between 12 and 18 years old followed in our centre for any type of juvenile idiopathic arthritis. Patients will be evaluated as usual by their paediatrics rheumatologist during a follow-up consultation or hospitalisation with the used of the clinical JADAS. Patient accepting to participate the study will be given a paper questionnaire evaluating chronic pain, its repercussion, anxiety (by the used of the Revised Children's Manifest Anxiety Scale (RCMAS score)), depression (by the used of the Children's Depression Inventory (CDI score)), Sleepiness (by the used of the Pediatric Daytime Sleepiness Scale (PDSS score)) and quality of life (by the used of the measurement model for the Pediatric Quality of Life inventory (PedQL score)).

Official Title
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Chronic Non-inflammatory Pains in Rheumatopediatrics

Conditions
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Juvenile Idiopathic Arthritis

Intervention / Treatment
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* Behavioral: Questionnaires


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Child from 12 to 17 years old Follow-up to Necker Hospital by a rheumatologist at the reference center for juvenile idiopathic arthritis (RAISE), regardless of the form Not opposed to participating in the study Exclusion Criteria: No exclusion criteria

Ages Eligible for Study
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Minimum Age: 12 Years
Maximum Age: 17 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Juvenile idiopathic arthritis and chronic pain<br>Patients followed for juvenile idiopathic arthritis and chronic pain in Necker Hospital | Behavioral: Questionnaires<br>* Response to questionnaires evaluating chronic pain and its repercussion : anxiety questionnaire (Revised Children's Manifest Anxiety Scale), depression questionnaire (Children's Depression Inventory score), sleepiness questionnaire (Pediatric Daytime Sleepiness Scale), quality of life questionnaire (Pediatric Quality of Life inventory score).<br>* Other names: Evaluation of the chronic pain repercussion in juvenile idiopathic arthritis;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Frequency of chronic pain and its relationship with disease activity | Chronic pain will be defined by the presence of recurrent or permanent moderate pain (Visual Analogue Scale (VAS) > 3 / 10), present more than 3 days a week. Disease activity will be evaluated by the clinical Juvenile Arthritis Disease Activity Score (JADAS) and the definition of three groups: inactive disease, minimal disease activity and active disease. | Day 0 | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Chronic pain and disease repercussions | Chronic pain and disease repercussion will be assessed by a paper questionnaire evaluation repercussion on scholarship, sports, sleep and social interaction. | Day 0 | 
| Repercussions of pain on patient anxiety | Anxiety symptoms will be assessed with the Revised Children's Manifest Anxiety Scale (RCMAS) questionnaire | Day 0 | 
| Repercussions of pain on depression symptoms | Depression symptoms will be assessed with the Children's Depression Inventory (CDI) questionnaire | Day 0 | 
| Repercussions of pain on quality of life | Anxiety symptoms will be assessed with the Pediatric Quality of Life inventory (PedQL) questionnaire | Day 0 | 
| Repercussions of pain on patient daytime sleepiness | Anxiety symptoms will be assessed with the Pediatric Daytime Sleepiness Scale (PDSS score) | Day 0 | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Juvenile idiopathic arthritis, chronic pain, anxiety, depression, sleepiness, quality of life