Abstract
Background Reported psychiatric morbidity among juvenile idiopathic arthritis (JIA) patients has varied between 9.3-51% (1-3). The variation between studies can be explained by differences in the study populations (age, disease duration and disease state) and differences in the study methods (1-3). Depression and anxiety are the most common disorders, but most studies were based on questionnaires to investigate incidence of only these two diseases (1,3). Objectives To explore mental and behavioral disorders in JIA patients compared to the control population. Methods All incidents patients with JIA during 2000-2014 were collected from the nationwide register, maintained by the Social Insurance Institution of Finland (4). The National Population Registry identified three controls (similar regarding age, sex and residence) for each case. They were followed up together until 31stDec 2015. ICD-10 codes of psychiatric diagnosis (F10-F99) were picked up from the Care Register for Health Care of the National Institute for Health and Welfare. Results During 28,941 follow-up years, 974 (23%) JIA patients were diagnosed with mental or behavioral disorders, whereas the number in the control group was 1,807 (15%), (p Conclusion The risk of psychiatric disorders in JIA patients is increased.
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