Mental disorders in children with rheumatic diseases

A. Santimov, S. Grechanyi, G. A. Novik
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Abstract

The prevalence of concomitant mental disorders in children with rheumatic diseases is notably higher than in the overall population. However, psychiatric comorbidity in pediatric rheumatology remains poorly understood, whereas approaches to mental disorders therapy in children with rheumatic diseases are not clearly defined. The review article considers currently available data on the mental disorders prevaling in patients with juvenile idiopathic arthritis, juvenile-onset systemic lupus erythematosus and juvenile primary fibromyalgia. The article provides data on the efficacy and safety studies of psychotherapy and psychopharmacotherapy. It also discusses application prospects of biological disease-modifying antirheumatic drugs for treatment of comorbid depression in children with rheumatic diseases.
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风湿病儿童的精神障碍
风湿病患儿合并精神障碍的发病率明显高于其他人群。然而,人们对小儿风湿病的精神疾病合并症仍然知之甚少,而风湿病患儿的精神障碍治疗方法也没有明确的定义。这篇综述文章探讨了有关幼年特发性关节炎、幼年发病型系统性红斑狼疮和幼年原发性纤维肌痛患者精神障碍的现有数据。文章提供了心理疗法和精神药物疗法的疗效和安全性研究数据。文章还讨论了生物疾病修饰抗风湿药物治疗风湿病儿童合并抑郁症的应用前景。
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