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青少年特发性关节炎患者的神经心理学功能和学业能力。

Neuropsychological functioning and academic abilities in patients with juvenile idiopathic arthritis.

机构信息

Department of Psychology, Laboratoire de Psychologie des Cognitions, University of Strasbourg, (LPC UR 4440), 12 Rue Goethe, FR-67000, Strasbourg, France.

Laboratoire Interuniversitaire des Sciences de l'Education et de la Communication (LISEC UR 2310), University of Strasbourg, Strasbourg, France.

出版信息

Pediatr Rheumatol Online J. 2021 Apr 14;19(1):53. doi: 10.1186/s12969-021-00541-1.

DOI:10.1186/s12969-021-00541-1
PMID:33853628
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8048299/
Abstract

BACKGROUND

The involvement of the central nervous system is not rare in rheumatoid diseases. Even though children with juvenile idiopathic arthritis (JIA) may face academic difficulties until adulthood, very few studies have evaluated potential cognitive disorders in these patients. The present research aims to thoroughly investigate the cognitive and neuropsychological functioning of these patients.

METHODS

We measured the cognitive profile of JIA patients via their neuropsychological profile, implicit memory and social cognition skills, and estimated their academic performance using reading and mathematics tests. We recruited 21 children with JIA aged 6 to 17 years-old (M = 11.01, SD = 3.30) and 21 healthy children matched in age, gender, academic level (same school class) and socioeconomic status.

RESULTS

Our results showed that the cognitive profile and estimated academic ability of JIA patients are similar to those of their peers. These results support the hypothesis that children with JIA have the same cognitive predispositions to succeed at school as any other pupil.

CONCLUSION

Comparing our results with the existing literature, we propose complementary hypotheses for further research. Longitudinal studies seem to be necessary to understand the psychosocial and cognitive processes involved in the development of children with JIA.

摘要

背景

中枢神经系统受累在类风湿疾病中并不罕见。尽管幼年特发性关节炎(JIA)患儿在成年后可能会面临学业困难,但很少有研究评估这些患者潜在的认知障碍。本研究旨在全面研究这些患者的认知和神经心理学功能。

方法

我们通过神经心理学特征、内隐记忆和社会认知技能来测量 JIA 患者的认知状况,并使用阅读和数学测试来评估他们的学业成绩。我们招募了 21 名年龄在 6 至 17 岁的 JIA 患儿(M=11.01,SD=3.30)和 21 名年龄、性别、学业水平(同校班级)和社会经济地位相匹配的健康儿童。

结果

我们的结果表明,JIA 患儿的认知状况和估计的学业能力与同龄人相似。这些结果支持了这样一种假设,即 JIA 患儿在学校取得成功的认知倾向与其他学生相同。

结论

将我们的结果与现有文献进行比较,我们提出了进一步研究的补充假设。似乎有必要进行纵向研究,以了解 JIA 患儿发展过程中的心理社会和认知过程。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c07f/8048299/3a36e8bc5f64/12969_2021_541_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c07f/8048299/3a36e8bc5f64/12969_2021_541_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c07f/8048299/3a36e8bc5f64/12969_2021_541_Fig1_HTML.jpg

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本文引用的文献

1
The association between sleep problems and academic performance in primary school-aged children: Findings from a Norwegian longitudinal population-based study.睡眠问题与小学儿童学业成绩的关系:来自挪威纵向人群研究的发现。
PLoS One. 2019 Nov 7;14(11):e0224139. doi: 10.1371/journal.pone.0224139. eCollection 2019.
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Toward New Classification Criteria for Juvenile Idiopathic Arthritis: First Steps, Pediatric Rheumatology International Trials Organization International Consensus.迈向幼年特发性关节炎新分类标准:初步步骤,儿科风湿病学国际试验组织国际共识。
J Rheumatol. 2019 Feb;46(2):190-197. doi: 10.3899/jrheum.180168. Epub 2018 Oct 1.
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早期系统性炎症可导致神经发育障碍:ARTEMIS 研究结果,该研究为法国多中心研究,涉及青少年风湿病及全身性自身免疫和自身炎症性疾病,同时也进行了荟萃分析。
Mol Psychiatry. 2023 Apr;28(4):1516-1526. doi: 10.1038/s41380-023-01980-w. Epub 2023 Feb 6.
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The Brain Structural-Functional Vulnerability in Drug-Naive Children With Juvenile Idiopathic Arthritis: Insights From the Hippocampus.初发幼年特发性关节炎患儿的脑结构-功能易损性:来自海马体的见解
Front Hum Neurosci. 2022 Mar 18;16:833602. doi: 10.3389/fnhum.2022.833602. eCollection 2022.
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Characterizing Neurocognitive Impairment in Juvenile Fibromyalgia Syndrome: Subjective and Objective Measures of Dyscognition.青少年纤维肌痛综合征神经认知障碍的特征:认知障碍的主观和客观测量
Front Pediatr. 2022 Feb 24;10:848009. doi: 10.3389/fped.2022.848009. eCollection 2022.
Cervical spine involvement in patients with juvenile idiopathic arthritis - MRI follow-up study.
幼年特发性关节炎患者颈椎受累情况——MRI随访研究
Pediatr Rheumatol Online J. 2014 Mar 4;12:9. doi: 10.1186/1546-0096-12-9.
4
Neural mechanisms underlying the pain of juvenile idiopathic arthritis.儿童特发性关节炎疼痛的神经机制。
Nat Rev Rheumatol. 2014 Apr;10(4):205-11. doi: 10.1038/nrrheum.2014.4. Epub 2014 Feb 4.
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Corticosteroid-related central nervous system side effects.皮质类固醇相关的中枢神经系统副作用。
J Pharmacol Pharmacother. 2013 Dec;4(Suppl 1):S94-8. doi: 10.4103/0976-500X.120975.
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Attitudes towards individuals with disabilities as measured by the implicit association test: a literature review.通过内隐联想测验衡量的对残疾人的态度:一项文献综述。
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BMC Pediatr. 2013 Jan 7;13:2. doi: 10.1186/1471-2431-13-2.
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Health-related quality of life and emotional problems in juvenile idiopathic arthritis.青少年特发性关节炎的生活质量和情绪问题。
Qual Life Res. 2013 Apr;22(3):607-12. doi: 10.1007/s11136-012-0172-0. Epub 2012 Apr 7.