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  • Open Access

Quality of life in children with familial Mediterranean fever

  • 1,
  • 2,
  • 2,
  • 2,
  • 3,
  • 4,
  • 4 and
  • 4
Pediatric Rheumatology201513(Suppl 1):P130

https://doi.org/10.1186/1546-0096-13-S1-P130

Published: 28 September 2015

Keywords

  • Healthy Child
  • Familial Mediterranean Fever
  • Child Anxiety
  • Emotional Functioning
  • Psychosocial Health

Objective

Familial Mediterranean fever (FMF) is a lifelong disorder, characterized by self-limited and recurrent attacks of fever and polyserositis. It is known that many chronic diseases have a negative effect on quality of life (QoL) multidimensionally. In our study, we aimed to assess the quality of life and psychological factors (anxiety and depression) in children with FMF.

Method

A prospective cross-sectional study was conducted between September 2013 and September 2014. A total of 70 consecutive children with FMF who were diagnosed according to the Tel-Hashomer and Yalçınkaya criteria during the attack free period and 70 healthy children who were matched in terms of age and sex were enrolled. The Pediatric Quality of Life Inventory 4.0 (PedsQLTM 4.0), Child Depression Inventory (CDI) and Screen for Child Anxiety and Related Disorders (SCARED) were used for the psychosocial assessment.

Results

Mean age of the patients (27 girls and 43 boys) was 11±3 years. The physical health, psychosocial health and total summary scores of the children with FMF were significantly lower than healthy children. In terms of sub dimension of psychosocial health, in the children with FMF, emotional functioning and school functioning domains’ scores were significantly lower than healthy children. Depression and anxiety scores were higher in the children with FMF than in healthy children.

Table 1

  

Children with FMF

Healthy Children

p

  

Mean ±SD

Mean ±SD

 

Physical Health

 

77,7 ± 13,19

88,93 ± 10,17

<0.001*

Psychosocial Health

 

77,43 ± 13,04

87,26 ± 5,18

<0.001*

 

Social Functioning

90,14 ± 12,94

89,93 ± 7,54

0.093

 

Emotional Functioning

73,29 ± 19,85

88,43 ± 6,23

<0.001*

 

School Functioning

68,86 ± 16,07

83,43 ± 13,47

<0.001*

Total Summary Score

 

77,5 ± 11,26

87,68 ± 4,68

<0.001*

Depression Scores

 

15,43 ± 5,75

9,87 ± 2,83

<0.001*

Anxiety Scores

 

22,9 ± 12,63

17,21 ± 7

0.004*

Independent samples t test, *statistical significance

Conclusion

We found that the children with FMF have high level of depression and poorer QoL. FMF is a life-long disorder that has not only physical but also psychosocial impairments for the affected children. Therefore a biopsychosocial approach should be essential to treatment of the FMF.

Authors’ Affiliations

(1)
Pamukkale University, School of Medicine, Child and Adolescent Psychiatry, Denizli, Turkey
(2)
Pamukkale University, School of Medicine, Pediatric Rheumatology, Denizli, Turkey
(3)
Pamukkale University, School of Medicine, Pediatrics, Denizli, Turkey
(4)
Pamukkale University, School of Medicine, Medical Student, Denizli, Turkey

Copyright

© Öztürk et al. 2015

This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

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