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Quality of life in children with familial Mediterranean fever

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P O S T E R P R E S E N T A T I O N

Open Access

Quality of life in children with familial

Mediterranean fever

Ö Öztürk

1

, S Yüksel

2

, E Karada

ğlı

2*

, H Evrengül

2

, B Özhan

3

, M Tu

ğrul

4

, O Kuzucu

4

, E Uçar

4

From 8th International Congress of Familial Mediterranean Fever and Systemic Autoinflammatory Diseases

Dresden, Germany. 30 September - 3 October 2015

Objective

Familial Mediterranean fever (FMF) is a lifelong disor-der, 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 diag-nosed 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.

Conclusion

We found that the children with FMF have high level of depression and poorer QoL. FMF is a life-long dis-order that has not only physical but also psychosocial

2

Pamukkale University, School of Medicine, Pediatric Rheumatology, Denizli, Turkey

Full list of author information is available at the end of the article

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

Öztürk et al. Pediatric Rheumatology 2015, 13(Suppl 1):P130 http://www.ped-rheum.com/content/13/S1/P130

© 2015 Öztürk et al. 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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impairments for the affected children. Therefore a biopsychosocial approach should be essential to treat-ment of the FMF.

Authors’ details

1Pamukkale University, School of Medicine, Child and Adolescent Psychiatry,

Denizli, Turkey.2Pamukkale University, School of Medicine, Pediatric Rheumatology, Denizli, Turkey.3Pamukkale University, School of Medicine,

Pediatrics, Denizli, Turkey.4Pamukkale University, School of Medicine, Medical Student, Denizli, Turkey.

Published: 28 September 2015

doi:10.1186/1546-0096-13-S1-P130

Cite this article as: Öztürk et al.: Quality of life in children with familial Mediterranean fever. Pediatric Rheumatology 2015 13(Suppl 1):P130.

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