Psychosocial factors in juvenile rheumatoid arthritis

Arthritis Rheum. 1978 Mar;21(2):229-33. doi: 10.1002/art.1780210209.


A detailed survey of 88 children with juvenile rheumatoid arthritis (JRA) was made in an attempt to elucidate characteristics that may participate in the etiologic mechanism. Data from a random pediatric population from the same geographic area were also included for comparisons. The most striking findings were psychosocial factors. Children whose parents were unmarried as a result of divorce, separation, or death comprised 28.4% of the JRA population, compared to 10.6% of the comparison group. In addition, adoption occurred three times more often in the JRA population. Fifty-one percent of these events (divorce, separation, death, or adoption) occurred near the date of onset of the disease.

Publication types

  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Adolescent
  • Adoption
  • Age Factors
  • Arthritis, Juvenile / etiology*
  • Arthritis, Juvenile / psychology
  • Child
  • Child, Preschool
  • Family Characteristics
  • Female
  • Humans
  • Illegitimacy
  • Male
  • Parents
  • Psychosocial Deprivation
  • Stress, Psychological