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Journal of Pediatric Psychology Advance Access originally published online on July 11, 2007
Journal of Pediatric Psychology 2007 32(8):1006-1010; doi:10.1093/jpepsy/jsm033
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© The Author 2007. Published by Oxford University Press on behalf of the Society of Pediatric Psychology. All rights reserved. For permissions, please e-mail: journals.permissions@oxfordjournals.org

Brief Report: Use of Complementary and Alternative Medicine and Psychological Functioning in Latino Children with Juvenile Idiopathic Arthritis or Arthralgia

Kathy Zebracki, PhD1,2, Katherine Holzman1, Kathyrn J. Bitter, BA2, Kelly Feehan, BS2 and Michael L. Miller, MD2

1Loyola University Chicago and 2Feinberg School of Medicine, Northwestern University

All correspondence concerning this article should be addressed to Kathy Zebracki, PhD., Loyola University Chicago, Department of Psychology, 6525 N. Sheridan Road, Chicago, IL 60626. E-mail: kzebrac{at}luc.edu.


  Abstract

Objective To describe the use of complementary and alternative medicine (CAM) and its relationship to symptoms of anxiety, depression, and dysthymia in Latino children with juvenile idiopathic arthritis (JIA) or arthralgia. Methods Parents of 36 children between the ages of 6 and 16 years with either JIA (n = 17) or arthralgia (n = 19) completed questionnaires during routine pediatric rheumatology clinic visits assessing use of CAM and psychological functioning. Results CAM was used by the majority of children primarily to treat pain episodes. The most common modalities were prayer and massage therapy. CAM use was associated with decreased symptoms of anxiety and dysthymia in children with arthralgia, but not in children with JIA. Conclusion Preliminary findings suggest that CAM use is associated with improved psychological functioning in children with arthralgia. Healthcare providers are encouraged to routinely screen for CAM usage and to educate families about the potential benefits and limitations of CAM.

Key words: arthralgia; complementary and alternative medicine; juvenile idiopathic arthritis.

Received October 23, 2006; revision received April 15, 2007; accepted April 15, 2007


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