By Boel Andersson Gare
Adolescent Rheumatology is the 1st single-source textual content that makes a speciality of how adolescent-specific elements impression rheumatic stipulations and move references disease-specific info from normal rheumatology textbooks. utilizing a accepted, developmental method of make this e-book detailed, the proof base is referenced with a scientific and functional procedure that's followed to every subject. Written by means of an inventory of foreign specialists from a variety of disciplines, bankruptcy themes contain: adjustments in presentation, prognosis and administration among pediatric, adolescent and grownup rheumatology care adolescent health and wellbeing education concerns caliber of care in adolescent rheumatology communique with teens a whole bankruptcy written by means of youngsters attending adolescent rheumatology clinics This consultant additionally covers center adolescent well-being issues and the way those elements are impacted by means of rheumatic disorder, together with: adherence again ache continual idiopathic soreness cognitive improvement conversation universal health and wellbeing matters progress and puberty juvenile idiopathic arthritis low bone density peer aid parenting of youngsters SLE activities accidents transitioning to grownup overall healthiness care
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Additional info for Adolescent Rheumatology
Cognitive neuroscience and adolescent development. , eds. Textbook of Adolescent Medicine. Philadelphia, London: WB Saunders, 1992:99–106. Mussen PH, Conger JJ, Kagan J, et al. Child Development and Personality. New York: Harper Collins Publications, 1990. Hurrelmann K, Lo¨sel F, eds. Health Hazards in Adolescence. Berlin: De Gruyter, 1990. Weiner IB. Normality during adolescence. , eds. Textbook of Adolescent Medicine. Philadelphia, London: WB Saunders, 1992:86–90. Kimmel DC, Weiner IB. Adolescence: A Developmental Transition.
Psychopathology—assessed by the Hospital Anxiety and Depression Scale (54)—showed low rates of depression (5% above threshold) but 24 Ullrich elevated rates of anxiety (32% above threshold) (55). Multiple regression analysis of psychopathology and several other scales identified self-efficacy as the most important predictor. Self-efficacy explained 31% variance of anxiety scores, and 18% variance of depression scores (with 74%/54% total explained variance, respectively). Regarding differences between diagnostic subsets patients with oligoarthritis were significantly less anxious than other subsets and experienced less pain, too.
This reflects a developmental understanding of adolescents who are now being perceived as individuals with specific needs—and that these needs have to be addressed if interventions and services are to be effective. Nonadherence Studies on nonadherence usually focus on medication taking (36) and disregard avoidance of risk taking behavior as a further dimension of compliance (37). Given the fact, that experimentation is typically associated with adolescence and early adulthood (11), the paucity of literature on experimentation/risk taking and chronic illness is somewhat puzzling.