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Addressing Mental Health in Pediatric Rheumatology

  • Pediatric Rheumatology (M Becker and J Harris, Section Editors)
  • Published:
Current Treatment Options in Rheumatology Aims and scope Submit manuscript

Abstract

Purpose of review

To review the current evidence for the management of mental disorders for youth with rheumatologic diseases, and elucidate gaps in knowledge requiring further investigation to improve management of mental health conditions for these patients.

Recent findings

Depression and anxiety are common in youth with pediatric rheumatologic diseases and are associated with poor adherence, quality of life, and long-term outcomes. They have a complex etiology and require consideration of overall disease management as well as contributing psychosocial factors. Increasing evidence indicates that current screening strategies fail to fully support this patient population and that many patients with mental health problems go untreated.

Summary

Effective strategies to approach mental health in pediatric rheumatology patients are likely those that incorporate both behavioral and pharmacological therapies, and include families and social support. Preliminary evidence shows that adopting screening practices in pediatric rheumatology clinics will improve detection of mental disorders and is acceptable to patients and families. Broad mental health screening strategies should be considered for youth with rheumatologic diseases. Further research is necessary to better understand which treatments are most effective for depression, anxiety, and other forms of mental disorders observed in pediatric rheumatology.

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References and Recommended Reading

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Acknowledgements

The authors would like to thank the generous assistance of Aurelia Minuti, head reference librarian from Albert Einstein College of Medicine, for her guidance regarding searching algorithms used for this review.

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Authors and Affiliations

  1. Division of Pediatric Rheumatology, Children’s Hospital at Montefiore, 3415 Bainbridge Avenue, Bronx, NY, 10467, USA

    Tamar B. Rubinstein MD, MS

  2. Division of Pediatric Rheumatology, Albert Einstein College of Medicine, 1300 Morris Park Avenue, Bronx, NY, 10461, USA

    Tamar B. Rubinstein MD, MS

  3. Monroe Carell Junior Children’s Hospital, Division of Pediatric Rheumatology, Vanderbilt University Medical Center, Nashville, USA

    Alaina M. Davis MD, MPH

  4. Riley Hospital for Children at Indiana University Health, Section of Pediatric Rheumatology, Indianapolis, USA

    Martha Rodriguez MD

  5. Division of Rheumatology, The Children’s Hospital of Philadelphia, Philadelphia, USA

    Andrea M. Knight MD, MSCE

  6. Center for Pediatric Clinical Effectiveness, The Children’s Hospital of Philadelphia, Philadelphia, USA

    Andrea M. Knight MD, MSCE

  7. Policy Lab, The Children’s Hospital of Philadelphia, Philadelphia, USA

    Andrea M. Knight MD, MSCE

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  1. Tamar B. Rubinstein MD, MS
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Correspondence to Tamar B. Rubinstein MD, MS.

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Alaina Davis declares that she has no conflict of interest.

Martha Rodriguez declares that she has no conflict of interest.

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Rubinstein, T.B., Davis, A.M., Rodriguez, M. et al. Addressing Mental Health in Pediatric Rheumatology. Curr Treat Options in Rheum 4, 55–72 (2018). https://doi.org/10.1007/s40674-018-0092-4

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