Citation

Palman J, McDonagh JE. Open Access Rheumatol 2020; 12: 309-321.

Copyright

(Copyright © 2020, Dove Medical Press)

DOI

10.2147/OARRR.S228083

PMID

unavailable

Abstract

Consideration of the mental health and emotional wellbeing is an important component of health care for all young people, irrespective of setting. Mental health disorders are common during adolescence and young adulthood and young people with rheumatic musculos-keletal diseases (RMD) are not exempt. For such young people, risks of poor outcomes are related to both mental health as well as their RMD. Times of change during adolescence and young adulthood--transitions--are potentially vulnerable life stages for young people with RMD and warrant specific attention in health care provision. Such transitions include those occurring at puberty, during education, training, and employment, socially with moves away from the parental home, as well as from child to adult-centered health services. There is great potential for rheumatology professionals to support young people with RMD at these transitions in view of their frequent encounters and ongoing therapeutic relationships. In this review, we aim to assess the impact of mental health on RMD during adolescence and young adulthood with particular reference to transitional care provision and how rheumatology professionals can be involved in addressing mental health issues during this time of change. © 2020 Palman and McDonagh.

Language: en

Keywords

disability; human; Adolescent; Review; quality of life; family; Mental health; depression; prevalence; school; chronic pain; physical activity; scoring system; major depression; mood; wellbeing; Young adult; pain; morbidity; fatigue; questionnaire; psychological aspect; fear; avoidance behavior; patient referral; anxiety disorder; high risk behavior; social status; social phobia; competence; emotional stress; corticosteroid; systemic lupus erythematosus; health care utilization; visual analog scale; separation anxiety; emotionality; educational status; methotrexate; outcome assessment; patient guidance; clinical assessment tool; juvenile rheumatoid arthritis; rheumatic disease; social evolution; Children Global Assessment Scale; hospitalization cost; musculoskeletal pain; Rheumatology; systemic vasculitis; protocol compliance; psychological well-being; cognitive behavioral therapy; transition to adult care; strengths and difficulties questionnaire; patient-reported outcome; transitional care; multidisciplinary team; Childhood Health Assessment Questionnaire; Developmentally appropriate health care; emotional well-being; Home Education Eating Activities Drugs Sex Suicide and affect Safety; musculoskeletal disease assessment; Rheumatic musculoskeletal disease; SLEDAI; SLICC score; Transition Readiness Assessment Questionnaire; Transitional care; workforce