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AAP Grand Rounds 9:40-41 (2003) Social Functioning in Children with JRASource: Reiter-Purtill J, Gerhardt CA, Vannatta K, et al. A controlled longitudinal study of the social functioning of children with juvenile rheumatoid arthritis. J Pediatr Psychol. 2003;28: 1728.
Social functioning of children with juvenile rheumatoid arthritis (JRA) was assessed in this prospective peer-controlled evaluation spanning 2 years. This study from the Childrens Hospital Medical Center, Cincinnati, OH, is part of a larger longitudinal project examining the psychosocial impact of pediatric chronic illness on children and their families. The goal was to assess family functioning at home and compare the social functioning of children with JRA to school-based controls.1 Subjects included 74 JRA patients between the ages of 8 and 15 recruited from a single pediatric rheumatology center who lived within a 50-mile radius of the center. Controls (n=74) were classmates of the subjects matched for race, sex, and age. The study utilized data from multiple sourcesteacher-, peer- and self-reports. In the initial inquiry, there were no differences between controls and subjects in areas of social reputation (What is the child like?) or social acceptance (Is the child liked?). Data was collected in 110 different classrooms and
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