Illness perception is significantly determined by depression and anxiety in systemic lupus erythematosus

Autor:	Katarzyna Nowicka-Sauer, Janusz Siebert, Zenobia Czuszyńska, Hanna Kujawska-Danecka, Dorota Banaszkiewicz, Adam Hajduk, Żaneta Smoleńska
Rok vydání:	2018
Předmět:	Adult Male genetic structures Adolescent Psychological intervention Pain Anxiety Severity of Illness Index Pittsburgh Sleep Quality Index 03 medical and health sciences Young Adult 0302 clinical medicine Rheumatology Surveys and Questionnaires Medicine Humans Lupus Erythematosus Systemic 030212 general & internal medicine Depression (differential diagnoses) Fatigue Aged Pain Measurement 030203 arthritis & rheumatology Psychiatric Status Rating Scales business.industry Depression Beck Depression Inventory Cognition Middle Aged Distress Linear Models Quality of Life Female Poland medicine.symptom business Sleep State-Trait Anxiety Inventory Clinical psychology
Zdroj:	Lupus. 27(3)
ISSN:	1477-0962
Popis:	Objectives Illness perception is a cognitive representation influencing physical and psychological functioning and adherence in patients with rheumatic disease. Studies exploring illness perception in systemic lupus erythematosus (SLE) are still scarce and none of them have investigated factors determining illness perception. We aimed to assess illness perception and to identify psychological, clinical and sociodemographic factors that might influence illness perception in SLE. Methods The study involved 80 patients with SLE (87.5% women, mean age 41.56 years). The Brief Illness Perception Questionnaire, State Trait Anxiety Inventory, Beck Depression Inventory, Pittsburgh Sleep Quality Index, Visual Analogue Scale-Pain and Fatigue Severity Scale were used. Clinical and sociodemographic data were collected via structured interview and medical files review. Results Illness perception was significantly positively correlated with anxiety, depression, sleep quality, fatigue and pain while it was not related to age, education, steroid treatment, disease duration and activity (SLEDAI) or organ damage (SLICC/ACR). Regression analysis revealed that state anxiety and depression explained 43% of illness perception variance. Cluster analysis identified three patient groups among which the middle-aged group had the most negative illness perception, the highest levels of anxiety, depression, pain and fatigue, and the poorest sleep quality. Conclusions The study has proved a significant relationship between negative illness perception and anxiety and depression. Patients reporting fatigue, poor sleep and pain might have special needs in terms of psychological intervention focused on negative illness perception and distress symptoms. Multidisciplinary care in managing SLE seems to be of great importance.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::a5bac90ea10f49511260145112f7e621 https://pubmed.ncbi.nlm.nih.gov/29325492 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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