The Correlations of Disease Activity, Socioeconomic Status, Quality of Life, and Depression/Anxiety in Chinese Patients with Systemic Lupus Erythematosus

The prevalence of psychological problems is frequent in systemic lupus erythematosus (SLE) patients and appears to be increasing. The current study investigated the relationship among disease parameters, quality of life, and the psychological status in Chinese patients with SLE. A self-report survey...

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Main Authors: Biyu Shen, Wei Tan, Guijuan Feng, Yan He, Jinwei Liu, Weijun Chen, Xiaoqin Huang, Zhanyun Da, Xujuan Xu, Hong Liu, Zhifeng Gu
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:Clinical and Developmental Immunology
Online Access:http://dx.doi.org/10.1155/2013/270878
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author Biyu Shen
Wei Tan
Guijuan Feng
Yan He
Jinwei Liu
Weijun Chen
Xiaoqin Huang
Zhanyun Da
Xujuan Xu
Hong Liu
Zhifeng Gu
author_facet Biyu Shen
Wei Tan
Guijuan Feng
Yan He
Jinwei Liu
Weijun Chen
Xiaoqin Huang
Zhanyun Da
Xujuan Xu
Hong Liu
Zhifeng Gu
author_sort Biyu Shen
collection DOAJ
description The prevalence of psychological problems is frequent in systemic lupus erythematosus (SLE) patients and appears to be increasing. The current study investigated the relationship among disease parameters, quality of life, and the psychological status in Chinese patients with SLE. A self-report survey design was administered to 170 SLE patients and 210 healthy individuals using the Self-Rating Anxiety Scale, the Self-Rating Depression Scale, and the Short Form 36 health survey (SF-36). Our results showed that 20.3% SLE patients had anxiety, and 32.9% had depression, which were significantly higher than the control group (7.1%, 14.3%, resp.). And there were significant correlations among socioeconomic status (SES), disease activity, and anxiety/depression in SLE patients. Meanwhile, SF-36 analysis results revealed that VT, PF, and RP scales were the most powerful predictors of anxiety of SLE patients, and SLEDAI, VT, PF, SF, and RE domains were significantly accounted for anxiety. In summary, there were significant relationships among disease parameters, quality of life, and anxiety/depression in Chinese SLE patients. Therefore, it is necessary to have psychiatric and psychological evaluations and formulate an integrated approach for managing mental health in Chinese lupus patients, especially those who have high disease activity, low SES, and poor quality of life.
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spelling doaj-art-533b78494d73424ea68522286fc96b6d2025-02-03T07:25:44ZengWileyClinical and Developmental Immunology1740-25221740-25302013-01-01201310.1155/2013/270878270878The Correlations of Disease Activity, Socioeconomic Status, Quality of Life, and Depression/Anxiety in Chinese Patients with Systemic Lupus ErythematosusBiyu Shen0Wei Tan1Guijuan Feng2Yan He3Jinwei Liu4Weijun Chen5Xiaoqin Huang6Zhanyun Da7Xujuan Xu8Hong Liu9Zhifeng Gu10Department of Nursing, The Second Affiliated Hospital of Nantong University, Nantong, Jiangsu 226001, ChinaDepartment of Rheumatology, The Affiliated Hospital of Nantong University, Nantong, Jiangsu 226001, ChinaDepartment of Rheumatology, The Affiliated Hospital of Nantong University, Nantong, Jiangsu 226001, ChinaDepartment of Nursing, The Second Affiliated Hospital of Nantong University, Nantong, Jiangsu 226001, ChinaDepartment of Nursing, The Second Affiliated Hospital of Nantong University, Nantong, Jiangsu 226001, ChinaDepartment of Nursing, The Second Affiliated Hospital of Nantong University, Nantong, Jiangsu 226001, ChinaDepartment of Nursing, The Second Affiliated Hospital of Nantong University, Nantong, Jiangsu 226001, ChinaDepartment of Rheumatology, The Affiliated Hospital of Nantong University, Nantong, Jiangsu 226001, ChinaSchool of Nursing, Nantong University, Nantong, Jiangsu 226001, ChinaDepartment of Rheumatology, The Affiliated Hospital of Nantong University, Nantong, Jiangsu 226001, ChinaDepartment of Rheumatology, The Affiliated Hospital of Nantong University, Nantong, Jiangsu 226001, ChinaThe prevalence of psychological problems is frequent in systemic lupus erythematosus (SLE) patients and appears to be increasing. The current study investigated the relationship among disease parameters, quality of life, and the psychological status in Chinese patients with SLE. A self-report survey design was administered to 170 SLE patients and 210 healthy individuals using the Self-Rating Anxiety Scale, the Self-Rating Depression Scale, and the Short Form 36 health survey (SF-36). Our results showed that 20.3% SLE patients had anxiety, and 32.9% had depression, which were significantly higher than the control group (7.1%, 14.3%, resp.). And there were significant correlations among socioeconomic status (SES), disease activity, and anxiety/depression in SLE patients. Meanwhile, SF-36 analysis results revealed that VT, PF, and RP scales were the most powerful predictors of anxiety of SLE patients, and SLEDAI, VT, PF, SF, and RE domains were significantly accounted for anxiety. In summary, there were significant relationships among disease parameters, quality of life, and anxiety/depression in Chinese SLE patients. Therefore, it is necessary to have psychiatric and psychological evaluations and formulate an integrated approach for managing mental health in Chinese lupus patients, especially those who have high disease activity, low SES, and poor quality of life.http://dx.doi.org/10.1155/2013/270878
spellingShingle Biyu Shen
Wei Tan
Guijuan Feng
Yan He
Jinwei Liu
Weijun Chen
Xiaoqin Huang
Zhanyun Da
Xujuan Xu
Hong Liu
Zhifeng Gu
The Correlations of Disease Activity, Socioeconomic Status, Quality of Life, and Depression/Anxiety in Chinese Patients with Systemic Lupus Erythematosus
Clinical and Developmental Immunology
title The Correlations of Disease Activity, Socioeconomic Status, Quality of Life, and Depression/Anxiety in Chinese Patients with Systemic Lupus Erythematosus
title_full The Correlations of Disease Activity, Socioeconomic Status, Quality of Life, and Depression/Anxiety in Chinese Patients with Systemic Lupus Erythematosus
title_fullStr The Correlations of Disease Activity, Socioeconomic Status, Quality of Life, and Depression/Anxiety in Chinese Patients with Systemic Lupus Erythematosus
title_full_unstemmed The Correlations of Disease Activity, Socioeconomic Status, Quality of Life, and Depression/Anxiety in Chinese Patients with Systemic Lupus Erythematosus
title_short The Correlations of Disease Activity, Socioeconomic Status, Quality of Life, and Depression/Anxiety in Chinese Patients with Systemic Lupus Erythematosus
title_sort correlations of disease activity socioeconomic status quality of life and depression anxiety in chinese patients with systemic lupus erythematosus
url http://dx.doi.org/10.1155/2013/270878
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