Cross-sectional study of the effects of self-efficacy on fatigue and pain interference in black women with systemic lupus erythematosus: the role of depression, age and education

Drenkard, Cristina; Easley, Kirk A.; Bao, Gaobin; Dunlop-Thomas, Charmayne; Lim, S. Sam; Brady, Teresa J.

doi:10.1136/lupus-2021-000566

Cited by 5 publications

(5 citation statements)

References 56 publications

(93 reference statements)

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“…The evidence summary for this is that physical activity can improve fatigue, depression, and physical fitness and cardiovascular health among patients with SLE, 39 and (2) if a patient has SLE, then symptoms of depression should be assessed or screened at least once during the measurement year using the ACR-preferred assessment tool (ie, the Patient Health Questionnaire-8 [PHQ-8]) or other tools deemed acceptable by the ACR. The evidence summary for this is that depression and anxiety correlate with higher pain, fatigue, and symptom scores and lower medication adherence in patients with SLE; 40 treatment of depression and anxiety improves quality of life. [41][42][43] Although the evidence summary includes both anxiety and depression, anxiety was dropped from the quality measure.…”

Section: Resultsmentioning

confidence: 99%

Development of the American College of Rheumatology Patient‐Reported Outcome Quality Measures for Systemic Lupus Erythematosus

Katz,

Barber,

Duarte‐García

et al. 2024

Arthritis Care & Research

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BackgroundAs part of a Centers for Disease Control and Prevention‐funded ACR initiative, we sought to develop quality measures related to Patient Reported Outcome Measure (PROM) use for SLE clinical care.MethodsAn expert workgroup composed of physician, patient, and researcher representatives convened to identify PRO domains of greatest importance to people with SLE. A patient advisory panel separately ranked domains. PROMs assessing priority domains were identified through structured literature review and detailed psychometric reviews were conducted for each PROM. In a Delphi process, the expert workgroup rated PROMs on content validity, psychometric quality, feasibility of implementation, and importance for guiding patient‐self management. The patient advisory panel reviewed PROMs in parallel and contributed to the final recommendations.ResultsAmong relevant PRO domains, the workgroup and patient partners ranked depression, physical function, pain, cognition, and fatigue as high‐priority domains. The workgroup recommended at least once yearly measurement for 1) assessment of depression using the Patient Health Questionnaire or Patient Reported Outcomes Measurement Information System (PROMIS) depression scales; 2) assessment of physical function using PROMIS physical function scales or the Multi‐Dimensional Health Assessment Questionnaire (MDHAQ); and 3) optional assessments of fatigue and cognition. Pain scales evaluated were not found to be sufficiently superior to what is already assessed in most SLE clinic visits.ConclusionsExpert workgroup members and patient partners recommend that clinicians assess depression and physical function at least once yearly in all people with SLE. Additional PROMs addressing cognition and fatigue can also be assessed. Next steps are to incorporate PROM‐based quality measures into the ACR's RISE registry.

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Section: Resultsmentioning

confidence: 99%

Development of the American College of Rheumatology Patient‐Reported Outcome Quality Measures for Systemic Lupus Erythematosus

Katz,

Barber,

Duarte‐García

et al. 2024

Arthritis Care & Research

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“…Previous studies have investigated the relationships between pain symptoms and self-efficacy on mood and function. Drenkard et al study found links between pain symptom self-efficacy, pain interference, and depression in patients with systemic lupus 21 . Similar to our findings, age was associated with these relationships, modifying the effect of self-efficacy on pain interference.…”

Section: Discussionmentioning

confidence: 98%

Associations between postpartum pain, mood, and maternal–infant attachment and parenting outcomes

Makeen

Farrell

LaSorda

et al. 2022

Sci Rep

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Pain and depression are interrelated, and worse postpartum pain has been associated with postpartum depression. It remains unclear whether improved pain and mood after delivery can also improve maternal parenting. Few studies have examined relationships between postpartum pain and negative mood (anxiety or depression) or their effects on parent–infant relationship outcomes. The purpose of this study was to explore the relationships between postpartum pain, mood, parent–infant attachment, parenting self-efficacy, and infant development. This was a prospective longitudinal observational pilot study of nulliparous women enrolled at the third trimester and presenting for labor and delivery at term gestation. Baseline third trimester assessments included validated inventories of pain (the brief pain inventory, BPI), depression (the Edinburgh postnatal depression screen, EPDS), anxiety (the state trait anxiety inventory, STAI), multidimensional scale of perceived social support (perceived social support scale, MSPSS) and perceived stress scale (PSS). Demographic and labor characteristics were recorded. At 6 weeks and 3 months postpartum, self-reported assessments included EPDS, STAI, BPI, maternal parent infant attachment scale (MPAS), and perceived maternal parenting self-efficacy (PMP-SE). Child development outcomes were assessed at 6 weeks and 3 months using the Ages and Stages Questionnaire (ASQ). Univariable linear regression assessed the relationships between pain and parenting outcomes (MPAS and PMP-SE), including potential interactions between pain and mood for parenting outcomes. Generalized linear modeling was used to explore the relationships between postpartum pain, parenting outcomes, and child development outcomes. Of 187 subjects, 87 had complete data on parent–infant attachment and parenting self-efficacy data at 3 months. Lower "pain right now" scores (BPI) on postpartum day 1 was associated with higher maternal–infant attachment (MPAS) at 6 weeks postpartum (Estimate − 1.8, 95% CI − 3.4 to − 0.2, P < 0.03) but not at 3 months (Estimate 0.23 95% CI − 1.1 to 1.6, P = 0.7). Higher depression (EPDS) scores at 6 weeks were also associated with lower MPAS scores at 6 weeks (Estimate − 1.24, 95% CI − 2.07 to − 0.40, P = 0.004). However, there was no evidence that the relationship between pain and MPAS varied by depression score at 6 weeks (P = 0.42). Pain scores at baseline, six weeks, or three months did not correlate with parenting outcomes (MPAS, PMP-SE) at six weeks or three months. Results of the generalized linear modeling revealed relationships between pain, age, anxiety (STAI), and depression (EPDS) predictors, and the outcomes of parenting (MPAS, PMP-SE) and gross motor and personal–social (ASQ) aspects of infant development. There is a pattern of association between worse postpartum pain, anxiety, and depression with worse parenting outcomes. Depression and pain may also affect infant development, but future work is required to replicate and characterize these potential relationships.

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“…In a cross-sectional analysis of the Georgia Lupus Registry, which included 699 patients, symptoms self-efficacy was associated with lower fatigue and pain interference, but treatment self-efficacy did not remain associated in the multivariable model. 19 …”

Section: Discussionmentioning

confidence: 99%

“…6 16-18 In a cross-sectional analysis of the Georgia Lupus Registry, which included 699 patients, symptoms selfefficacy was associated with lower fatigue and pain interference, but treatment self-efficacy did not remain associated in the multivariable model. 19 In a longitudinal Italian study, which included 162 patients with SLE, a better self-efficacy predicted a better HRQoL measured with the lupus PRO (LupusPRO). 20 However, these authors used the self-efficacy for managing chronic disease six-items which is a global scale while we have used six domains for self-efficacy; furthermore, they used the global score of the LupusPRO whereas we used the main components and all domains of the SF-36.…”

Section: Discussionmentioning

confidence: 99%

A better self-efficacy is predictive of better health-related quality of life (HRQoL) in patients with systemic lupus erythematosus: data from the Almenara Lupus Cohort

et al. 2023

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ObjectiveTo determine the possible predictive value of self-efficacy on health-related quality of life (HRQoL) in patients with SLE.MethodsPatients with SLE from the Almenara Lupus Cohort were included. Self-efficacy was ascertained with the six domains from the Patient-Reported Outcomes Measurement Information System (PROMIS) self-efficacy for managing chronic conditions. For PROMIS domains, a score of 50 is the average for a clinical population (people with a chronic condition), a higher score indicates that the respondent has greater self-efficacy. HRQoL was ascertained with the physical and mental component summary (PCS and MCS) measures of the Short-Form 36 (SF-36). Generalised estimating equations were performed, using as outcome the PCS or MCS in the subsequent visit, and the self-efficacy domain in the previous visit; multivariable models were adjusted for possible confounders. The confounders were measured in the same visit as the self-efficacy domain.ResultsTwo-hundred and nine patients for a total of 564 visits were included; 194 (92.8%) patients were women and mean age at diagnosis was 36.4 (14.0) years. In the multivariable models, a better PCS was predicted by a better self-efficacy for managing symptoms, managing medications and treatments and managing social interactions and general self-efficacy; a better MCS was predicted by a better self-efficacy for managing daily activities, managing symptoms, managing medications and treatments and managing social interactions.ConclusionA better self-efficacy is predictive of subsequent better HRQoL, even after adjustment for possible confounders. These results should encourage clinicians to develop strategies to improve self-efficacy in patients with SLE.

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Cross-sectional study of the effects of self-efficacy on fatigue and pain interference in black women with systemic lupus erythematosus: the role of depression, age and education

Cited by 5 publications

References 56 publications

Development of the American College of Rheumatology Patient‐Reported Outcome Quality Measures for Systemic Lupus Erythematosus

Development of the American College of Rheumatology Patient‐Reported Outcome Quality Measures for Systemic Lupus Erythematosus

Associations between postpartum pain, mood, and maternal–infant attachment and parenting outcomes

A better self-efficacy is predictive of better health-related quality of life (HRQoL) in patients with systemic lupus erythematosus: data from the Almenara Lupus Cohort

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