Quality-of-life predictor factors in patients with SLE and their modification after cognitive behavioural therapy

Navarrete‐Navarrete, Nuria; Peralta-Ramírez, María Isabel; Sabio, JM; Martínez-Egea, I.; Santos-Ruiz, Ana; Jiménez-Alonso, J

doi:10.1177/0961203310378413

Cited by 49 publications

(60 citation statements)

References 28 publications

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“…Many of the SLE symptoms interfered in several areas of the patient´s life [22] and consequently in their quality of life [7,8] and consequences can include giving up regular work [2,19,21] and daily activities, as the results above show. Nevertheless, resilience can be a contributing factor so that these patients can change their lifestyle but maintain their activities as far as possible because resilience is successful adaptation in spite of adversity or stress and implies efficacious performance of daily activities [12,13, 23].…”

Section: Discussionmentioning

confidence: 99%

“…Systemic Lupus Erythematosus (SLE) is a chronic autoimmune, rheumatic inflammatory disease that can affect several organs and systems in the body, causing significant morbidity [1-3] with evident psychological impacts [3,4] such as anxiety and depression [5,6] and obvious harm to life satisfaction [3] and quality-of-life [7,8] that require the patient to adapt treatment and the situation of living with a chronic disease. It is more common in young persons, especially women [3].…”

Section: Introductionmentioning

confidence: 99%

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Resilience and Treatment Adhesion in Patients with Systemic Lupus Erythematosus

Faria¹,

Revoredo²,

Vilar³

et al. 2014

TORJ

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Background: Systemic Lupus Erythematosus (SLE) is a chronic autoimmune, rheumatic inflammatory disease that can cause significant morbidity with evident psychological impacts and obvious harm to quality-of-life that require the patient to adapt treatment.Objective: Assessment of resilience and the self-reported treatment adhesion behaviors of patients with SLE, investigating which of these factors are associated to resilience.Method: Cross-sectional study of 40 women with SLE. A questionnaire with social demographic data, health history and the Wagnild Young Resilience Scale were used.Results: 62.5% followed the medical treatment properly but 55% found it difficult. 27.5% of the patients presented low resilience, 57.5% medium and 15% high resilience. Resilience was associated in the chi-square test (p-value < 0.05) with the variables work, understanding SLE, trying to find out about SLE, following the treatment correctly, difficulty in following the treatment and stopping some activity because of the disease. In the correlation analysis, resilience was associated with age (-0.3960), number of working hours (0.5533), specialized treatment duration (-0.8103) and disease duration from diagnosis (-0.8014).Conclusion: Patients with high resilience tended to follow treatment correctly, tried to understand the disease and adhered more to the treatment to avoid risks and promote protection factors. Therefore knowledge of resilience in patients with SLE is necessary. It is important that the state takes necessary actions to facilitate access to treatment, to educational programs and to medical support. Awareness and counselling sessions must be initiated to develop and promote individual capacities to learn how to tackle with the disease for which psychological support of family and doctors can play a significant role.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Resilience and Treatment Adhesion in Patients with Systemic Lupus Erythematosus

Faria¹,

Revoredo²,

Vilar³

et al. 2014

TORJ

View full text Add to dashboard Cite

show abstract

“…For example, self-management programs may work to decrease stress among SLE patients (29). Cognitive behavioral therapy has also been shown to decrease perceived stress in the SLE population (30). In another randomized study of SLE patients (32), a stress reduction program consisting of biofeedback-assisted cognitive behavioral therapy reduced pain perception and improved psychological and physical functioning.…”

Section: Discussionmentioning

confidence: 99%

Perceived stress and reported cognitive symptoms among Georgia patients with systemic lupus erythematosus

Plantinga

Lim

Bowling

et al. 2017

Lupus

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Objective To examine associations of perceived stress with cognitive symptoms among adults with systemic lupus erythematosus (SLE). Methods Among 777 adult (>18 years) SLE patients, we examined the association of Perceived Stress Scale (PSS) scores with two self-reported cognitive symptoms: forgetfulness [severe/moderate vs. mild/none; from the Systemic Lupus Activity Questionnaire] and difficulty concentrating (all/most vs. some/little/none of the time; from the Lupus Impact Tracker). We used multivariable logistic regression to estimate the odds ratios (ORs) per minimal important difference (MID=0.5*SD) of PSS score and cognitive symptoms. Results Forgetfulness and difficulty concentrating were reported by 41.7% and 29.5%, respectively. Women and those with less education and high disease activity had higher PSS scores and were more likely to report cognitive symptoms than their counterparts. With adjustment for age, race, sex, education, and disease activity, each MID increase in PSS score was associated with higher prevalence of forgetfulness (OR=1.43, 95% CI 1.29–1.47) and difficulty concentrating (OR=2.19, 95% CI 1.90–2.52). No substantial differences in this association by age, race, sex, or disease activity were noted. Conclusions SLE patients, particularly those with high disease activity, report a high burden of cognitive symptoms, for which stress may be a modifiable risk factor.

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“…Studies show that cognitive behavioural therapy with/without exercise is effective in reducing fatigue in chronic fatigue syndrome, multiple sclerosis, cancer-related fatigue and SLE because it improves self-efficacy, increasing their quality of life. (Edmonds et al, 2004;Navarrete-Navarrete et al, 2010;Neill et al, 2006;Wagner & Cella, 2004) …”

Section: Fatiguementioning

confidence: 99%

“…(Freire et el, 2011;McElhone et al, 2007;Sanchez et al, 2009;Thumboo & Strand, 2007) Cross-sectional studies and prospective studies have identified the age, the duration, the activity and damage disease, some specific manifestations of SLE as fatigue, pain or endstage renal failure, the corticosteroids or cytotoxic, the knowledge of lupus, the illness related behaviours, the educational status, the self-efficacy, the learned helplessness, the ability to work, the home environment and the social support as factors associated may influence health-related quality of life (HRQOL) in SLE patients. (McElhone K et al, 2006;Navarrete-Navarrete et al, 2010;Thumboo & Strand, 2007) …”

Section: Lupus Quality Of Lifementioning

confidence: 99%

Integral Treatment of Systemic Lupus Erythematosus

Parrondo¹

2011

Challenges in Rheumatology

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Quality-of-life predictor factors in patients with SLE and their modification after cognitive behavioural therapy

Cited by 49 publications

References 28 publications

Resilience and Treatment Adhesion in Patients with Systemic Lupus Erythematosus

Resilience and Treatment Adhesion in Patients with Systemic Lupus Erythematosus

Perceived stress and reported cognitive symptoms among Georgia patients with systemic lupus erythematosus

Integral Treatment of Systemic Lupus Erythematosus

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