Self‐concept and body image of people living with lupus: A systematic review

Rodrigues, Larissa; Sim-Sim, Margarida; Sousa, Luís; Faria-Schützer, Débora Bicudo; Surita, Fernanda Garanhani

doi:10.1111/1756-185x.14187

Cited by 9 publications

(5 citation statements)

References 41 publications

(117 reference statements)

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“…Meta-analyses of this literature indicate that body appreciation is inversely associated with general psychopathology [ 38 ]. Similar associations have been observed in breast cancer [ 39 ], post-partum depression [ 40 ], systemic lupus erythematosus [ 41 ], and inflammatory bowel disease [ 10 ]. Notably, body dissatisfaction has also been linked to levels of inflammatory biomarkers, independent of weight loss, in patients undergoing a weight management program [ 42 ].…”

Section: Discussionsupporting

confidence: 73%

Comparative Analysis of Body Image Dissatisfaction, Depression, and Health-Related Quality of Life in Adults with Type 1 Diabetes: A Case-Control Study

Inns,

Chen,

Myint

et al. 2023

Nutrients

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(1) Objective: This case-control study investigated body image dissatisfaction, depression, and health-related quality of life (HRQoL) in adults with type 1 diabetes. (2) Methods: A total of 35 adults with diabetes and an equal number of age- and gender-matched controls were included. Assessment tools used were the Body Image Disturbance Questionnaire (BIDQ), the Hospital Anxiety and Depression Scale (HADS), and the RAND 36-Item Health Survey. Both quantitative and qualitative data were analyzed. (3) Results: Body image dissatisfaction did not differ significantly between the groups. However, adults with diabetes reported higher levels of depression (p = 0.002) and lower scores for physical health (p = 0.015) and general health (p < 0.001) on the HRQoL measure. Qualitative analysis identified common themes related to physical disturbance, effect on activities, and psychosocial concerns. (4) Conclusions: Despite similar body image dissatisfaction, adults with type 1 diabetes exhibited increased depression and reduced HRQoL. These findings emphasize the need to integrate psychological well-being into type 1 diabetes management. They also support further research into the impact of body image dissatisfaction in T1D and potential interventions to address it.

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Section: Discussionsupporting

confidence: 73%

Comparative Analysis of Body Image Dissatisfaction, Depression, and Health-Related Quality of Life in Adults with Type 1 Diabetes: A Case-Control Study

Inns,

Chen,

Myint

et al. 2023

Nutrients

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show abstract

“…In parallel, the growth delay as a result of CS [ 72 ] may induce further increments in the BMI of patients, complicating body image perception. Research on adults with SLE has revealed poor body image perception and a significant body image disturbance associated with anxiety, fatigue and depressive symptoms, low quality of life, and augmented pain sensation [ 73 , 74 , 75 , 76 ]. On the other hand, adolescent girls with jSLE have been suggested to have heightened appearance concerns compared to their healthy peers [ 77 ], representing a possible residue of medication-induced body weight accumulation.…”

Section: Discussionmentioning

confidence: 99%

Anorexia Nervosa in Juvenile Systemic Lupus Erythematosus (SLE): A Causality Dilemma

et al. 2023

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Juvenile-onset systemic lupus erythematosus (jSLE) is an autoimmune disorder with multifaceted clinical findings in different organ systems. Neuropsychiatric manifestations affect more than half of SLE patients, and there is increasing evidence that anorexia nervosa (AN), a feeding and eating disorder (FED) characterized by significantly reduced energy intake, is among them. Herein, a review of the literature on the potential association between jSLE and AN was performed. Reported clinical cases were identified, and putative pathophysiological mechanisms were sought that could potentially explain the observed relationship between these two pathological entities. Four reports of isolated cases and a case series including seven patients were identified. In this limited patient pool, the diagnosis of AN preceded that of SLE in the majority of cases, whereas in all cases both entities were diagnosed within a time span of two years. Many explanations for the observed relationships have been proposed. AN has been associated with the stress of chronic disease diagnosis; on the other hand, the chronic inflammation associated with AN may contribute to the development/appearance of SLE. Adverse childhood experiences, concentrations of leptin, shared autoantibodies, and genetic traits appear to be important factors in this well-established interplay. In essence, it seems important to increase clinician awareness of the concomitant development of AN and SLE and invite further research on the subject.

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“…Furthermore, medications such as chemotherapy or steroids might cause weight gain and darken skin color. Until the disease is under control, patients need time to adjust and accept these changes [ 33 ]. Long-term follow-up might be more appropriate to see changes in this domain.…”

Section: Discussionmentioning

confidence: 99%

The Outcomes of an e-Wellness Program for Lupus Patients in Thailand: A Participatory Action Research Approach

Ratanasiripong¹,

Cahill²,

Crane³

et al. 2023

J Prev Med Public Health

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Objectives: Systemic lupus erythematosus (SLE) or lupus patients usually experience various physical and psychological challenges. Since the coronavirus disease 2019 pandemic, these challenges have become even harsher. Using the participatory action research approach, this study evaluated how an e-wellness program (eWP) impacted SLE-related knowledge and health behaviors, mental health, and quality of life among lupus patients in Thailand.Methods: A 1-group, pretest-posttest design study was conducted among a purposive sample of lupus patients who were members of Thai SLE Foundation. The 2 main intervention components were: (1) online social support, and (2) lifestyle and stress management workshops. Sixty-eight participants completed all the study requirements, including the Physical and Psychosocial Health Assessment questionnaire.Results: After being in the eWP for 3 months, participants’ mean score for SLE-related knowledge increased significantly (t=5.3, p<0.001). The increase in sleep hours was statistically significant (Z=-3.1, p<0.01), with the percentage of participants who slept less than 7 hours decreasing from 52.9% to 29.0%. The percentage of participants reporting sun exposure decreased from 17.7% to 8.8%. The participants also reported significantly lower stress (t(66)=-4.4, p<0.001) and anxiety (t(67)=-2.9, p=0.005). The post-eWP quality of life scores for the pain, planning, intimate relationship, burden to others, emotional health, and fatigue domains also improved significantly (p<0.05).Conclusions: The overall outcomes showed promising results of improved self-care knowledge, health behaviors, mental health status, and quality of life. It is recommended that the SLE Foundation continues to use the eWP model to help the lupus patient community.

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Self‐concept and body image of people living with lupus: A systematic review

Cited by 9 publications

References 41 publications

Comparative Analysis of Body Image Dissatisfaction, Depression, and Health-Related Quality of Life in Adults with Type 1 Diabetes: A Case-Control Study

Comparative Analysis of Body Image Dissatisfaction, Depression, and Health-Related Quality of Life in Adults with Type 1 Diabetes: A Case-Control Study

Anorexia Nervosa in Juvenile Systemic Lupus Erythematosus (SLE): A Causality Dilemma

The Outcomes of an e-Wellness Program for Lupus Patients in Thailand: A Participatory Action Research Approach

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