Psychosocial dimensions of SLE: Implications for the health care team

Nancy L. Beckerman, Charles Auerbach, Irene Blanco

Research output: Contribution to journalArticle

20 Citations (Scopus)

Abstract

Background: The purpose of this exploratory study was threefold, ie, to clarify the unique psychosocial challenges facing those living with systemic lupus erythematosus (SLE), to distinguish which sociodemographic variables impact the lives of SLE patients, and generate knowledge regarding the way patients perceive SLE medication regimens.

Methods: This was a cross-sectional exploratory study in 378 patients diagnosed with SLE and receiving services from the SLE Lupus Foundation in New York City. In addition to sociodemographic variables, the instrument used consisted of two scales, ie, the Systemic Lupus Erythematosus Needs Questionnaire (SLENQ) and the Multidimensional Health Locus of Control Scale, as well as questions regarding subjective perceptions of side effects from SLE medication.

Results: The highest general cause of self-reported depressive and anxious feelings was changes in appearance due to SLE, and limitations in physical abilities due to SLE (primarily from muscle and joint pain). The higher the sense of control over SLE, the less likely respondents were to report feeling depressed and anxious. African-American and Hispanic SLE patients reported a higher level of unmet psychological needs due to SLE than did their other ethnic counterparts. Weight gain and hair loss were the most likely medication side effects and also the most likely causes of SLE-related depression and anxiety.

Conclusion: Those living with SLE are at risk for feelings of depression and anxiety. African- American and Hispanic women are at higher risk for these emotional states. Comprehensive assessment across the disciplines should screen this group of patients for depression and anxiety, and be prepared to refer them to patient education and social work counseling as indicated.

Original languageEnglish (US)
Pages (from-to)63-72
Number of pages10
JournalJournal of Multidisciplinary Healthcare
Volume4
DOIs
StatePublished - Apr 5 2011

Fingerprint

Patient Care Team
Systemic Lupus Erythematosus
Emotions
Anxiety
Depression
Hispanic Americans
African Americans
Aptitude
Internal-External Control
Myalgia
Alopecia
Arthralgia
Patient Education
Social Work
Weight Gain
Counseling
Weight Loss

Keywords

  • Lupus
  • Multidisciplinary
  • Psychosocial impact of illness

ASJC Scopus subject areas

  • Nursing(all)
  • Medicine(all)

Cite this

Psychosocial dimensions of SLE : Implications for the health care team. / Beckerman, Nancy L.; Auerbach, Charles; Blanco, Irene.

In: Journal of Multidisciplinary Healthcare, Vol. 4, 05.04.2011, p. 63-72.

Research output: Contribution to journalArticle

@article{ddf9a1b5c32c416c98affcfc24b967ea,
title = "Psychosocial dimensions of SLE: Implications for the health care team",
abstract = "Background: The purpose of this exploratory study was threefold, ie, to clarify the unique psychosocial challenges facing those living with systemic lupus erythematosus (SLE), to distinguish which sociodemographic variables impact the lives of SLE patients, and generate knowledge regarding the way patients perceive SLE medication regimens.Methods: This was a cross-sectional exploratory study in 378 patients diagnosed with SLE and receiving services from the SLE Lupus Foundation in New York City. In addition to sociodemographic variables, the instrument used consisted of two scales, ie, the Systemic Lupus Erythematosus Needs Questionnaire (SLENQ) and the Multidimensional Health Locus of Control Scale, as well as questions regarding subjective perceptions of side effects from SLE medication.Results: The highest general cause of self-reported depressive and anxious feelings was changes in appearance due to SLE, and limitations in physical abilities due to SLE (primarily from muscle and joint pain). The higher the sense of control over SLE, the less likely respondents were to report feeling depressed and anxious. African-American and Hispanic SLE patients reported a higher level of unmet psychological needs due to SLE than did their other ethnic counterparts. Weight gain and hair loss were the most likely medication side effects and also the most likely causes of SLE-related depression and anxiety.Conclusion: Those living with SLE are at risk for feelings of depression and anxiety. African- American and Hispanic women are at higher risk for these emotional states. Comprehensive assessment across the disciplines should screen this group of patients for depression and anxiety, and be prepared to refer them to patient education and social work counseling as indicated.",
keywords = "Lupus, Multidisciplinary, Psychosocial impact of illness",
author = "Beckerman, {Nancy L.} and Charles Auerbach and Irene Blanco",
year = "2011",
month = "4",
day = "5",
doi = "10.2147/JMDH.S19303",
language = "English (US)",
volume = "4",
pages = "63--72",
journal = "Journal of Multidisciplinary Healthcare",
issn = "1178-2390",
publisher = "Dove Medical Press Ltd.",

}

TY - JOUR

T1 - Psychosocial dimensions of SLE

T2 - Implications for the health care team

AU - Beckerman, Nancy L.

AU - Auerbach, Charles

AU - Blanco, Irene

PY - 2011/4/5

Y1 - 2011/4/5

N2 - Background: The purpose of this exploratory study was threefold, ie, to clarify the unique psychosocial challenges facing those living with systemic lupus erythematosus (SLE), to distinguish which sociodemographic variables impact the lives of SLE patients, and generate knowledge regarding the way patients perceive SLE medication regimens.Methods: This was a cross-sectional exploratory study in 378 patients diagnosed with SLE and receiving services from the SLE Lupus Foundation in New York City. In addition to sociodemographic variables, the instrument used consisted of two scales, ie, the Systemic Lupus Erythematosus Needs Questionnaire (SLENQ) and the Multidimensional Health Locus of Control Scale, as well as questions regarding subjective perceptions of side effects from SLE medication.Results: The highest general cause of self-reported depressive and anxious feelings was changes in appearance due to SLE, and limitations in physical abilities due to SLE (primarily from muscle and joint pain). The higher the sense of control over SLE, the less likely respondents were to report feeling depressed and anxious. African-American and Hispanic SLE patients reported a higher level of unmet psychological needs due to SLE than did their other ethnic counterparts. Weight gain and hair loss were the most likely medication side effects and also the most likely causes of SLE-related depression and anxiety.Conclusion: Those living with SLE are at risk for feelings of depression and anxiety. African- American and Hispanic women are at higher risk for these emotional states. Comprehensive assessment across the disciplines should screen this group of patients for depression and anxiety, and be prepared to refer them to patient education and social work counseling as indicated.

AB - Background: The purpose of this exploratory study was threefold, ie, to clarify the unique psychosocial challenges facing those living with systemic lupus erythematosus (SLE), to distinguish which sociodemographic variables impact the lives of SLE patients, and generate knowledge regarding the way patients perceive SLE medication regimens.Methods: This was a cross-sectional exploratory study in 378 patients diagnosed with SLE and receiving services from the SLE Lupus Foundation in New York City. In addition to sociodemographic variables, the instrument used consisted of two scales, ie, the Systemic Lupus Erythematosus Needs Questionnaire (SLENQ) and the Multidimensional Health Locus of Control Scale, as well as questions regarding subjective perceptions of side effects from SLE medication.Results: The highest general cause of self-reported depressive and anxious feelings was changes in appearance due to SLE, and limitations in physical abilities due to SLE (primarily from muscle and joint pain). The higher the sense of control over SLE, the less likely respondents were to report feeling depressed and anxious. African-American and Hispanic SLE patients reported a higher level of unmet psychological needs due to SLE than did their other ethnic counterparts. Weight gain and hair loss were the most likely medication side effects and also the most likely causes of SLE-related depression and anxiety.Conclusion: Those living with SLE are at risk for feelings of depression and anxiety. African- American and Hispanic women are at higher risk for these emotional states. Comprehensive assessment across the disciplines should screen this group of patients for depression and anxiety, and be prepared to refer them to patient education and social work counseling as indicated.

KW - Lupus

KW - Multidisciplinary

KW - Psychosocial impact of illness

UR - http://www.scopus.com/inward/record.url?scp=84865163002&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84865163002&partnerID=8YFLogxK

U2 - 10.2147/JMDH.S19303

DO - 10.2147/JMDH.S19303

M3 - Article

AN - SCOPUS:84865163002

VL - 4

SP - 63

EP - 72

JO - Journal of Multidisciplinary Healthcare

JF - Journal of Multidisciplinary Healthcare

SN - 1178-2390

ER -