Journal
LUPUS
Volume 32, Issue 2, Pages 263-269Publisher
SAGE PUBLICATIONS LTD
DOI: 10.1177/09612033221145634
Keywords
Fatigue; post-traumatic stress disorder; patient-reported outcomes; quality of life
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This study found that Post-traumatic Stress Disorder (PTSD) is relatively common in patients with Systemic Lupus Erythematosus (SLE) and has a detrimental impact on their quality of life.
Objectives Neuropsychiatric symptoms develop in up to 20% of the patients with Systemic Lupus Erythematosus (SLE). Growing evidence is accruing on the association of SLE with Post-traumatic Stress Disorder (PTSD), but little is known about its contribution on patient-reported outcomes. This study focuses on PTSD prevalence in our SLE cohort and on its impact on quality of life. Methods Trauma and Loss Spectrum - Self Reported (TALS-SR) and Lupus Quality of Life (Lupus QoL) questionnaires were administered via web to the patients with SLE in our cohort, along with questions on demographical and disease-related aspects. Results Among 99 patients who completed the questionnaire, fatigue prevalence was 75% and 31% scored TALS-SR test consistently with PTSD. Patients with PTSD achieved lower scores compared to those without PTSD in three Lupus QoL domains: planning (83.3 vs. 100, p = .035), body image (85.0 vs. 95.0, p = .031) and fatigue (66.7 vs. 91.7, p = .001). An inverse correlation was found between TALS-SR domains and Lupus QoL scores, particularly regarding fatigue with reaction to losses or upsetting events (rho -0.458, p < .001). Conclusions PTSD is possibly far more frequent in patients with SLE than in general population and exerts a detrimental influence on quality of life.
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