Psychosocial Dimensions of SLE: Implications for the Health Care Team

    Beckerman, Auerbach, José Ramón Blanco
    TLDR SLE patients often face depression and anxiety due to physical changes, with African-American and Hispanic patients having higher unmet psychological needs.
    This exploratory study on 378 SLE patients in New York City aimed to clarify psychosocial challenges, identify impactful sociodemographic variables, and understand patient perceptions of SLE medication regimens. The study found that changes in appearance and physical limitations due to SLE were the main causes of depression and anxiety. A higher sense of control over SLE correlated with lower depression and anxiety levels. African-American and Hispanic patients reported higher unmet psychological needs. Weight gain and hair loss were common medication side effects and significant contributors to SLE-related depression and anxiety. The study recommended comprehensive assessments to screen for depression and anxiety, particularly in African-American and Hispanic women, and suggested referrals to patient education and social work counseling.
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