Anxiety-depressive disorders and stress factors in patients with systemic lupus erythematosus and antiphospholipid syndrome

OBJECTIVE: The aim of this work was to analyze the frequency and, spectrum of mental disorders (MD), and stressful factors, as well as the characteristics of anxiety and depressive spectrum disorders (ADSD) in patients with systemic lupus erythematosus (SLE) and antiphospholipid syndrome (APS).

MATERIAL AND METHODS: The study included 155 patients (37 (23.9%) men and 118 (76.1%) women) aged 18 to 69 years ((M±SD) 37.7±12.3 years), including. 61 (39.3%) patients - with a reliable diagnosis of SLE according to the 2019 EULAR/ACR criteria, 48 (30.9%) patients with - SLE with secondary APS and 46 (29.7%) - with primary APS (PAPS), established according to the international criteria of 2006.

RESULTS: The majority of the examined patients were found to hadve MD (current MD in 145 (93.5%) patients). ADSD prevailed in all groups: in 58 (95.1%) patients with SLE, in 42 (87.5%) - with SLE with APS and in, 39 (84.8%) - with APS. Patients with SLE were exposed to stressful events in childhood (predominantly parental deprivation) more often than patients with SLE with APS and PAPS were exposed to stressful events in childhood (93.4% versus 81.2% and 69.6%, respectively; predominantly parental deprivation). ADSD in these patients developed mainly in pre-adolescence, with a tendency towards chronic variants without remission, which leads to a greater vulnerability of the patients in this group to stressful events compared with patients with APS (p=0.05).

CONCLUSION: When diagnosing and treating MD in patients with SLE and APS, special attention should be paid to the analysis of the history of stressful eventsstress history of patients, which affects the formation of common predisposing and provoking factors, both MD and RD, aggravating their course and prognosis.

Medienart:

E-Artikel

Erscheinungsjahr:

2022

Erschienen:

2022

Enthalten in:

Zur Gesamtaufnahme - volume:122

Enthalten in:

Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova - 122(2022), 3 vom: 08., Seite 65-71

Sprache:

Russisch

Weiterer Titel:

Osobennosti rasstroistv trevozhno-depressivnogo spektra i stressovykh faktorov u bol'nykh sistemnoi krasnoi volchankoi i antifosfolipidnym sindromom

Beteiligte Personen:

Borisova, A B [VerfasserIn]
Veltishchev, D Yu [VerfasserIn]
Lisitsyna, T A [VerfasserIn]
Reshetnyak, T M [VerfasserIn]
Seravina, O F [VerfasserIn]
Kovalevskaya, O B [VerfasserIn]
Cheldieva, F A [VerfasserIn]
Abramkin, A A [VerfasserIn]

Links:

Volltext

Themen:

Antiphospholipid syndrome
Anxiety
Depression
Journal Article
Stress
System lupus erythematosus

Anmerkungen:

Date Completed 12.04.2022

Date Revised 12.04.2022

published: Print

Citation Status MEDLINE

doi:

10.17116/jnevro202212203165

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM339243910