Body Image, Depression Symptoms, and Health-Related Quality of Life in Black Women With Systemic Lupus Erythematosus.

Body Image, Depression Symptoms, and Health-Related Quality of Life in Black Women With Systemic Lupus Erythematosus.
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DOI:
10.1016/j.nwh.2022.07.008
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发表时间:
2022-08
影响因子:
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通讯作者:
Madeline Jones;L. Kimble
Madeline Jones;L. Kimble
中科院分区:
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文献类型:
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作者:
Madeline Jones;L. Kimble

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目的探讨系统性红斑狼疮(SLE)黑人女性的身体形象、抑郁症状和生活质量之间的关系。设计描述性、相关性设计。设置/样本使用社交媒体广告,招募有自我报告的SLE的黑人女性完成基于网络的调查。结果女性样本(N=43)以非西班牙裔(80%)和已婚(58%)为主,平均年龄33.5(SD=6.9)岁。SLE确诊后的平均时间为5.9年(SD=4.0)。大多数受访者(51%)报告使用口服类固醇治疗来控制疾病。平均身体形象和抑郁得分分别为2.0(SD=0.6)和62.4(SD=8.5),与人群常模1.80(SD=0.9)和50(SD=10)不同,表明身体形象障碍和抑郁症状比一般人群报告的更严重。结论黑人女性系统性红斑狼疮患者的抑郁和身体形象障碍应由护士和其他临床医生定期评估和处理,以帮助提高最佳的生活质量。
ObjectiveTo examine relationships among body image, depression symptoms, and quality of life in Black women with systemic lupus erythematosus (SLE).DesignDescriptive, correlational design.Setting/SampleUsing social media advertising, we recruited Black women with self-reported SLE to complete a web-based survey.ResultsThe female sample (N= 43) was predominantly non-Hispanic (80%) and married (58%), with a mean age of 33.5 (SD= 6.9) years. The mean time since SLE diagnosis was 5.9 (SD= 4.0) years. The majority of respondents (51%) reported using oral steroid therapy for disease control. Mean body image and depression scores, 2.0 (SD= 0.6) and 62.4 (SD= 8.5), respectively, differed from population norms of 1.80 (SD= 0.9) and 50 (SD= 10), indicating greater body image disturbance and greater depression symptoms than reported by the general population. Greater body image disturbance was significantly associated with greater depression symptoms and poorer quality of life in the area of role disruption.ConclusionDepression and body image disturbance among Black women with SLE should be routinely assessed and addressed by nurses and other clinicians to help promote optimal quality of life.