Body Image in Patients with Systemic Lupus Erythematosus |
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Authors: | Meenakshi Jolly A Simon Pickard Rachel A Mikolaitis Jessica Cornejo Winston Sequeira Thomas F Cash Joel A Block |
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Institution: | 1. Department of Medicine, Rush University Medical Center, 1611 West Harrison Street, Suite 510, Chicago, IL, 60612, USA 2. Department of Pharmacoeconomics, University of Illinois at Chicago, Chicago, IL, 60612, USA 3. Department of Psychology, Old Dominican University, Norfolk, VA, 23529, USA
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Abstract: | Background Systemic lupus erythematosus (SLE), a multisystemic disease of young women may be disfiguring and affect physical and emotional health. Body image literature in SLE is scant and controversial. Purpose We compared body image-related quality of life in subjects with (n?=?87) and without (n?=?78) SLE and determined its correlates using the body image quality of life inventory (BIQLI). Method The tool was self-administered to consenting individuals. Demographic information along with disease activity and damage assessments for SLE patients were obtained. T test, chi square test, correlational, and regression analyses were used to make comparisons. Results Mean age (±SD) were 42.4?±?13.1 and 38.7?±?13.2?years for SLE and non-SLE subjects, respectively. Mean (±SD) BIQLI scores were significantly worse in SLE than non-SLE subjects: 19.9?±?33.2 and 41.6?±?24.8 (p?=?0.001). In SLE, BIQLI scores correlated inversely with overall damage, irreversible cutaneous damage, alopecia, and self-reported depression, and directly with age and health status. Conclusion Body image in SLE is poor, and effective interventions may be directed at cutaneous disease activity, damage, and depression. |
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