Insomnia symptoms, perceived stress and coping strategies in patients with systemic lupus erythematosus.
Lupus
; 25(9): 988-96, 2016 Aug.
Article
de En
| MEDLINE
| ID: mdl-26876691
ABSTRACT
OBJECTIVE:
The aim of this study is to evaluate perceived stress and coping strategies in individuals with systemic lupus erythematosus (SLE) according to the presence of insomnia symptoms, using a set of variables that include anxiety and depressive symptoms evaluation.METHODS:
Ninety SLE women were evaluated in a cross-sectional study using the Perceived Stress Scale (PSS), Brief COPE, Pittsburgh Sleep Quality Index (PSQI), Insomnia Severity Index (ISI), Beck Depression Inventory (BDI) and Self-rating Anxiety Scale (SAS).RESULTS:
Individuals with insomnia symptoms (n = 57, 66%) presented higher PSS (p < 0.001), PSQI (p < 0.0001), BDI, (p < 0.0001) scores and showed less-effective coping strategies such as the use of behavioral disengagement (p = 0.04), self-blame (p = 0.02) and emotional-focused coping (p = 0.001). In a multi-regression model ISI was the independent determinant of high PSS and of behavioral disengagement; PSQI was the only determinant of self-blame (p = 0.02) and emotional-focused coping.CONCLUSIONS:
SLE individuals with insomnia symptoms show high levels of perceived stress and more frequent use of disengaging and emotional-focused coping strategies. This body of evidence suggests that individuals with SLE and comorbid insomnia symptoms may therefore require additional interventions for insomnia.Mots clés
Texte intégral:
1
Collection:
01-internacional
Base de données:
MEDLINE
Sujet principal:
Stress psychologique
/
Troubles de l'endormissement et du maintien du sommeil
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Lupus érythémateux disséminé
Type d'étude:
Diagnostic_studies
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Etiology_studies
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Observational_studies
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Prevalence_studies
/
Prognostic_studies
/
Qualitative_research
/
Risk_factors_studies
Limites:
Adult
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Female
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Humans
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Middle aged
Langue:
En
Journal:
Lupus
Sujet du journal:
REUMATOLOGIA
Année:
2016
Type de document:
Article