Stress and Coping Strategies in Systemic Lupus Erythematosus: A ReviewBricou O. · Taïeb O. · Baubet T. · Gal B. · Guillevin L. · Moro M.R.
aDepartment of Psychiatry, Hôpital Avicenne (AP-HP), Paris 13 University, Bobigny, and bDepartment of Internal Medicine, Hôpital Cochin (AP-HP), Paris 5 University, Paris, France
Systemic lupus erythematosus (SLE), a chronic and unpredictable disease accompanied by functional disability and a possible involvement of the central nervous system, leads to considerable psychological distress. A review of studies on stress and/or coping strategies in SLE since 1990 is presented. Many studies have investigated the place of major and minor stress and coping strategies in SLE morbidity (disease activity, organ damage, and physical and mental components of quality of life). Stress as a causal factor is not proved, but it seems to act as an exacerbating factor in disease activity and to have an impact on the quality of life. Coping strategies are more consistently associated with quality of life than with disease activity. Organ damage appears to be less associated with psychosocial factors than disease activity or quality of life. Despite the limitations of these studies, therapeutic interventions should be proposed to reduce psychological distress, to improve the quality of life and possibly to moderate the evolution of the disease.
Dr. Olivier Taïeb, MD
Department of Psychiatry (Pr. M. R. Moro)
Hôpital Avicenne (AP-HP), Paris 13 University, 125 Rue de Stalingrad
FR–93000 Bobigny (France)
Tel. +33 1 48 95 51 05, Fax +33 1 48 95 51 06, E-Mail email@example.com
Published online: August 6, 2007
Number of Print Pages : 11
Number of Figures : 0, Number of Tables : 1, Number of References : 46
Vol. 13, No. 5-6, Year 2006 (Cover Date: August 2007)
Journal Editor: Savino, W. (Rio de Janeiro)
ISSN: 1021–7401 (print), 1423–0216 (Online)
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