1202 COVID-19 pandemic stressors and psychological distress symptoms in patients with systemic lupus erythematosus and rheumatoid arthritis

D. Costa, É. Boilard, L. Flamand, E. Rollet-Labelle, Jean-Benoît Deville-Stoetzel, L. Bessette, K. Adams, Alexandra Albert, M. Audet, Sonia Lagacé, Charlotte Grondin, Philippe Desaulniers, P. Fortin
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Abstract

1202 Table 1Degree of Concerns related to COVID-19 Stressors for Patients with SLE or RACOVID-19 Stressors All Participantsn=97n (%) SLEn=55n (%) RAn=42n (%) Having loved ones who contracts coronavirus 40 (41.2) 28 (50.9) 12 (28.6) Possibility of contracting coronavirus 40 (41.2) 25 (45.5) 15 (35.7) Getting sick from exposure to coronavirus 31 (32) 22 (40) 9 (21.4) Working in a place likely to be exposed to the coronavirus. 26 (26.8) 17 (30.9) 9 (21.4) Possibility of condition worsening or being poorly managed due to changes in medical care 26 (26.8) 15 (27.3) 11 (26.2) Postponement or cancellation of diagnostic and disease monitoring tests 19 (19.6) 10 (18.2) 9 (21.4) Increased responsibilities at home 19 (19.6) 11 (20) 8 (19.0) Difficulty obtaining food, medicine and other essentials 16 (16.5) 9 (16.4) 7 (16.7) Changes in treatments due coronavirus pandemic 15 (15.5) 9 (16.4) 6 (14.3) Postponement or cancellation of medical visits 15 (15.5) 9 (16.4) 6 (14.3) Difficulty obtaining help or social support needed 12 (12.4) 8 (14.5) 4 (9.5) Losing a job or experiencing a drop in income related to the coronavirus pandemic 10 (10.3) 5 (9.1) 5 (11.9) Responses rated on a scale of 0 “not at all” to 4 “extremely” concerned or worried. Responses dichotomized such that a threshold of 2 or higher represent greater concern/worry.ConclusionsStressors related to the COVID-19 pandemic are experienced by an important proportion of patients with SLE and RA and are associated with psychological symptoms, particularly for patients with SLE.
1202系统性红斑狼疮和类风湿性关节炎患者的新冠肺炎大流行应激源和心理困扰症状
1202表1 SLE或RACOVID-19患者对COVID-19压力源的关注程度所有参与者sn=97n (%) SLEn=55n (%) RAn=42n(%)有亲人感染冠状病毒40(41.2)28(50.9)12(28.6)感染冠状病毒的可能性40(41.2)25(45.5)15(35.7)因接触冠状病毒而生病31(32)22(40)9(21.4)在可能接触冠状病毒的地方工作。26(26.8) 17(30.9) 9(21.4)由于医疗保健的变化导致病情恶化或管理不善的可能性26(26.8)15(27.3)11(26.2)推迟或取消诊断和疾病监测测试19(19.6)10(18.2)9(21.4)家庭责任增加19(19.6)11(20)8(19.0)难以获得食物;医学和其他必需品16(16.5)9(16.4)7(16.7)治疗的变化由于冠状病毒大流行15(15.5)9(16.4)6(14.3)推迟或取消医疗访问15(15.5)9(16.4)6(14.3)难以获得帮助或社会支持需要12 8(12.4)(14.5)4(9.5)失去工作或经历收入下降相关冠状病毒大流行10(10.3)(9.1)5(11.9)反应评价规模(0)“不”4“极其”关注或担心。反应分为两类,阈值为2或更高表示更大的关注/担忧。结论与COVID-19大流行相关的压力源在SLE和RA患者中占重要比例,并且与心理症状相关,尤其是SLE患者。
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