Impact of intimate partner violence on quality of life and disease activity in women with systemic lupus erythematosus.

IF 1.9 4区 医学 Q3 RHEUMATOLOGY
Lupus Pub Date : 2024-08-01 Epub Date: 2024-06-06 DOI:10.1177/09612033241260227
Emmanuel Campos-Tinajero, Maria Fernanda Ortiz-Nuño, Diana Paola Flores-Gutierrez, Jorge Antonio Esquivel-Valerio, Gisela Garcia-Arellano, Jesus Alberto Cardenas-de la Garza, Estefania Aguilar-Rivera, Dionicio A Galarza-Delgado, Griselda Serna-Peña
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Abstract

Objective: Stress and trauma are psychosocial factors with an impact on the course of systemic lupus erythematosus (SLE). The influence of violence on SLE has not been entirely explored, even though women (including patients with rheumatic diseases) are a vulnerable population to any form of violence. This study aims to assess the prevalence and impact of intimate partner violence (IPV) on health-related quality of life in women with SLE.

Methods: An observational, cross-sectional, and analytical study was conducted at a rheumatology clinic of a university hospital from September 2022 and September 2023. We evaluated the presence of IPV in 85 women with SLE with the Hurt, Insulted, Threatened with Harm and Screamed at (HITS) questionnaire and the Index of Spouse Abuse (ISA), and quality of life with LupusQoL.

Results: The prevalence by HITS score of past-year IPV was 24.4% and of lifetime IPV was 36.5%. Past-year non-physical violence was present in 17.1% of patients by ISA, and 27.1% were victims in their lifetime. While in physical violence, 7.3% were victims in the previous year and 21.2% in their lifetime. The total quality of life and the emotional domain by LupusQoL were diminished in victims of past-year IPV, compared to those who weren't exposed (p = .018 and p = .036, respectively). Past-year HITS score correlated with the Physician Global Assessment (PGA) (rho = 0.301, p = .006), while lifetime HITS score correlated with PGA (rho = 0.329, p = .002) and SLEDAI-2K (rho = 0.277, p = .010).

Conclusion: We found that one in four women suffered IPV in the previous year, and those who were exposed had diminished quality of life. Also, the severity of the abuse correlated with disease activity. Our findings emphasize the importance of comprehensive care for patients with SLE.

亲密伴侣暴力对系统性红斑狼疮女性患者生活质量和疾病活动的影响。
目的:压力和创伤是影响系统性红斑狼疮(SLE)病程的社会心理因素。尽管女性(包括风湿病患者)是易受任何形式暴力侵害的人群,但暴力对系统性红斑狼疮的影响尚未被完全探究。本研究旨在评估亲密伴侣暴力(IPV)的发生率及其对系统性红斑狼疮女性患者健康相关生活质量的影响:方法:2022 年 9 月至 2023 年 9 月,我们在一所大学医院的风湿病诊所进行了一项观察性、横断面和分析性研究。我们使用伤害、侮辱、威胁和谩骂(HITS)问卷和配偶虐待指数(ISA)评估了 85 名系统性红斑狼疮女性患者是否存在 IPV,并使用 LupusQoL 评估了她们的生活质量:根据 HITS 评分,过去一年中 IPV 的发生率为 24.4%,终生 IPV 的发生率为 36.5%。根据 ISA,17.1% 的患者在过去一年中遭受过非身体暴力,27.1% 的患者在一生中都是受害者。在身体暴力方面,7.3%的患者在过去一年中是受害者,21.2%的患者在其一生中都是受害者。与未接触过IPV的患者相比,过去一年IPV受害者的总体生活质量和LupusQoL的情感领域都有所下降(分别为p = .018和p = .036)。过去一年的HITS得分与医生总体评估(PGA)相关(rho = 0.301,p = .006),而终生HITS得分与PGA(rho = 0.329,p = .002)和SLEDAI-2K(rho = 0.277,p = .010)相关:我们发现,每四名妇女中就有一名在过去一年中遭受过 IPV,而遭受过 IPV 的妇女的生活质量会下降。此外,虐待的严重程度与疾病活动相关。我们的研究结果强调了为系统性红斑狼疮患者提供全面护理的重要性。
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来源期刊
Lupus
Lupus 医学-风湿病学
CiteScore
4.20
自引率
11.50%
发文量
225
审稿时长
1 months
期刊介绍: The only fully peer reviewed international journal devoted exclusively to lupus (and related disease) research. Lupus includes the most promising new clinical and laboratory-based studies from leading specialists in all lupus-related disciplines. Invaluable reading, with extended coverage, lupus-related disciplines include: Rheumatology, Dermatology, Immunology, Obstetrics, Psychiatry and Cardiovascular Research…
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