儿童期系统性红斑狼疮的个体和社会生态恢复力:与患者特征和患者报告的心理社会结局的关联

IF 3.4 2区 医学 Q2 RHEUMATOLOGY
Isabella Zaffino, Louise Boulard, Joanna Law, Ashley Danguecan, Asha Jeyanathan, Lawrence Ng, Sandra Williams-Reid, Kiah Reid, Angela Cortes, Eugene Cortes, Deborah M Levy, Linda T Hiraki, Andrea M Knight
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引用次数: 0

摘要

目的:本研究探讨儿童发病系统性红斑狼疮(cSLE)患者的个体和社会生态恢复力及其与社会人口学和疾病特征以及患者报告的心理社会结局的关系。方法:我们于2021年10月至2024年7月在加拿大三级中心对11-22岁的cSLE患者进行了横断面研究。康诺-戴维森弹性量表(CD-RISC 10)评估了个体的弹性。儿童和青年弹性测量-修订(CYRM-R)评估社会生态弹性。线性回归模型检验了复原力与社会人口统计学(如健康素养、不良童年经历)和疾病因素(如发病年龄、持续时间、疾病活动)之间的关联。皮尔森相关性确定了恢复力与患者报告的抑郁和焦虑症状、执行功能、疼痛干扰和疲劳之间的关系。结果:49名被试个体心理弹性的cd - risc10平均得分为26.0 (SD=7.1),社会生态弹性的CYRM-R平均得分为73.4 (SD=9.1)。CD-RISC 10的高弹性(b=0.99, 95%CI[0.45至1.55]),结论:更大的弹性与更少的ace、更好的健康相关沟通、患者报告的心理健康和执行功能相关。研究结果强调了培养适应力对改善青少年儿童期学习障碍患者预后的重要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Individual and Socio-ecological Resilience in Childhood-Onset Systemic Lupus Erythematosus: Associations with Patient Characteristics and Psychosocial Patient-Reported Outcomes.

Objective: This study investigates individual and socio-ecological resilience and their relationship with sociodemographic and disease characteristics, and psychosocial patient-reported outcomes in childhood-onset systemic lupus erythematosus (cSLE).

Methods: We conducted a cross-sectional study of patients with cSLE ages 11-22 years at a Canadian tertiary center from October 2021-July 2024. The Connor-Davidson Resilience Scale (CD-RISC 10) assessed individual resilience. The Child and Youth Resilience Measure-Revised (CYRM-R) assessed socio-ecological resilience. Linear regression models examined associations between resilience with socio-demographic (e.g., health literacy, adverse childhood experiences (ACEs)) and disease factors (e.g., age of onset, duration, disease activity). Pearson correlations determined relationships between resilience and patient-reported depressive and anxiety symptoms, executive functioning, pain interference and fatigue.

Results: Of 49 participants, mean scores for individual psychological resilience were CD-RISC 10 of 26.0 (SD=7.1) and socio-ecological resilience were CYRM-R of 73.4 (SD=9.1). Higher resilience on CD-RISC 10 (b=0.99, 95%CI [0.45 to 1.55], p<0.01) and CYRM-R (b=0.84, 95%CI [0.13 to 1.55], p=0.02) was associated with better health literacy on the communication subscale. Lower CYRM-R scores were associated with higher number of ACEs (b=-1.02, 95% CI [-1.88 to -0.17], p=0.02). For patient-reported outcomes, lower scores for both individual and socio-ecological resilience correlated with worse depressive symptoms (r=-0.44, p=0.003 for CD-RISC 10; r=-0.55, p=0.001 for CYRM-R) and executive functioning (r=-0.49, p=0.002 for CD-RISC 10; r=-0.56, p=0.002 for CYRM-R).

Conclusion: Greater resilience was associated with fewer ACEs, and better health-related communication, patient-reported mental health and executive functioning. Findings highlight the importance of fostering resilience to improve outcomes in youth with cSLE.

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来源期刊
Journal of Rheumatology
Journal of Rheumatology 医学-风湿病学
CiteScore
6.50
自引率
5.10%
发文量
285
审稿时长
1 months
期刊介绍: The Journal of Rheumatology is a monthly international serial edited by Earl D. Silverman. The Journal features research articles on clinical subjects from scientists working in rheumatology and related fields, as well as proceedings of meetings as supplements to regular issues. Highlights of our 41 years serving Rheumatology include: groundbreaking and provocative editorials such as "Inverting the Pyramid," renowned Pediatric Rheumatology, proceedings of OMERACT and the Canadian Rheumatology Association, Cochrane Musculoskeletal Reviews, and supplements on emerging therapies.
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