Lupus & antiphospholipid syndrome
Identifying the State of Mental Health Care in Canadian Adults With Systemic Lupus Erythematosus
Authors' conclusion
Mental health care in SLE management remains underdeveloped, hindered by systemic barriers and discordance between patient and provider preferences.
Study context
- Population
- Canadian rheumatologists and adult patients with systemic lupus erythematosus (SLE) in Canada
- Participants
- 25 vs 235
- Exposure
- Rheumatologist-reported vs patient-reported barriers and preferred interventions for mental health care
- Rheumatologistsn = 25
- Patientsn = 235
- Outcome
- Barriers to accessing mental health care among adults with SLE (physician- and patient-reported) and possible interventions
Methodological detailssurvey, descriptive statistics, Cohen κ for agreement, Surveys distributed through professional networks, clinics, and social media
- Survey
- Descriptive statistics
- Cohen κ for agreement
- Surveys distributed through professional networks, clinics, and social media
Main finding
As reported in the abstract
- Physician-cited barrier: limited availability of mental health providers
- 88%
- Physician-cited barrier: insufficient time
- 84%
- Physicians using PHQ-9 screening
- 16%
- Physicians using GAD-7 screening
- 12%
- Patient-reported concern: anxiety
- 41.7%
- Patient-reported concern: depression
- 39.9%
- Patients favouring integrated mental health services within rheumatology clinics
- 58.6%
Observational data: associations, not effects.
Original publication
Identifying the State of Mental Health Care in Canadian Adults With Systemic Lupus Erythematosus. J Rheumatol. Published 1 July 2025. doi:10.
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