Lupus & antiphospholipid syndrome

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

LupusPublished Cross-sectional study

Authors' 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.

Study context

Population
Women with systemic lupus erythematosus (SLE) at a rheumatology clinic of a university hospital, September 2022 to September 2023
Participants
85 women
Exposure
Women with SLE exposed to past-year IPV vs not exposed
Outcome
Prevalence of IPV (HITS, ISA) and its impact on health-related quality of life (LupusQoL)
Methodological detailsobservational, analytical, single-centre
  • Observational
  • Analytical
  • Single-centre

Main finding

As reported in the abstract

Prevalence of IPV
Past-year IPV by HITS
24.4%
Lifetime IPV by HITS
36.5%
Past-year non-physical violence by Index of Spouse Abuse (ISA)
17.1%
Lifetime non-physical violence by ISA
27.1%
Past-year physical violence
7.3%
Lifetime physical violence
21.2%

Observational data: associations, not effects.

Further findings

OutcomeP value
Quality of life (LupusQoL) in victims of past-year IPV vs not exposedPast-year IPV vs Not exposed · total quality of life diminished in victimsP = 0.018
Quality of life (LupusQoL) in victims of past-year IPV vs not exposedPast-year IPV vs Not exposed · emotional domain diminished in victimsP = 0.036

Correlation of HITS score with disease activity

Past-year HITS score vs Physician Global Assessment (PGA), rho (p = .006)
0.301
Lifetime HITS score vs PGA, rho (p = .002)
0.329
Lifetime HITS score vs SLEDAI-2K, rho (p = .010)
0.277

Original publication

Impact of intimate partner violence on quality of life and disease activity in women with systemic lupus erythematosus. Lupus. Published 6 June 2024. doi:10.1177/09612033241260227

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