Lupus & antiphospholipid syndrome

Mental health conditions in patients with systemic lupus erythematosus: a systematic review and meta-analysis

Rheumatology (Oxford)Published Systematic review and meta-analysis

Authors' conclusion

Our study demonstrated a high prevalence of MHCs among patients with SLE. Individuals with pre-existing mental disorders exhibited an elevated susceptibility to developing SLE and patients presenting with MHCs were at increased risk of experiencing suboptimal health and functional outcomes.

Study context

Population
People with systemic lupus erythematosus (SLE); studies published before June 2023 (PubMed, Web of Science, Embase)
Participants
1,485,094 people203 studies
Outcome
Pooled prevalence of MHCs in SLE and association of MHCs with risk of SLE and patient outcomes
Methodological detailsumbrella and updated meta-analysis, random-effect models
  • Umbrella and updated meta-analysis
  • Random-effect models

Pooled result

As reported in the abstract

Prevalence of MHCs in SLE

Sleep disturbance among adults with SLE (most common MHC), pooled prevalence

59.7%

95% CI 52.4–66.8%

Cognitive dysfunction among children with SLE (most common MHC), pooled prevalence

63.4%

95% CI 46.9–77.9%

Further pooled results

Risk of developing SLE in general population with mental health conditions (MHCs)

RR (95% CI)
Depressive disorders2.30 (1.94–2.75)
Posttraumatic stress disorder1.93 (1.61–2.31)

Outcomes in SLE with concurrent MHCs

Concurrent MHCs linked to decreased quality of life, increased risk of unemployment and other somatic comorbidities

Original publication

Mental health conditions in patients with systemic lupus erythematosus: a systematic review and meta-analysis. Rheumatology (Oxford). Published 23 April 2024. doi:10.1093/rheumatology/keae239

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