Lupus & antiphospholipid syndrome

Psychiatric comorbidities in patients suffering from systemic lupus erythematosus admitted to a tertiary care hospital in Northern India

LupusPublished Cross-sectional study

Authors' conclusion

Patients with SLE have a high prevalence of psychiatric comorbidities and should be routinely screened for psychiatric morbidity.

Study context

Population
Patients with Systemic Lupus Erythematosus (SLE) for at least 1 year, not in delirium, admitted to a tertiary care hospital in Northern India
Participants
79 patients
Outcome
Prevalence of psychiatric disorders per ICD-10 criteria, assessed by a qualified psychiatrist
Methodological detailssingle-centre
  • Single-centre

Main finding

As reported in the abstract

Any psychiatric diagnosis (ICD-10)
Any psychiatric diagnosis
51% (n = 40)
Depressive disorders (most common)
36.7% (n = 29)
Adjustment disorder
10% (n = 8)
Anxiety (not otherwise specified)
2.5% (n = 2)
Organic psychosis
1 patient

Observational data: associations, not effects.

Further findings

Screening and cognitive scales (PHQ-9, PHQ-15, GAD-7, Montreal Cognitive Assessment (MoCA))

Depression on PHQ-9
39.8% (n = 33)
Death wishes and/or suicidal ideations
44.3% (n = 35)
Severe somatic distress on PHQ-15 (score >15)
17.7% (n = 14)
Positive screen for anxiety symptoms on GAD-7
55.7% (n = 44)
Severe anxiety on GAD-7 (score of 15 or more)
7.6%
Cognitive impairment on MoCA
52% (n = 43)
Scores indicating severe dementia on MoCA
13.3% (n = 11)
  • Count for severe anxiety not printed ("n = ")

Original publication

Psychiatric comorbidities in patients suffering from systemic lupus erythematosus admitted to a tertiary care hospital in Northern India. Lupus. Published 19 May 2023. doi:10.1177/09612033231177737

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