Lupus & antiphospholipid syndrome

Self-efficacy is associated with a lower probability of damage accrual in patients with systemic lupus erythematosus: data from the Almenara Lupus Cohort

Clin Exp RheumatolPublished Prospective cohort study

Authors' conclusion

A better self-efficacy mainly in the managing symptoms and daily activities domains is predictive of a lower risk of damage accrual, even after adjusting for possible confounders.

Study context

Population
SLE patients from the Almenara Lupus Cohort
Participants
209 patients563 visits
Exposure
Self-efficacy and damage accrual
Outcome
Any increase in the SLICC/ACR damage index (SDI) (SLICC/ACR DI)
Methodological detailsgeneralised estimating equations, multivariable models adjusted for possible confounders
  • Generalised estimating equations
  • Multivariable models adjusted for possible confounders

Main finding

As reported in the abstract

Damage accrual (any SDI increase), multivariable OR per 5 units increase in self-efficacy

Self-efficacy for managing symptoms: OR

0.79 (0.64-0.98) (95% CI)

Self-efficacy for managing daily activities: OR

0.71 (0.54-0.95) (95% CI)

Observational data: associations, not effects.

Further findings

Damage accrual during follow-up

Accrued damage once
41 (19.6%)
Accrued damage twice
2 (1.0%)

Baseline self-efficacy (PROMIS), mean (SD)

General self-efficacy
47.2 (10.4)
Managing emotions
44.6 (8.0)
Managing symptoms
47.7 (8.2)
Managing daily activities
45.5 (7.5)
Managing social interactions
42.9 (7.9)
Managing medications and treatment
43.9 (7.0)

Original publication

Self-efficacy is associated with a lower probability of damage accrual in patients with systemic lupus erythematosus: data from the Almenara Lupus Cohort. Clin Exp Rheumatol. Published 24 October 2024. doi:10.55563/clinexprheumatol/fdf5zj

Composed by AI from the published abstract and checked against it. How Briefs are made →

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