Lupus & antiphospholipid syndrome

Social support and depression status are risk factors of frailty in systemic lupus erythematosus patients: multicentre retrospective analysis using the Systemic Lupus Erythematosus International Collaborating Clinics-Frailty Index

Clin Exp RheumatolPublished Retrospective cross-sectional study

Authors' conclusion

Age, SDI score, and depression status were risk factors for frailty in patients with SLE. In addition, lower social support scores were associated with increases of depression status and frailty in patients with SLE.

Study context

Population
Patients with systemic lupus erythematosus (SLE) from five tertiary hospitals in Korea
Outcome
Frailty (SLICC-FI) and its risk factors
Methodological detailsmulticentre, multivariable logistic regression, simple linear regression
  • Multicentre
  • Multivariable logistic regression
  • Simple linear regression

Main finding

As reported in the abstract

Frailty (SLICC-FI)
Multivariable
Odds ratio (95% CI)P value
Age
1.054(1.013–1.097)
P = 0.009
SDI score
2.995(1.940–4.622)
P < 0.001
PHQ-9 ≥10
7.884(2.785–22.319)
P < 0.001
Classified as frail
36 (14.6%)

Observational data: associations, not effects.

Further findings

SLICC-FI vs Multidimensional Scale of Perceived Social Support (MSPSS) (simple linear regression)

Negative correlation, R2
0.06, p≤0.001

SLICC-FI vs PHQ-9K (simple linear regression)

Positive correlation, R2
0.276, p<0.001

MSPSS vs PHQ-9K (simple linear regression)

Negative correlation, R2
0.147, p<0.001

Original publication

Social support and depression status are risk factors of frailty in systemic lupus erythematosus patients: multicentre retrospective analysis using the Systemic Lupus Erythematosus International Collaborating Clinics-Frailty Index. Clin Exp Rheumatol. Published 11 November 2025. doi:10.55563/clinexprheumatol/mbs76r

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