Lupus & antiphospholipid syndrome

The Association of Physical Function With Psychosocial Patient‐Reported Outcomes in People With Systemic Lupus Erythematosus

Arthritis Care Res (Hoboken)Published Cross-sectional study

Authors' conclusion

Our results demonstrate associations of fatigue and psychosocial factors with physical functioning, reinforcing their relationship with overall health in SLE.

Study context

Population
Patients with systemic lupus erythematosus (SLE) in two demographically distinct cohorts (APPEAL and CLUES)
Participants
451 vs 580
Exposure
APPEAL vs CLUES
  • APPEALn = 451
  • CLUESn = 580
Outcome
Perceived physical function (PROMIS Physical Function Short Forms 12a [APPEAL] and 10a [CLUES]) and its associations with fatigue and psychosocial factors
Methodological detailstwo demographically distinct cohorts, multivariable linear regression
  • Two demographically distinct cohorts
  • Multivariable linear regression

Main finding

As reported in the abstract

Perceived physical function (PROMIS Physical Function T score)

APPEAL

43.6

mean

CLUES

47.2

mean

β

Greater resilience, per +1 SD (CLUES) · associated with better physical function
2.04 (95% CI 0.57–3.50)
Self-efficacy, high vs low (CLUES) · associated with better physical function
13.53 (95% CI 8.69–18.37)
Better coping, per +1 SD (APPEAL) · associated with better physical function
3.15 (95% CI 2.39–3.91)
Greater learned helplessness, per +1SD (APPEAL) · associated with worse physical function
−3.88 (95% CI −4.62 to −3.14)

Observational data: associations, not effects.

Further findings

OutcomeP value
Mean physical function T scoreP < 0.05

Original publication

The Association of Physical Function With Psychosocial Patient‐Reported Outcomes in People With Systemic Lupus Erythematosus. Arthritis Care Res (Hoboken). Published 3 May 2026. doi:10.1002/acr.80065

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