Lupus & antiphospholipid syndrome

Trajectories of depressive symptoms in systemic lupus erythematosus over time

Rheumatology (Oxford)Published Prospective cohort study

Authors' conclusion

Four classes of depressive symptoms were identified in patients with SLE.

Study context

Population
Individuals with SLE in the Lupus Outcomes Study, University of California, San Francisco
Participants
763 individuals
Exposure
Class 1 vs Class 2 vs Class 3 vs Class 4
Outcome
Trajectories (latent classes) of depressive symptoms by CES-D score, years two through seven
Follow-up
6 years
Methodological detailsgroup-based trajectory modelling, ordinal logistic regression
  • Group-based trajectory modelling
  • Ordinal logistic regression

Main finding

As reported in the abstract

Trajectory classes of CES-D scores

Observational data: associations, not effects.

Further findings

Baseline characteristics associated with membership in worse classes of depressive symptoms

Greater age, OR
0.97 (0.96, 0.99) (95% CI)
Higher education level, OR
0.79 (0.70, 0.89) (95% CI)
Lower income, OR
1.73 (1.03, 2.92) (95% CI)
Worse SF-36 physical functioning scores, OR
1.12 (1.12, 1.13) (95% CI)
Worse SF-36 bodily pain scores, OR
1.58 (1.55, 1.61) (95% CI)

Original publication

Trajectories of depressive symptoms in systemic lupus erythematosus over time. Rheumatology (Oxford). Published 10 June 2022. doi:10.1093/rheumatology/keac333

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