Lupus & antiphospholipid syndrome

Understanding Contributors of Resilience in Youth With Childhood‐Onset Systemic Lupus Erythematosus Through a Socioecological Lens: A Mixed‐Methods Study

Arthritis Care Res (Hoboken)Published Mixed-methods study

Authors' conclusion

Findings support a dynamic model of resilience, shaped by a combination of sociodemographic, disease, personal, cultural and social factors.

Study context

Population
Patients with cSLE aged 11 to 19 years from ethnically and culturally diverse backgrounds, Canadian tertiary care center, October 2022 to July 2024
Participants
21 patients
Comparison
High vs low socioecological resilience
Outcome
Themes contributing to resilience in cSLE
Methodological detailssemistructured interviews, purposive sampling, single tertiary care centre
  • Semistructured interviews
  • Purposive sampling
  • Single tertiary care centre

Main finding

As reported in the abstract

Themes contributing to resilience
  • Factors contributing to resilience grouped into five themes: familial environment, social support beyond family, health services and information, life with SLE, and sense of self
  • Cultural influences reported to impact several themes
  • High resilience: more facilitators in each thematic area; low resilience: more challenges in these areas

Further findings

Patient characteristics by resilience profile

Low resilience: greater number of adverse childhood experiences, lower health literacy, earlier age at diagnosis, longer disease duration and poorer mental health

Original publication

Understanding Contributors of Resilience in Youth With Childhood‐Onset Systemic Lupus Erythematosus Through a Socioecological Lens: A Mixed‐Methods Study. Arthritis Care Res (Hoboken). Published 10 June 2025. doi:10.1002/acr.25550

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