Psychological Factors that Link Socioeconomic Status to Depression/Anxiety in Patients with Systemic Lupus Erythematosus

被引：27

作者：

Azizoddin, Desiree R. ^{[1
,2
]}

Zamora-Racaza, Geraldine ^{[3
,4
]}

Ormseth, Sarah R. ^{[5
]}

Sumner, Lekeisha A. ^{[6
]}

Cost, Chelsie ^{[7
]}

Ayeroff, Julia R. ^{[8
]}

Weisman, Michael H. ^{[6
]}

Nicassio, Perry M. ^{[9
]}

机构：

[1] Loma Linda Univ, Dept Psychol, Loma Linda, CA 92350 USA

[2] Stanford Univ, Med Ctr, Dept Anesthesiol, Palo Alto, CA 94304 USA

[3] Cedars Sinai Med Ctr, Div Rheumatol, Los Angeles, CA 90048 USA

[4] Univ Philippines, Philippine Gen Hosp, Dept Med, Manila, Philippines

[5] Univ Calif Los Angeles, David Geffen Sch Med, Dept Psychiat & Biobehav Sci, Los Angeles, CA 90095 USA

[6] Cedars Sinai Med Ctr, Dept Psychiat & Behav Neurosci, Los Angeles, CA 90048 USA

[7] Pepperdine Univ, Malibu, CA 90265 USA

[8] Univ Southern Calif, Postbaccalaureate Premed Program, Los Angeles, CA USA

[9] Univ Calif Los Angeles, Cousins Ctr Psychoneuroimmunol, Los Angeles, CA USA

来源：

JOURNAL OF CLINICAL PSYCHOLOGY IN MEDICAL SETTINGS | 2017年 / 24卷 / 3-4期

关键词：

Anxiety; Autoimmune disorder; Depression; Systemic lupus erythematosus; Socioeconomic status; RESERVE CAPACITY MODEL; QUALITY-OF-LIFE; COGNITIVE-BEHAVIORAL THERAPY; RHEUMATOID-ARTHRITIS; RESILIENCE INTERVENTION; ANXIETY DISORDERS; DISEASE-ACTIVITY; PHYSICAL HEALTH; PREVALENCE; OUTCOMES;

D O I：

10.1007/s10880-017-9505-z

中图分类号：

B849 [应用心理学];

学科分类号：

040203 ;

摘要：

Our analyses examined whether reserve capacity factors would explain the relationship between socioeconomic status (SES) and symptoms of depression/anxiety in patients with systemic lupus erythematosus (SLE). We assessed disease activity, depression/anxiety symptoms, and intrapersonal and interpersonal reserve capacity measures in 128 patients with SLE. Multiple meditational analyses revealed that intrapersonal and interpersonal psychosocial aspects of reserve capacity fully mediated the relationship between SES and depression/anxiety. Lower SES was indirectly associated with higher symptoms of depression and anxiety through the effects of psychosocial resilience. Interventions aimed at improving modifiable reserve capacity variables, such as self-esteem and optimism, may improve anxious/depressive symptomatology in patients with SLE.

引用

页码：302 / 315

页数：14

共 62 条

[1] Relationship of subjective and objective social status with psychological and physiological functioning: Preliminary data in healthy white women [J].

Adler, NE ;

Epel, ES ;

Castellazzo, G ;

Ickovics, JR .

HEALTH PSYCHOLOGY, 2000, 19 (06) :586-592

[2] Psychological, behavioral, and immune changes after a psychological intervention: A clinical trial [J].

Andersen, BL ;

Farrar, WB ;

Golden-Kreutz, DM ;

Glaser, R ;

Emery, CF ;

Crespin, TR ;

Shapiro, CL ;

Carson, WE .

JOURNAL OF CLINICAL ONCOLOGY, 2004, 22 (17) :3570-3580

[3]

Ang D. C., 2008, J RHEUMATOL, V32, P1013

[4]

[Anonymous], 2015, HHS Publication No. SMA 15-4927, NSDUH Series H-50

[5]

Azizoddin D. R., 2016, PSYCHOSOCIAL ASPECTS

[6] THE MODERATOR MEDIATOR VARIABLE DISTINCTION IN SOCIAL PSYCHOLOGICAL-RESEARCH - CONCEPTUAL, STRATEGIC, AND STATISTICAL CONSIDERATIONS [J].

BARON, RM ;

KENNY, DA .

JOURNAL OF PERSONALITY AND SOCIAL PSYCHOLOGY, 1986, 51 (06) :1173-1182

[7]

Bazzichi L, 2005, CLIN EXP RHEUMATOL, V23, P783

[8] Socioeconomic status, cognitive-emotional factors, and health status following myocardial infarction: testing the Reserve Capacity Model [J].

Bennett, Kymberley K. ;

Buchanan, Donna M. ;

Jones, Philip G. ;

Spertus, John A. .

JOURNAL OF BEHAVIORAL MEDICINE, 2015, 38 (01) :110-121

[9] DERIVATION OF THE SLEDAI - A DISEASE-ACTIVITY INDEX FOR LUPUS PATIENTS [J].

BOMBARDIER, C ;

GLADMAN, DD ;

UROWITZ, MB ;

CARON, D ;

CHANG, CH .

ARTHRITIS AND RHEUMATISM, 1992, 35 (06) :630-640

[10] Patients' perceptions of the effects of systemic lupus erythematosus on health, function, income, and interpersonal relationships: A comparison with Wegener's granulomatosis [J].

Boomsma, MM ;

Bijl, M ;

Stegeman, CA ;

Kallenberg, CGM ;

Hoffman, GS ;

Tervaert, JWC .

ARTHRITIS & RHEUMATISM-ARTHRITIS CARE & RESEARCH, 2002, 47 (02) :196-201

← 1 2 3 4 5 6 7 →