High Prevalence of Personality Disorders in Skin-restricted Lupus Patients

被引:6
作者
Jalenques, Isabelle [1 ]
Rondepierre, Fabien [3 ]
Massoubre, Catherine [5 ]
Bonnefond, Sophie [6 ]
Schwan, Raymond [7 ]
Labeille, Bruno [8 ]
Perrot, Jean-Luc [8 ]
Collange, Marianne [3 ]
Mulliez, Aurelien [4 ]
D'Incan, Michel [2 ]
机构
[1] Clermont Auvergne Univ, CHU Clermont Ferrand, Adult Psychiat & Med Psychol Dept A, Clermont Ferrand, France
[2] Clermont Auvergne Univ, CHU Clermont Ferrand, Dermatol Dept, Clermont Ferrand, France
[3] CHU Clermont Ferrand, Adult Psychiat & Med Psychol Dept A, FR-63003 Clermont Ferrand 1, France
[4] CHU Clermont Ferrand, Clin Res & Innovat Dept, Clermont Ferrand, France
[5] Univ Jean Monnet, CHU St Etienne, Psychiat Dept, St Etienne, France
[6] Esquirol Hosp, Psychiat Emergencies, Limoges, France
[7] Univ Hosp Psychiat & Psychotherapy, Laxou, France
[8] CHU Nord Hosp, Dermatol Dept, St Etienne, France
关键词
skin-restricted lupus; personality disorders; PDQ4+; LuPsy cohort; PSYCHIATRIC-DISORDERS; CIGARETTE-SMOKING; AXIS-I; MAJOR DEPRESSION; MENTAL-DISORDERS; SUICIDE ATTEMPTS; DSM-IV; ERYTHEMATOSUS; POPULATION; RISK;
D O I
10.2340/00015555-2691
中图分类号
R75 [皮肤病学与性病学];
学科分类号
100206 ;
摘要
Psychiatric and personality disorders have been extensively documented in patients with systemic lupus erythematosus (SLE). However, the prevalence of personality disorders in skin-restricted lupus (SRL) patients remains unknown. The aim of this study was to assess the prevalence of personality disorders in SRL outpatients and to examine the associated factors. We evaluated 60 SRL outpatients and 118 controls matched for sex, age and education level. On the basis of the Personality Diagnostic Questionnaire 4+, 38% of patients vs 20% of controls fulfilled the criteria for at least one personality disorder (OR 2.2 [95% CI 1.01-4.6], p = 0.048). Only one patient with a personality disorder had specialised mental health care. Late lupus onset and more frequent past treatments by thalidomide were associated factors. This study evidences a high prevalence of personality disorders in SRL patients and shows that most SRL patients with personality disorder do not receive specialised mental health care.
引用
收藏
页码:941 / 946
页数:6
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