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Psychosomatic Medicine, Vol 55, Issue 2 219-228, Copyright © 1993 by American Psychosomatic Society

ORIGINAL ARTICLES

Psychiatric symptoms in systemic lupus erythematosus: an update

EM Wekking
Department of Clinical Psychology and Psychodiagnostics Division Psychiatry, Academic Medical Center, Academic Hospital University of Amsterdam, The Netherlands.

Twenty-one studies on the prevalence and type of psychiatric symptoms in systemic lupus erythematosus (SLE) are reviewed and evaluated. Substantial differences in prevalence of psychiatric symptoms in SLE-patients (from 17%-71%) have been reported. Of the investigated methodological aspects, differences in assessment techniques appeared to be the main source of the variability in findings. Although various types of psychiatric symptoms have been observed, depression is most frequently reported. There was no consistent relationship between the occurrence of psychiatric symptoms and other symptoms of SLE. However, the data suggest an association with (the patient's perception of) illness severity and with the experience of psychosocial stressors. Studies applying control groups (patients with other chronic diseases (e.g., rheumatoid arthritis) showed striking similarities between both patient groups with respect to prevalence and type of psychiatric symptoms. There is some evidence, however, indicating that a small proportion of the psychiatric symptomatology, in particular psychosis, is related to neurological dysfunction in SLE.


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Copyright © 1993 by the American Psychosomatic Society