Appearance concern and depression in adolescent girls with systemic lupus erythematous

Abstract

To examine the relationship between physical appearance concern and psychological distress in female adolescent patients with systemic lupus erythematosus (SLE) was the aim of this study. A total of 84 adolescent SLE female patients and 80 age-matching healthy adolescents were evaluated for levels of appearance concern and a range of illness-specific measures to determine how these demographic and clinical variables were related to the dependent variable psychological distress. The Systemic Lupus Erythematosus Disease Activity Index was used to assess disease activity. Assessment of depression was conducted through the children depression inventory (CDI). Appearance concern was measured using the SelfPerception Profile for Children. The total CDI was 18.5± 4.3, indicating that these patients had more depressive symptoms, comparing with age-and sex-matched healthy controls. Furthermore, a total of 32 (38.1 %) patients had CDI larger than 19 points, indicating that they have relatively higher risk in developing depression. The CDI in control group was significantly lower than that in the SLE group (11.4±1.7 vs. 18.5±4.3, t09.93, p<0.05). Using correlation and multiple regression analyses, we found that both appearance concern and age were predictive of depression in patients with SLE, and the former was highly correlated. This indicates that appearance concern may be associated with depression in female adolescent SLE patients. The results suggest that appearance concern is strongly associated with depression in female adolescent patients with SLE and should be routinely assessed.

Improving Depression Screening for Adolescents With Type 1 Diabetes

“…Both patients and staff reported acceptance of screening on qualitative surveys. Elevated CDI scores ($16) were found in 8% of the sample; moderate scores (10)(11)(12)(13)(14)(15) in 12% of the sample. Low risk scores were found in 80% of the sample.…”

“…Up to 9.5% of the general population of adolescents are depressed, [8][9][10] and the rate is 2 to 3 times higher for adolescents with type 1 diabetes and other chronic health conditions. [11][12][13][14][15][16] When present, depression in adolescents with type 1 diabetes is associated with less frequent blood glucose monitoring (BGM), 17 higher HbA1c values, [18][19][20][21] and increased rates of diabetes-related hospitalizations. 22,23 All of these negative health outcomes are associated with higher risk of longterm complications from diabetes and consequent increase in medical care costs.…”

Depression and anxiety and their association with healthcare utilization in pediatric lupus and mixed connective tissue disease patients: a cross-sectional study

“…The etiology of depression and anxiety in pediatric SLE and MCTD patients is likely complex and related several factors including: the psychological stress of dealing with a chronic illness during adolescence [39]; inflammatory central nervous system (CNS) pathology related to SLE [40]; direct steroid CNS effects [41] and indirect steroid-related somatic effects (eg. appearance concern due to weight gain, acne and striae) [42], as well as; hereditary and environmental factors [16, 18, 43]. …”

Common and Costly Hospitalizations for Pediatric Mental Health Disorders

“…This finding suggests that the complex chronically ill children at freestanding children' s hospitals have a relatively high burden of mental health comorbidities, which is consistent with studies in chronically ill pediatric outpatients. [25][26][27][28][29] We also found that the most common comorbid mental health diagnoses differed between hospitals nationally and free-standing hospitals.…”