Post-traumatic growth in adult patients with systemic lupus erythematosus: a cross-sectional study in China

Abstract

This cross-sectional study aims to evaluate the post-traumatic growth (PTG) level and explores its predictors among adult patients with SLE in China. From April 2020 to April 2021, 135 hospitalized adult SLE patients completed the questionnaire including sociodemographic and disease-related data, Post-traumatic Growth Inventory (PTGI), Medical Coping Modes Questionnaire (MCMQ), Social Support Rating Scale (SSRS), Pittsburgh Sleep Quality Index (PSQI), Hospital Anxiety and Depression Scale (HADS), and Self-Perceived Burden Scale (SPBS). Descriptive analysis, pearson’s correlation analysis, and forward multiple line regression analysis were used for analysis by SPSS 22.0. Results showed that, the mean PTGI score was 57.52 ± 20.82. Pearson correlation analysis showed that, complicated autoimmune hemolytic anemia ( r = − 0.185), CD4 +/CD8 + ( r = − 0.383), acceptance-resignation ( r = − 0.185), poor PSQI ( r = − 0.215), and depression ( r = − 0.322) were negatively associated with total PTGI score; while the relationship with lupus nephritis ( r = 0.247), confrontation ( r = 0.313), avoidance ( r = 0.379), and SSRS ( r = 0.242) were positive (all P < 0.05). The total score of PTGI and its five sub-dimensions were not correlated with anxiety and self-perceived burden. Further, CD4 +/CD8 +, confrontation of MCMQ, and SSRS could explain 30.3% of the variance in total PTGI ( F = 6.646, P < 0.01). In summary, Chinese adults with SLE experience moderate levels of PTG. Clinical nurses need pay attention to the current disease status and individual characteristics of patients, as well as their mental health, to promote their growth experience, so that they can cope with the future life in a better state and coexist well with SLE. Supplementary Information The online version contains supplementary material available at 10.1007/s00296-022-05233-x.

Positive psychological capital, post-traumatic growth, social support, and quality of life in patients with systemic lupus erythematosus: A cross-sectional study

“…47 To improve the QOL of individuals with SLE, healthcare professionals and family members should focus on factors closely associated with QOL and implement appropriate interventions. 48,46 This study found a positive correlation between social support and QOL in SLE patients. 49 SLE is a long-term condition, and with advancements in modern medicine, patients now have longer survival periods, thereby requiring higher levels of social support.…”

“…Furthermore, this study demonstrates a positive correlation between post-traumatic growth and QOL in SLE patients. 46 Patients with SLE may embrace the trauma caused by the disease through positive coping mechanisms, leading to personal growth, self-acceptance, and the discovery of meaningful aspects in other areas of life, fostering a more optimistic outlook. 47 To improve the QOL of individuals with SLE, healthcare professionals and family members should focus on factors closely associated with QOL and implement appropriate interventions.…”