Positive psychological capital,post-traumatic growth,social support,and quality of life in patients with systemic lupus erythematosus: A cross-sectional study
Restricted accessResearch articleFirst published online April, 2024
Positive psychological capital,post-traumatic growth,social support,and quality of life in patients with systemic lupus erythematosus: A cross-sectional study
This study aimed to investigate the correlation between positive psychological capital, post-traumatic growth, social support, and quality of life (QOL) in patients with systemic lupus erythematosus (SLE).
Methods
A cross-sectional study was conducted at the First Affiliated Hospital of Xinjiang Medical University from October 2022 to May 2023. A sample of 330 hospitalized SLE patients was selected for this study. The collected data included demographic information, the SLE disease activity index, the Positive Mental Capital Questionnaire, the Chinese version of the Post-Traumatic Growth Scale, the Social Support Rating Scale, and the Chinese version of the Lupus Quality of Life Scale.
Results
The QOL score among the 330 SLE patients was measured as M(P25, P75) of 105 (83.00,124.00). Positive psychological capital, post-traumatic growth, and social support demonstrated significant positive correlations with the QOL in SLE patients (p < 0.05). Multiple linear regression analysis revealed that literacy, disease level, disease duration, occupation, marital status, psychological capital, social support, and post-traumatic growth were influential factors associated with the QOL in SLE patients.
Conclusion
Medical professionals should be attentive to the psychological well-being of SLE patients and should consider implementing early psychological interventions. These interventions are crucial for enhancing the QOL for individuals diagnosed with SLE.
DurcanLO'DwyerTPetriM. Management strategies and future directions for systemic lupus erythematosus in adults. Lancet2019; 393: 2332–2343, Review. DOI: 10.1016/s0140-6736(19)30237-5.
2.
ReesFDohertyMGraingeMJ, et al.The worldwide incidence and prevalence of systemic lupus erythematosus: a systematic review of epidemiological studies. Rheumatology2017; 56: 1945–1961, Review. DOI: 10.1093/rheumatology/kex260.
3.
TanakaYO'NeillSLiMT, et al.Systemic lupus erythematosus: targeted literature review of the epidemiology, current treatment, and disease burden in the asia pacific region. Arthritis Care Res2022; 74: 187–198. DOI: 10.1002/acr.24431.
4.
GolderVConnellyKStaplesM, et al.Association of Asian ethnicity with disease activity in SLE: an observational study from the Monash Lupus Clinic. Lupus2013; 22: 1425–1430. DOI: 10.1177/0961203313500547.
5.
BranchCMARDiseases NcrcfSaIGroupCSLERC. [2020 Chinese guidelines for the diagnosis and treatment of systemic lupus erythematosus]. Zhonghua Nei Ke Za Zhi2020; 59: 172–185. DOI: 10.3760/cma.j.issn.0578-1426.2020.03.002
6.
TektonidouMGLewandowskiLBHuJ. Survival in adults and children with systemic lupus erythematosus: a systematic review and Bayesian meta-analysis of studies from 1950 to 2016 (vol 76, pg 2009, 2017). Ann Rheum Dis2018; 77: 472. DOI: 10.1136/annrheumdis-2017-211663corr1.
7.
TedeschiRGCalhounLG. The Posttraumatic Growth Inventory: measuring the positive legacy of trauma. J Trauma Stress1996; 9: 455–471. DOI: 10.1002/jts.2490090305.
8.
LuthansFAvolioBJAveyJB, et al.Positive psychological capital: measurement and relationship with performance and satisfaction. Person Psychol2007; 60: 541–572. DOI: 10.1111/j.1744-6570.2007.00083.x
9.
GuoYFWangKFCrossW, et al.Quality of life in cancer patients with different preferences for nurse spiritual therapeutics: the role of psychological capital. J Adv Nurs2022; 78: 991–1000. DOI: 10.1111/jan.15023.
10.
WangSMLiHHChenX, et al.The mediating role of psychological capital in the association between life satisfaction and depressive and anxiety symptoms among Chinese medical students during the COVID-19 pandemic: a cross-sectional study. BMC Psychiatr2023; 23: 398. DOI: 10.1186/s12888-023-04894-7.
11.
DeMottBAzizSWuenschK, et al.Labor of love, or love of labor? Psychological capital's mitigating role in the relationship between workaholism and work stress. Work2023; 74: 341–352. DOI: 10.3233/wor-210467.
12.
LuthansFLKWLuthansBC. Positive psychological capital: beyond human and social capital. Bus Horiz2004; 47(41): 45–50.
13.
OnyedibeMCCBlicklePSchmidtME, et al. Posttraumatic growth and health-related quality of life in cancer survivors: does fatigue moderate the link?Stress Health. 2023. doi:10.1002/smi.3299
14.
RatanasiripongNTCahillSCraneC, et al.The outcomes of an e-wellness Program for lupus patients in Thailand: a participatory action research approach. J Prev Med Public Health2023; 56: 154–163. DOI: 10.3961/jpmph.22.491.
15.
GuZHYangCNTangL, et al.Interaction of anxiety and hypertension on quality of life among patients with gynecological cancer: a cross-sectional study. BMC Psychiatr2023; 23: 26. DOI: 10.1186/s12888-023-04521-5.
16.
GaoRCWuLShiPL, et al.The impact of distress disclosure and anxiety on the association between social support and quality of life among Chinese women with systemic lupus erythematosus. Front Psychiatr2022; 13: 10, Article. DOI: 10.3389/fpsyt.2022.893235.
17.
PingNJingliCNaL. The sample size estimation hi quantitative nursing research. Chin J Nurs2010; 45: 378–380. DOI: 10.3761/j.issn.0254-1769.2010.04.037.
18.
NuttallAIsenbergDA. Assessment of disease activity, damage and quality of life in systemic lupus erythematosus: new aspects. Best Pract Res Clin Rheumatol2013; 27: 309–318. DOI: 10.1016/j.berh.2013.10.003.
19.
KuoZSaiZYinghongD. Positive psychological capital: measurement and relationship with mental health. Studie Psychol Behavior2010; 8: 58–64.
20.
JiW. Development of post-traumatic Growth Rating Scale and its norms for accidental trauma injuries master. Shanghai: Second Military Medical University, 2011.
21.
ShuiyuanX.The theoretical basis and research application of Social Support Rating Scale. Jour Clinic Psychol Medicine1994; 2: 98–100, (in Chinese).
22.
WangSLWuBLengL, et al.Validity of LupusQoL-China for the assessment of health related quality of life in Chinese patients with systemic lupus erythematosus. PLoS One2013; 8: e63795. DOI: 10.1371/journal.pone.0063795.
23.
MinLZiyunZuanZL, et al.Mediating effect of social support on the relationship between hope and quality of life in patients with systemic lupus erythematosus. Chine Evide-Bas Nurs2022; 8: 1955–1960. DOI: 10.12102/j.issn.2095-8668.2022.14.023.
24.
DelisPC. Uncertainty and quality of life in systemic lupus erythematosus: a cross-sectional study. Rehabilitat Nurs Journ2019; 44: 2–10. DOI: 10.1097/rnj.0000000000000118.
25.
Ugarte-GilMFGamboa-CardenasRVReátegui-SokolovaC, et al.A better self-efficacy is predictive of better health-related quality of life (HRQoL) in patients with systemic lupus erythematosus: data from the Almenara Lupus Cohort. Lup Scien Medic2023; 10: e000874. DOI: 10.1136/lupus-2022-000874.
26.
ChambersSAAllenERahmanA, et al.Damage and mortality in a group of British patients with systemic lupus erythematosus followed up for over 10 years. Rheumatology2009; 48: 673–675. DOI: 10.1093/rheumatology/kep062.
27.
JollyMSequeiraWBlockJA, et al.Sex differences in quality of life in patients with systemic lupus erythematosus. Arthritis Care Res2019; 71: 1647–1652. DOI: 10.1002/acr.23588.
28.
HsuCWHsuBBKooM, et al.Factors associated with intimacy in female Taiwanese patients with systemic lupus erythematosus: a cross-sectional study. BMJ Open2022; 12: e055754 DOI: 10.1136/bmjopen-2021-055754.
29.
WangHLiMZouK, et al.Annual direct cost and cost-drivers of systemic lupus erythematosus: a multi-center cross-sectional study from cstar registry. Int J Environ Res Publ Health2023; 20: 3522. DOI: 10.3390/ijerph20043522.
30.
ChenHJWangHQiuLJ, et al.Relation among anxiety, depression, sleep quality and health-related quality of life among patients with systemic lupus erythematosus: path analysis. Patient Prefer Adherence2022; 16: 1351–1358. DOI: 10.2147/ppa.S366083.
31.
Abu BakarFShaharirSSMohdR, et al.Work disability in a multi-ethnic Malaysian systemic lupus erythematosus cohort: a cross-sectional study. Internati J Rheuma Disea2019; 22: 1002–1007. DOI: 10.1111/1756-185x.13572.
32.
MonteTCSMateoPFIzquierdoMG, et al.An online survey of the Spanish Lupus Patient Association (FELUPUS): patient perceptions and experiences. Clin Rheumatol2023; 42: 1259–1265. DOI: 10.1007/s10067-023-06500-3.
33.
SebastianiGDPreveteIIulianoA, et al.Early Lupus Project: one-year follow-up of an Italian cohort of patients with systemic lupus erythematosus of recent onset. Lupus2018; 27: 1479–1488. DOI: 10.1177/0961203318777112.
34.
DucaLRomanNTeodorescuA, et al.Association between inflammation and thrombotic pathway link with pathogenesis of depression and anxiety in SLE patients. Biomolecules2023; 13: 567. DOI: 10.3390/biom13030567.
35.
GolderVKandane-RathnayakeRHoiAYB, et al.Association of the lupus low disease activity state (LLDAS) with health-related quality of life in a multinational prospective study. Arthritis Res Ther2017; 19: 62. DOI: 10.1186/s13075-017-1256-6.
36.
HuYGaoR-CSangN, et al.Influencing factors of self-disclosure and its impact on quality of life in patients with systemic lupus erythematosus. Lupus2023; 32: 207–215. DOI: 10.1177/09612033221143935.
37.
PereiraMGDuarteSFerrazA, et al.Quality of life in patients with systemic lupus erythematosus: the mediator role of psychological morbidity and disease activity. Psychol Health Med2020; 25: 1247–1257. DOI: 10.1080/13548506.2020.1728350.
38.
PreteMSuscaNLeoneP, et al.Impact of belimumab therapy on the quality of life in patients with systemic lupus erythematosus: a cohort study. Lupus2023; 32: 1528–1535. DOI: 10.1177/09612033231210607.
39.
Ying-yingZShi-yingWQingS, et al.B-lymphocyte-targeted biologics for systemic lupus erythematosus: belimumab and telitacicept. Central South Pharmacy2022; 20: 2356–2362.
40.
RundeFXinhuanZDegangY. Spatial equity of healthcare resourse in Xinjiang. Journ Universi Chine Acade Scien2023; 40: 69–78.
41.
LuB. Intervention of psychological capital on quality of life of patients with systemic lupus erythematosus. master. Shanxi: Shanxi Medical University, 2015.
42.
BroadJDLuthansF. Positive resources for psychiatry in the fourth industrial revolution: building patient and family focused psychological capital (PsyCap). Int Rev Psychiatr2020; 32: 542–554. DOI: 10.1080/09540261.2020.1796600.
43.
FangHJZengYLLiuYY, et al.The effect of the PERMA model-based positive psychological intervention on the quality of life of patients with breast cancer. Heliyon2023; 9: e17251. DOI: 10.1016/j.heliyon.2023.e17251.
44.
TaubRHoreshDRubinN, et al.Mindfulness-based stress reduction for systemic lupus erythematosus: a mixed-methods pilot randomized controlled trial of an adapted protocol. J Clin Med2021; 10: 4450. DOI: 10.3390/jcm10194450.
45.
ConceiçaoCTMMeinaoIMBombanaJA, et al.Psychoanalytic psychotherapy improves quality of life, depression, anxiety and coping in patients with systemic lupus erythematosus: a controlled randomized clinical trial. Advan Rheumat2019; 59: 4. DOI: 10.1186/s42358-019-0047-y.
46.
XuRYanQQXuZC, et al.Post-traumatic growth in adult patients with systemic lupus erythematosus: a cross-sectional study in China. Rheumatol Int2023; 43: 1077–1085. DOI: 10.1007/s00296-022-05233-x.
47.
LiQHaoyuSQiongL, et al.Effect of type D personality and post traumatic growth on quality of life in patients with systemiclupus erythematosus. Chin Nurs Res2022; 36: 2424–2428. DOI: 10.12102/j.issn.1009-6493.2022.13.032.
48.
WilliamsEMHyerJMViswanathanR, et al.Peer-to-Peer mentoring for african American women with lupus: a feasibility pilot. Arthritis Care Res2018; 70: 908–917. DOI: 10.1002/acr.23412.
49.
WilliamsJNDrenkardCLimSS. The impact of social determinants of health on the presentation, management and outcomes of systemic lupus erythematosus. Rheumatology2023; 62: i10–i14. DOI: 10.1093/rheumatology/keac613.
