The psychosocial impact of systemic lupus erythematosus and rheumatoid arthritis

Authors

  • Matthew H. Liang MD, MPH,

    Corresponding author
    1. Departments of Medicine, Rheumatology/Immunology, and Psychiatry, Brigham and Women's Hospital; the Department of Biostatistics, Harvard School of Public Health; the Robert B. Brigham Multipurpose Arthritis Center: and Harvard Medical School, Boston, Massachusetts.
    • Multipurpose Arthritis Center. Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02115
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  • Malcolm Rogers MD,

    1. Departments of Medicine, Rheumatology/Immunology, and Psychiatry, Brigham and Women's Hospital; the Department of Biostatistics, Harvard School of Public Health; the Robert B. Brigham Multipurpose Arthritis Center: and Harvard Medical School, Boston, Massachusetts.
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  • Martin Larson ScD,

    1. Departments of Medicine, Rheumatology/Immunology, and Psychiatry, Brigham and Women's Hospital; the Department of Biostatistics, Harvard School of Public Health; the Robert B. Brigham Multipurpose Arthritis Center: and Harvard Medical School, Boston, Massachusetts.
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  • Holley M. Eaton RN,

    1. Departments of Medicine, Rheumatology/Immunology, and Psychiatry, Brigham and Women's Hospital; the Department of Biostatistics, Harvard School of Public Health; the Robert B. Brigham Multipurpose Arthritis Center: and Harvard Medical School, Boston, Massachusetts.
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  • Benjamin J. Murawski Ph.D,

    1. Departments of Medicine, Rheumatology/Immunology, and Psychiatry, Brigham and Women's Hospital; the Department of Biostatistics, Harvard School of Public Health; the Robert B. Brigham Multipurpose Arthritis Center: and Harvard Medical School, Boston, Massachusetts.
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  • Jennifer E. Taylor BA,

    1. Departments of Medicine, Rheumatology/Immunology, and Psychiatry, Brigham and Women's Hospital; the Department of Biostatistics, Harvard School of Public Health; the Robert B. Brigham Multipurpose Arthritis Center: and Harvard Medical School, Boston, Massachusetts.
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  • Julie Swafford MPH,

    1. Departments of Medicine, Rheumatology/Immunology, and Psychiatry, Brigham and Women's Hospital; the Department of Biostatistics, Harvard School of Public Health; the Robert B. Brigham Multipurpose Arthritis Center: and Harvard Medical School, Boston, Massachusetts.
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  • Peter H. Schur MD

    1. Departments of Medicine, Rheumatology/Immunology, and Psychiatry, Brigham and Women's Hospital; the Department of Biostatistics, Harvard School of Public Health; the Robert B. Brigham Multipurpose Arthritis Center: and Harvard Medical School, Boston, Massachusetts.
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Abstract

Seventy-six ambulatory patients with systemic lupus erythematosus and a comparison group of 23 ambulatory patients with rheumatoid arthritis were given a structured interview and standard psychological tests, including the Minnesota Multiphasic Personality Inventory, to determine the psychosocial impact of the illness. Both groups had significantly elevated scores on 3 Minnesota Multiphasic Personality Inventory scales: Hypochondriasis, Depression, and Hysteria. Psychological difficulties are an integral part of systemic lupus erythematosus and are as common as most other manifestations. The implications for clinical practice are discussed.

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