Uzuner Selcuk, Sahin Sezgin, Durcan Gizem, Adrovic Amra, Barut Kenan, Kilicoglu Ali Guven, Bilgic Ayhan, Bahali Kayhan, Kasapcopur Ozgur
Department of Pediatrics, Medical Faculty, Bezmialem Vakif University, Istanbul, Turkey.
Department of Pediatric Rheumatology, Medical Faculty of Cerrahpasa, Istanbul University, Istanbul, Turkey.
Clin Rheumatol. 2017 Jun;36(6):1297-1304. doi: 10.1007/s10067-017-3650-5. Epub 2017 Apr 27.
There is no documentation about the association between peer victimization, psychological status, and quality of life (QOL) in children and adolescents with systemic lupus erythematosus (SLE). The aim of this study was to evaluate the association between peer victimization, psychological symptoms, and QOL in a cohort of children and adolescents with SLE. Forty-one patients (aged 9-18 years) participated in this study. The control group (n = 49) was composed of healthy children and adolescents from local community. Questionnaires were used to evaluate the peer victimization, psychological status, and QOL of children and adolescents with and without SLE. No significant difference was found between the study and control groups for peer victimization, depression, state and trait anxiety, and QOL scores. The peer victimization, depression, anxiety, and self-esteem scores were negatively correlated with psychosocial and total subscale scores of QOL in the study group. According to regression analyses, trait anxiety had a negative predictive effect on the physical health domain scores of QOL, whereas trait anxiety and peer victimization had a negative effect on the psychosocial domain and total scores of QOL in the SLE patients. This study suggests that trait anxiety and peer victimization are risk factors for poor QOL in adolescents with SLE.
目前尚无关于系统性红斑狼疮（SLE）儿童和青少年同伴欺凌、心理状态与生活质量（QOL）之间关联的文献记录。本研究的目的是评估一组SLE儿童和青少年中同伴欺凌、心理症状与生活质量之间的关联。41名患者（年龄在9至18岁之间）参与了本研究。对照组（n = 49）由当地社区的健康儿童和青少年组成。采用问卷评估有或无SLE的儿童和青少年的同伴欺凌、心理状态及生活质量。在同伴欺凌、抑郁、状态和特质焦虑以及生活质量得分方面，研究组与对照组之间未发现显著差异。研究组中，同伴欺凌、抑郁、焦虑和自尊得分与生活质量的心理社会及总分量表得分呈负相关。根据回归分析，特质焦虑对生活质量的身体健康领域得分有负向预测作用，而特质焦虑和同伴欺凌对SLE患者生活质量的心理社会领域及总分有负面影响。本研究表明，特质焦虑和同伴欺凌是SLE青少年生活质量差的危险因素。
