Azizoddin Desiree R, Zamora-Racaza Geraldine, Ormseth Sarah R, Sumner Lekeisha A, Cost Chelsie, Ayeroff Julia R, Weisman Michael H, Nicassio Perry M
Department of Psychology, Loma Linda University, Loma Linda, CA, 92350, USA.
Department of Anesthesiology, Stanford University Medical Center, Palo Alto, CA, USA.
J Clin Psychol Med Settings. 2017 Dec;24(3-4):302-315. doi: 10.1007/s10880-017-9505-z.
Our analyses examined whether reserve capacity factors would explain the relationship between socioeconomic status (SES) and symptoms of depression/anxiety in patients with systemic lupus erythematosus (SLE). We assessed disease activity, depression/anxiety symptoms, and intrapersonal and interpersonal reserve capacity measures in 128 patients with SLE. Multiple meditational analyses revealed that intrapersonal and interpersonal psychosocial aspects of reserve capacity fully mediated the relationship between SES and depression/anxiety. Lower SES was indirectly associated with higher symptoms of depression and anxiety through the effects of psychosocial resilience. Interventions aimed at improving modifiable reserve capacity variables, such as self-esteem and optimism, may improve anxious/depressive symptomatology in patients with SLE.
我们的分析探讨了储备能力因素是否能解释系统性红斑狼疮（SLE）患者的社会经济地位（SES）与抑郁/焦虑症状之间的关系。我们评估了128例SLE患者的疾病活动度、抑郁/焦虑症状以及个人和人际储备能力指标。多项中介分析显示，储备能力的个人和人际心理社会方面完全介导了SES与抑郁/焦虑之间的关系。较低的SES通过心理社会复原力的作用与较高的抑郁和焦虑症状间接相关。旨在改善可改变的储备能力变量（如自尊和乐观）的干预措施可能会改善SLE患者的焦虑/抑郁症状。
