Hugo F J, Halland A M, Spangenberg J J, Whitelaw D A, Rickman R C, Hewlett R H, Reid J, Maritz J S, Emsley R A
Department of Psychiatry, Stellenbosch University, Tygerberg Hospital, Cape Town, South Africa.
Psychosomatics. 1996 May-Jun;37(3):262-9. doi: 10.1016/S0033-3182(96)71565-7.
DSM-III-R criteria applied in the evaluation of 88 systemic lupus erythematosus patients revealed a point prevalence rate of 18.2% for psychiatric disorders, the most common diagnosis being adjustment disorder (11.4%). No patients had disorders compatible with a functional psychosis. Psychiatric morbidity was not associated with increased disease activity, corticosteroid use, brain magnetic resonance imaging abnormalities, or electroencephalogram abnormalities. High scores on a life event scale were associated with psychiatric disorders, suggesting that psychosocial stress is etiologically important. Cognitive testing showed that poor performance on the Stroop Colour-Word Inference Test was associated with psychiatric disorders.
应用《精神疾病诊断与统计手册》第三版修订本（DSM-III-R）标准对88例系统性红斑狼疮患者进行评估，结果显示精神障碍的时点患病率为18.2%，最常见的诊断为适应障碍（11.4%）。没有患者患有符合功能性精神病的障碍。精神疾病发病率与疾病活动增加、使用皮质类固醇、脑磁共振成像异常或脑电图异常无关。生活事件量表得分高与精神障碍相关，这表明心理社会压力在病因学上具有重要意义。认知测试表明，在斯特鲁普颜色-文字推理测试中表现不佳与精神障碍相关。
