Stress and Depression in Relation to Functional Health Behaviors in African American Patients with Systemic Lupus ErythematosusEdith M. Williams1*, Larisa Bruner2, Megan Penfield3, Diane Kamen4, James C. Oates4
- *Corresponding Author:
- Edith M. Williams
Institute for Partnerships to Eliminate Health Disparities
University of South Carolina; 220 Stoneridge Drive
Suite 103; Columbia, SC 29210
E-mail: [email protected]
Received Date: October 15, 2014; Accepted Date: October 31, 2014; Published Date: November 7, 2014
Citation: Williams EM, Bruner L, Penfield M, Kamen D, Oates JC (2014) Stress and Depression in Relation to Functional Health Behaviors in African American Patients with Systemic Lupus Erythematosus. Rheumatology (Sunnyvale) S4:005. doi: 10.4172/2161-1149.S4-005
Copyright: © 2014 Williams EM, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Objective: While increased psychological distress in SLE has been clinically and empirically reported, the relationship between emotional distress, treatment adherence, and disease activity are complex and even more unclear in African American lupus patients. In an effort to elucidate this phenomenon in these patients, this exploratory study aimed to investigate relationships between stress, depression, and various health behaviors in this group. Methods: Thirty patients invited to participate in this study were African American systemic lupus erythematosus (SLE) patients attending rheumatology clinics at the Medical University of South Carolina (MUSC). This study was part of a larger interventional pilot study, the Balancing Lupus Experiences with Stress Strategies (BLESS) study, that included a comprehensive battery of psychosocial, quality of life, and behavior change measures. Results: When looking at the association between anxiety/stress and functionality, levels of reported stress had strong effects upon functionality, especially between health distress and functionality. When looking at the association between depressive symptoms and functionality, depressive symptoms had moderate effects upon social/role limitations and nights spent in the hospital. Conclusion: Not only did the larger pilot project demonstrate significant reductions in stress and depression as a result of workshop participation; this nested study also showed that those improvements were positively associated with improved health behaviors. These results could have implications for developing interventions to improve disease experience and quality of life in SLE patients with stress and depression.