Prevalence and severity of depression and anxiety in patients with systemic lupus erythematosus: An epidemiologic study in Iranian patients


Abstract: Objectives . We aimed to evaluate the prevalence of depression and anxiety in patients with systemic lupus erythematosus (SLE) and explore their association with demographic and clinical features. Methods. In this cross-sectional study, 166 SLE patients in rheumatology center of Shariati hospital, Tehran University of Medical Sciences were enrolled. SLE disease activity index (SLEDAI) and Beck and Cattell inventories for evaluation of depression and anxiety were completed for each patient. Results. The mean age of patients was 33.1  11.1 years and 92.2% of them were female. Two patients (1.2%) had only depression (without anxiety), while 36 patients (21.6%) had only anxiety (without depression). Meanwhile, 105 patients (63.3%) had mixed depression – anxiety and 23 patients (13.8%) did not have either depression or anxiety. Mean daily dose of prednisolone and number of administered drugs did not show signifi cant diff erence between diff erent subgroups of patients. In assessment of clinical and therapeutic items, no signifi cant correlation between severity of depression ( P  0.65) and anxiety ( P  0.36) with daily dose of prednisolone in SLE patients was observed. There was no signifi cant association between SLEDAI and severity of depression or anxiety. Occupational status had signifi cant correlation with severity of depression and anxiety ( P  0.005).On the contrary, no signifi cant correlation between number of administered drugs and severity of depression and anxiety was present. Conclusion. This study indicated the high prevalence of depression and anxiety among SLE patients and reinforced the need of a comprehensive psychiatric work-up in SLE.Keywords Anxiety , Depression , Systemic lupus erythematosus