Insomnia symptoms, perceived stress and coping strategies in patients with systemic lupus erythematosus. (August 2016)

• Record Type: Journal Article
• Authors: Palagini, L; Mauri, M; Faraguna, U; Carli, L; Tani, C; Dell'Osso, L; Mosca, M; Riemann, D
• Is Part Of: Lupus. Volume 25:Number 9(2016)
• Page Start: 988
• Page End: 996
• Publication Date: 2016-08
• Subjects: Neuropsychiatric lupus -- systemic lupus erythematosus -- nephritis; Systemic lupus erythematosus -- Periodicals; 616.772005
• DOI: 10.1177/0961203316631630
• Languages: English
• ISSNs: 0961-2033

Abstract

Objective: The aim of this study is to evaluate perceived stress and coping strategies in individuals with systemic lupus erythematosus (SLE) according to the presence of insomnia symptoms, using a set of variables that include anxiety and depressive symptoms evaluation. Methods: Ninety SLE women were evaluated in a cross-sectional study using the Perceived Stress Scale (PSS), Brief COPE, Pittsburgh Sleep Quality Index (PSQI), Insomnia Severity Index (ISI), Beck Depression Inventory (BDI) and Self-rating Anxiety Scale (SAS). Results: Individuals with insomnia symptoms ( n = 57, 66%) presented higher PSS ( p < 0.001), PSQI ( p < 0.0001), BDI, ( p < 0.0001) scores and showed less-effective coping strategies such as the use of behavioral disengagement ( p = 0.04), self-blame ( p = 0.02) and emotional-focused coping ( p = 0.001). In a multi-regression model ISI was the independent determinant of high PSS and of behavioral disengagement; PSQI was the only determinant of self-blame ( p = 0.02) and emotional-focused coping. Conclusions: SLE individuals with insomnia symptoms show high levels of perceived stress and more frequent use of disengaging and emotional-focused coping strategies. This body of evidence suggests that individuals with SLE and comorbid insomnia symptoms may therefore require additional interventions for insomnia.