Influencing factors of self-disclosure and its impact on quality of life in patients with systemic lupus erythematosus. (February 2023)

• Record Type: Journal Article
• Authors: Hu, Yang; Gao, Rui-Chen; Sang, Ni; Wu, Li; Shi, Pei-Li; Wu, Guo-Cui
• Is Part Of: Lupus. Volume 32:Number 2(2023)
• Page Start: 207
• Page End: 215
• Publication Date: 2023-02
• Subjects: Systemic lupus erythematosus -- self-disclosure -- quality of life -- social support; Systemic lupus erythematosus -- Periodicals; 616.772005
• DOI: 10.1177/09612033221143935
• Languages: English
• ISSNs: 0961-2033

Abstract

Background: Self-disclosure may enhance positive illness perceptions, whereas patients with systemic lupus erythematosus (SLE) always facing negative illness perceptions due to multiple reasons, so elucidation of factors affecting self-disclosure may facilitate the development of quality of life. Methods: A total of 161 hospitalized patients with SLE were recruited. Scales on demographic and clinical characteristics, self-disclosure, psychosocial status (e.g. Social Support Rating Scale – SSRS) and quality of life were used to collect related information from clients. Univariate analysis was performed by Kruskal–Wallis rank-sum test or chi-square test, and multivariate analysis by ordinal logistic regression. Results: Social support, drinking, depression and cause of hospitalization were found to be influencing factors of self-disclosure. Multiple logistic regression analyses revealed that the significant and independent factors associated with self-disclosure in patients with SLE were social support, drinking and depression. Domains of LupusQoL, except physical health and fatigue, were positively correlated with self-disclosure. Conclusions: With the increase of social support, the level of self-disclosure become worse, drinking, depression and cause of hospitalization are risk factors for it. Moreover, the level of self-disclosure is positively related to the LupusQoL. Medical staff should formulate effective measures according to the results to improve self-disclosure in patients with SLE and promote their quality of life.