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International Journal of Behavioral Medicine
Published in: International Journal of Behavioral Medicine 2/2012

01-06-2012

Body Image in Patients with Systemic Lupus Erythematosus

Authors: Meenakshi Jolly, A. Simon Pickard, Rachel A. Mikolaitis, Jessica Cornejo, Winston Sequeira, Thomas F. Cash, Joel A. Block

Published in: International Journal of Behavioral Medicine | Issue 2/2012

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Abstract

Background

Systemic lupus erythematosus (SLE), a multisystemic disease of young women may be disfiguring and affect physical and emotional health. Body image literature in SLE is scant and controversial.

Purpose

We compared body image-related quality of life in subjects with (n = 87) and without (n = 78) SLE and determined its correlates using the body image quality of life inventory (BIQLI).

Method

The tool was self-administered to consenting individuals. Demographic information along with disease activity and damage assessments for SLE patients were obtained. T test, chi square test, correlational, and regression analyses were used to make comparisons.

Results

Mean age (±SD) were 42.4 ± 13.1 and 38.7 ± 13.2 years for SLE and non-SLE subjects, respectively. Mean (±SD) BIQLI scores were significantly worse in SLE than non-SLE subjects: 19.9 ± 33.2 and 41.6 ± 24.8 (p = 0.001). In SLE, BIQLI scores correlated inversely with overall damage, irreversible cutaneous damage, alopecia, and self-reported depression, and directly with age and health status.

Conclusion

Body image in SLE is poor, and effective interventions may be directed at cutaneous disease activity, damage, and depression.
Literature
1.
Pruzinsky T, Cash TF. Understanding body images. In: Cash TF, Pruzinsky T, editors. Body image. New York: Guildford Press; 2002. p. 3–12.
2.
Carver CS, Pozo-Kaderman C, Price AA, Noriega V, Harris SD, Derhagopian RP, et al. Concern about aspects of body image and adjustment to early stage breast cancer. Psychosom Med. 1998;60(2):168–74.PubMed
3.
Fobair P, Stewart SL, Chang S, et al. Body image and sexual problems in young women with breast cancer. Psycho-oncology. 2006;15(7):579–94.PubMedCrossRef
4.
5.
6.
Cohen MZ, Kahn DL, Steeves RH. Beyond body image: the experience of breast cancer. Oncol Nurs Forum. 1998;25(5):835–41.PubMed
7.
White CA. Body image dimensions and cancer: a heuristic cognitive behavioural model. Psycho-Oncology. 2000;9(3):183–92.PubMedCrossRef
8.
Rosen RC, Taylor JF, Leiblum SR, Bachmann GA. Prevalence of sexual dysfunction in women: results of a survey study of 329 women in an outpatient gynecological clinic. J Sex Marital Ther. 1993;19(3):171–88.PubMedCrossRef
9.
Cornwell CJ, Schmitt MH. Perceived health status, self-esteem and body image in women with rheumatoid arthritis or systemic lupus erythematosus. Res Nurs Health. 1990;13(2):99–107.PubMedCrossRef
10.
Monaghan SM, Sharpe L, Denton F, Levy J, Schrieber L, Sensky T. Relationship between appearance and psychological distress in rheumatic diseases. Arthritis Rheum. 2007;57(2):303–9.PubMedCrossRef
11.
Hale ED, Treharne GJ, Norton Y, Lyons AC, Douglas KM, Erb N, et al. ‘Concealing the evidence’: the importance of appearance concerns for patients with systemic lupus erythematosus. Lupus. 2006;15(8):532–40.PubMedCrossRef
12.
Moses N, Wiggers J, Nicholas C, Cockburn J. Prevalence and correlates of perceived unmet needs of people with systemic lupus erythematosus. Patient Educ Couns. 2005;57(1):30–8.PubMedCrossRef
13.
Stein H, Walters K, Dillon A, Schulzer M. Systemic lupus erythematosus—a medical and social profile. J Rheumatol. 1986;13(3):570–6.PubMed
14.
Hochberg MC. Updating the American College of Rheumatology revised criteria for the classification of systemic lupus erythematosus. Arthritis Rheum. 1997;40(9):1725.PubMedCrossRef
15.
Cash TF, Fleming EC. The impact of body image experiences: development of the body image quality of life inventory. Int J Eat Disord. 2002;31(4):455–60.PubMedCrossRef
16.
Cash TF, Grasso K. The norms and stability of new measures of the multidimensional body image construct. Body Image Int J Research. 2004;2:199–203.CrossRef
17.
Cash TF, Jakatdar TA, Fleming WE. The Body Image Quality of Life Inventory: further validation with college men and women. Body Image Int J Research. 2004;1:279–87.CrossRef
18.
Brazier J, Roberts J, Deverill M. The estimation of a preference-based measure of health from the SF-36. J Health Econ. 2002;21(2):271–92.PubMedCrossRef
19.
Ware JE. The SF-36 Health Survey. In: Spiker B, editor. Quality of life and pharmacoeconomics in clinical trials. Philadelphia: Lippincott-Raven; 1996. p. 337–45.
20.
Fernandez M, Alarcon GS, McGwin Jr G, Sanchez ML, Apte M, Vila LM, et al. Using the Short Form 6D, as an overall measure of health, to predict damage accrual and mortality in patients with systemic lupus erythematosus: XLVII, results from a multiethnic US cohort. Arthritis Rheum. 2007;57(6):986–92.PubMedCrossRef
21.
Group EuroQoL. EuroQoL—a new facility for the measurement of health related quality of life. Health Policy. 1990;16:199–208.CrossRef
22.
Jolly M, Utset TO. Can disease specific measures for systemic lupus erythematosus predict patients health related quality of life? Lupus. 2004;13(12):924–6.PubMedCrossRef
23.
Kuriya B, Gladman DD, Ibanez D, Urowitz MB. Quality of life overtime in patients with systemic lupus erythematosus. Arthritis Rheum. 2008;59(2):181–5.PubMedCrossRef
24.
Petri M, Kim MY, Kalunian KC, Grossman J, Hahn BH, Sammaritano LR, et al. Combined oral contraceptives in women with systemic lupus erythematosus. N Engl J Med. 2005;353(24):2550–8.PubMedCrossRef
25.
Gladman D, Ginzler E, Goldsmith C, Fortin P, Liang M, Urowitz M, et al. The development and initial validation of the Systemic Lupus International Collaborating Clinics/American College of Rheumatology damage index for systemic lupus erythematosus. Arthritis Rheum. 1996;39(3):363–9.PubMedCrossRef
26.
Orme JG, Reis J, Herz EJ. Factorial and discriminant validity of the Center for Epidemiological Studies Depression (CES-D) scale. J Clin Psychol. 1986;42(1):28–33.PubMedCrossRef
27.
Radolff LS. The CES-D scale: a self-report depression scale for research in general population. Appl Psych Meas. 1977;1:385–401.CrossRef
28.
Derogatis LR, The MN. The DSFI: a multidimensional measure of sexual functioning. J Sex Marital Ther. 1979;5(3):244–81.PubMedCrossRef
29.
Curry SL, Levine SB, Corty E, Jones PK, Kurit DM. The impact of systemic lupus erythematosus on women's sexual functioning. J Rheumatol. 1994;21(12):2254–60.PubMed
30.
Seawell AH, Danoff-Burg S. Body image and sexuality in women with systemic lupus erythematosus. Sex Roles. 2005;53:865–76.CrossRef
31.
Striegel-Moore RH, Franko DL. Body image issues among girls and women. In: Cash TF, Pruzinsky T, editors. Body image. New York: Guilford Press; 2002. p. 183–91.
32.
Clark MM. The relationship of body image dissatisfaction to cigarette smoking in college students. Body Image. 2005;2(3):263–70.PubMedCrossRef
33.
Littleton H, Breitkopf CR, Berenson A. Body image and risky sexual behaviors: an investigation in a tri-ethnic sample. Body Image. 2005;2(2):193–8.PubMedCrossRef
34.
Pikler V. Racial and body image differences in coping for women diagnosed with breast cancer. Health Psychol. 2003;22(6):632–7.PubMedCrossRef
35.
Pope C. Clinical features of muscle dysmorphia among males with body dysmorphic disorder. Body Image. 2005;2(4):395–400.PubMedCrossRef
36.
Lichtenthal WG. Investment in body image among patients diagnosed with or at risk for malignant melanoma. Body Image. 2005;2(1):41–52.PubMedCrossRef
37.
Austin JS, Maisiak RS, Macrina DM, Heck LW. Health outcome improvements in patients with systemic lupus erythematosus using two telephone counseling interventions. Arthritis Care Res. 1996;9(5):391–9.PubMedCrossRef
38.
Trask PC, Paterson AG, Griffith KA, Riba MB, Schwartz JL. Cognitive-behavioral intervention for distress in patients with melanoma: comparison with standard medical care and impact on quality of life. Cancer. 2003;98(4):854–64.PubMedCrossRef
39.
Antoni MH, Lechner SC, Kazi A, Wimberly SR, Sifre T, Urcuyo KR, et al. How stress management improves quality of life after treatment for breast cancer. J Consult Clin Psychol. 2006;74(6):1143–52.PubMedCrossRef
40.
Garley A, Unwin J. A case series to pilot cognitive behaviour therapy for women with urinary incontinence. Br J Health Psychol. 2006;11(Pt 3):373–86.PubMedCrossRef
41.
Penedo FJ, Molton I, Dahn JR, Shen BJ, Kinsinger D, Traeger L, et al. A randomized clinical trial of group-based cognitive-behavioral stress management in localized prostate cancer: development of stress management skills improves quality of life and benefit finding. Ann Behav Med. 2006;31(3):261–70.PubMedCrossRef
42.
Giesler RB, Given B, Given CW, Rawl S, Monahan P, Burns D, et al. Improving the quality of life of patients with prostate carcinoma: a randomized trial testing the efficacy of a nurse-driven intervention. Cancer. 2005;104(4):752–62.PubMedCrossRef
43.
Nye S, Cash TF. Outcomes of manualized cognitive-behavioral body image therapy with eating disordered women treated in a private clinical practice. Brunner-Mazel Eat Dis Monogr Ser. 2006;14(1):31–40.
44.
Butters JW, Cash TF. Cognitive behavioral treatment of women’s body image dissatisfaction. J Consult Clin Psychol. 1987;55:889–97.PubMedCrossRef
45.
Grant JR, Cash TF. Cognitive-behavioral body image therapy: comparative efficacy of group and modest-contact treatments. Behav Ther. 1995;26:69–84.CrossRef
46.
Strachan MD, Cash TF. Self-help for a negative body image: a comparison of components of a cognitive behavioral program. Behav Ther. 2002;33:235–51.CrossRef
47.
Jarry JL, Karen IP. The effectiveness of stand-alone cognitive behavioral therapy for body image: a meta-analysis. Body Image. 2005;2:317–31.PubMedCrossRef
48.
Fisher E, Thompson JK. A comparative evaluation of cognitive behavioral therapy versus exercise therapy for the treatment of body image disturbance. Behav Modif. 1994;18(2):171–85.PubMedCrossRef
Metadata
Title
Body Image in Patients with Systemic Lupus Erythematosus
Authors
Meenakshi Jolly
A. Simon Pickard
Rachel A. Mikolaitis
Jessica Cornejo
Winston Sequeira
Thomas F. Cash
Joel A. Block
Publication date
01-06-2012
Publisher
Springer US
Published in
International Journal of Behavioral Medicine / Issue 2/2012
Print ISSN: 1070-5503
Electronic ISSN: 1532-7558
DOI
https://doi.org/10.1007/s12529-011-9154-9

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