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Published in: Journal of Clinical Psychology in Medical Settings 4/2007

01-12-2007

Lupus Symptoms Inventory (LSI): Development and Validation of a Self-evaluation Inventory of the Subjective Symptoms of Systemic Lupus Erythematosus

Authors: María Isabel Peralta-Ramírez, A. Verdejo, M. A. Muñoz, J. M. Sabio, J. F. Jiménez-Alonso, M. Pérez-García

Published in: Journal of Clinical Psychology in Medical Settings | Issue 4/2007

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Abstract

The goal of this study was to develop a simple, easy, and quick self-report measure, the Lupus Symptom Inventory (LSI), designed to evaluate subjective symptoms of Systemic Lupus Erythematosus (SLE). The internal consistency of the LSI was tested, as well as its concordance with physician reports and serological indicators of disease activity by evaluating the self-reports of 46 patients with SLE who completed the LSI daily for a one-month period. Throughout this one-month period, parameters of serological activity and routine medical check-up were obtained. The results showed a high internal consistency of the LSI, with a Cronbach alpha of .86. Additionally, a contingency analysis showed agreement between medical report and patient self-report on the same day for six of seven lupus symptoms (difficulty breathing (p < .004), joint pain (p < .001), loss of appetite (p < .003), general malaise (p < .005), fatigue (p < .005), and skin rash (p < .018)) but not for abdominal symptoms. Finally, differences were found between LSI scores of patients with high versus low serological activity (χ2(1) = 5.302; p < .021), with the former presenting higher LSI scores than the latter. These results show that the LSI may be a reliable and valid instrument for evaluating the subjective symptoms of the disease as well as its fluctuations.
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Literature
go back to reference Adams, S. J., Dammers, P. M., Saia, T. L., Brantley, P. J., & Gaydos, G. R. (1994). Stress, depression and anxiety predict average symptom severity and daily symptom fluctuation in systemic lupus erythematosus. Journal of Behavioral Medicine, 17, 459–477.PubMedCrossRef Adams, S. J., Dammers, P. M., Saia, T. L., Brantley, P. J., & Gaydos, G. R. (1994). Stress, depression and anxiety predict average symptom severity and daily symptom fluctuation in systemic lupus erythematosus. Journal of Behavioral Medicine, 17, 459–477.PubMedCrossRef
go back to reference Beck, A. T., Steer, R. A., & Garbin, M. G. (1988). Psychometric properties of the Beck Depression Inventory: Twenty-five years of evaluation. Clinical Psychology Review, 8, 77–100.CrossRef Beck, A. T., Steer, R. A., & Garbin, M. G. (1988). Psychometric properties of the Beck Depression Inventory: Twenty-five years of evaluation. Clinical Psychology Review, 8, 77–100.CrossRef
go back to reference Bombardier, C., Gladman, D. D., Urowitz, M. B., Caron, D., & Chang, C. H. (1992). Derivation of the SLEDAI. A disease activity index for lupus patients. The Committee on Prognosis Studies in SLE. Arthritis and Rheumatism, 35, 630–640.PubMedCrossRef Bombardier, C., Gladman, D. D., Urowitz, M. B., Caron, D., & Chang, C. H. (1992). Derivation of the SLEDAI. A disease activity index for lupus patients. The Committee on Prognosis Studies in SLE. Arthritis and Rheumatism, 35, 630–640.PubMedCrossRef
go back to reference Burckhardt, C. S., & Bjelle, A. (1996). Perceived control: A comparison of women with fibromyalgia, rheumatoid arthritis, and systemic lupus erythematosus using a Swedish version of the Rheumatology Attitudes Index. Scandinavian Journal of Rheumatology, 25, 300–306.PubMedCrossRef Burckhardt, C. S., & Bjelle, A. (1996). Perceived control: A comparison of women with fibromyalgia, rheumatoid arthritis, and systemic lupus erythematosus using a Swedish version of the Rheumatology Attitudes Index. Scandinavian Journal of Rheumatology, 25, 300–306.PubMedCrossRef
go back to reference Chang, E. R., Abramowicz, M., Ferland, D., & Fortin, P. R. (2002). Organ manifestations influence differently the responsiveness of two lupus disease activity measures, according to patient’ or physicians’ evaluations of recent lupus activity. Journal of Rheumatology, 29, 2350–2358.PubMed Chang, E. R., Abramowicz, M., Ferland, D., & Fortin, P. R. (2002). Organ manifestations influence differently the responsiveness of two lupus disease activity measures, according to patient’ or physicians’ evaluations of recent lupus activity. Journal of Rheumatology, 29, 2350–2358.PubMed
go back to reference Font, J., Cervera, R., Ramos-Casals, M., Garcia-Carrasco, M., Sents J., Herrero C., et al. (2004). Clusters of clinical and immunologic features in systemic lupus erythematosus: Analysis of 600 patients from a single center. Seminars in Arthritis and Rheumatism, 33, 217–230.PubMedCrossRef Font, J., Cervera, R., Ramos-Casals, M., Garcia-Carrasco, M., Sents J., Herrero C., et al. (2004). Clusters of clinical and immunologic features in systemic lupus erythematosus: Analysis of 600 patients from a single center. Seminars in Arthritis and Rheumatism, 33, 217–230.PubMedCrossRef
go back to reference Gladman, D., Urowitz, M. B., Goldsmith, C., Fortin, P., Ginzler, E., & Gordon, C., (1997). The reliability of the SLICC/ACR damage index in patients with SLE. Arthritis and Rheumatism, 40, 809–813.PubMedCrossRef Gladman, D., Urowitz, M. B., Goldsmith, C., Fortin, P., Ginzler, E., & Gordon, C., (1997). The reliability of the SLICC/ACR damage index in patients with SLE. Arthritis and Rheumatism, 40, 809–813.PubMedCrossRef
go back to reference Guillemin, F. (2003). How to assess musculoskeletal conditions. Assessment of disease activity. Best Practice and Research in Clinical Rheumatology, 17, 415–426.CrossRef Guillemin, F. (2003). How to assess musculoskeletal conditions. Assessment of disease activity. Best Practice and Research in Clinical Rheumatology, 17, 415–426.CrossRef
go back to reference Hochberg, M. C. (1997). Updating the American College of Rheumatology revised criteria for the classification of systemic lupus erythematosus. Arthritis and Rheumatism, 40, 1725.PubMedCrossRef Hochberg, M. C. (1997). Updating the American College of Rheumatology revised criteria for the classification of systemic lupus erythematosus. Arthritis and Rheumatism, 40, 1725.PubMedCrossRef
go back to reference Horak, P., Scudla, V., Hermanovo, Z., Pospisil, Z., Faltynek, L., Budikova, M., & Kusa, L. (2001). Clinical utility of selected disease activity markers in patients with systemic lupus erythematosus. Clinical Rheumatology, 20, 337–344.PubMedCrossRef Horak, P., Scudla, V., Hermanovo, Z., Pospisil, Z., Faltynek, L., Budikova, M., & Kusa, L. (2001). Clinical utility of selected disease activity markers in patients with systemic lupus erythematosus. Clinical Rheumatology, 20, 337–344.PubMedCrossRef
go back to reference Karlson, E. W., Daltroy, L. H., Rivest, C., Ramsey-Goldman, R., Wright, E. A., Partridge, A. J., et al. (2003). Validation of a Systemic Lupus Activity Questionnaire (SLAQ) for population studies. Lupus, 12, 280–286.PubMedCrossRef Karlson, E. W., Daltroy, L. H., Rivest, C., Ramsey-Goldman, R., Wright, E. A., Partridge, A. J., et al. (2003). Validation of a Systemic Lupus Activity Questionnaire (SLAQ) for population studies. Lupus, 12, 280–286.PubMedCrossRef
go back to reference McAlindon, T. E., Formica, M., Palmer, J. R., Lafyatis, R., & Rosenberg, L. (2003). Assessment of strategies for identifying diagnosed cases of systemic lupus erythematosus through self-report. Lupus, 12, 754–759.PubMedCrossRef McAlindon, T. E., Formica, M., Palmer, J. R., Lafyatis, R., & Rosenberg, L. (2003). Assessment of strategies for identifying diagnosed cases of systemic lupus erythematosus through self-report. Lupus, 12, 754–759.PubMedCrossRef
go back to reference Neville, C., Clarke, A. E., Joseph, L., Belisle, P., Ferland, D., & Fortín, P. (2000). Learning from discordance in patient and physician global assessments of systemic lupus erythematosus disease activity. Journal of Rheumatology, 27, 675–679.PubMed Neville, C., Clarke, A. E., Joseph, L., Belisle, P., Ferland, D., & Fortín, P. (2000). Learning from discordance in patient and physician global assessments of systemic lupus erythematosus disease activity. Journal of Rheumatology, 27, 675–679.PubMed
go back to reference Peralta-Ramírez, M. I., Jiménez-Alonso, J. F., Godoy-García, J. F., & Pérez-García, M., (2004). The effects of daily stress and stressful life events on the clinical symptomatology of patients with lupus erythematosus. Psychosomatic Medicine, 66, 788–794.PubMedCrossRef Peralta-Ramírez, M. I., Jiménez-Alonso, J. F., Godoy-García, J. F., & Pérez-García, M., (2004). The effects of daily stress and stressful life events on the clinical symptomatology of patients with lupus erythematosus. Psychosomatic Medicine, 66, 788–794.PubMedCrossRef
go back to reference Spielberg, C. D., Gorsuch, R. L., & Lushene, R. E. (1997). STAI. Cuestionario de Ansiedad Estado-Rasgo. Manual (4ª Edición Revisada). Madrid: TEA Ediciones S.A. Spielberg, C. D., Gorsuch, R. L., & Lushene, R. E. (1997). STAI. Cuestionario de Ansiedad Estado-Rasgo. Manual (4ª Edición Revisada). Madrid: TEA Ediciones S.A.
go back to reference Steinberg, A. D. (1992). Systemic lupus erythematosus. In J. B. Wyngaardeen, L. H. Smith, & J. C. Bennett (Eds.), Cecil textbook of medicine, Vol. 2 (pp. 1522–1530). Philadelphia: W.B. Saunders. Steinberg, A. D. (1992). Systemic lupus erythematosus. In J. B. Wyngaardeen, L. H. Smith, & J. C. Bennett (Eds.), Cecil textbook of medicine, Vol. 2 (pp. 1522–1530). Philadelphia: W.B. Saunders.
go back to reference Tan, E. M., Cohen, A. S., Fries, J. F., Masi, A. T., McShane, D. J., Rothfield, N. F., et al. (1982). The 1982 revised criteria for the classification of systemic lupus erythematosus. Arthritis and Rheumatism, 25, 1271–1277.PubMedCrossRef Tan, E. M., Cohen, A. S., Fries, J. F., Masi, A. T., McShane, D. J., Rothfield, N. F., et al. (1982). The 1982 revised criteria for the classification of systemic lupus erythematosus. Arthritis and Rheumatism, 25, 1271–1277.PubMedCrossRef
go back to reference Tayer, W. G., Nicassio, P. M., Weisman, M. H., Schuman, C., & Daly, J. (2001). Disease status predicts fatigue in systemic lupus erythematosus. Journal of Rheumatology, 28, 1999–2007.PubMed Tayer, W. G., Nicassio, P. M., Weisman, M. H., Schuman, C., & Daly, J. (2001). Disease status predicts fatigue in systemic lupus erythematosus. Journal of Rheumatology, 28, 1999–2007.PubMed
go back to reference Wais, T., Fierz, W., Stoll, T., & Villiger, P. M., (2003). Subclinical disease activity in systemic lupus erythematosus: Immunoinflammatory markers do not normalize in clinical remission. Journal of Rheumatology, 30, 2133–2139.PubMed Wais, T., Fierz, W., Stoll, T., & Villiger, P. M., (2003). Subclinical disease activity in systemic lupus erythematosus: Immunoinflammatory markers do not normalize in clinical remission. Journal of Rheumatology, 30, 2133–2139.PubMed
go back to reference Yen, J. C., Abrahamowicz, M., Dobkin, P. L., Clarke, A. E., Battista, R. N., & Fortin, P. R. (2003). Determinants of discordance between patients and physicians in their assessment of lupus disease activity. Journal of Rheumatology, 30, 1967–1976.PubMed Yen, J. C., Abrahamowicz, M., Dobkin, P. L., Clarke, A. E., Battista, R. N., & Fortin, P. R. (2003). Determinants of discordance between patients and physicians in their assessment of lupus disease activity. Journal of Rheumatology, 30, 1967–1976.PubMed
Metadata
Title
Lupus Symptoms Inventory (LSI): Development and Validation of a Self-evaluation Inventory of the Subjective Symptoms of Systemic Lupus Erythematosus
Authors
María Isabel Peralta-Ramírez
A. Verdejo
M. A. Muñoz
J. M. Sabio
J. F. Jiménez-Alonso
M. Pérez-García
Publication date
01-12-2007
Publisher
Springer US
Published in
Journal of Clinical Psychology in Medical Settings / Issue 4/2007
Print ISSN: 1068-9583
Electronic ISSN: 1573-3572
DOI
https://doi.org/10.1007/s10880-007-9086-3

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