DSM-III-R classification of psychiatric symptoms in systemic lupus erythematosus.
DSM-III-R criteria applied in the evaluation of 88 systemic lupus erythematosus patients revealed a point prevalence rate of 18.2% for psychiatric disorders, the most common diagnosis being adjustment disorder (11.4%). No patients had disorders compatible with a functional psychosis. Psychiatric morbidity was not associated with increased disease activity, corticosteroid use, brain magnetic resonance imaging abnormalities, or electroencephalogram abnormalities. High scores on a life event scale were associated with psychiatric disorders, suggesting that psychosocial stress is etiologically important. Cognitive testing showed that poor performance on the Stroop Colour-Word Inference Test was associated with psychiatric disorders.
Hugo
F J
FJ
Department of Psychiatry, Stellenbosch University, Tygerberg Hospital, Cape Town, South Africa.
Halland
A M
AM
Spangenberg
J J
JJ
Whitelaw
D A
DA
Rickman
R C
RC
Hewlett
R H
RH
Reid
J
J
Maritz
J S
JS
Emsley
R A
RA
D000293:Adolescent; D000328:Adult; D003072:Cognition Disorders / Q000175:diagnosis / Q000209:etiology; D005260:Female; D006801:Humans; D008016:Life Change Events; D008180:Lupus Erythematosus, Systemic / Q000523:psychology*; D008297:Male; D001523:Mental Disorders / Q000175:diagnosis* / Q000209:etiology*; D008875:Middle Aged; D015995:Prevalence; D011569:Psychiatric Status Rating Scales; D011581:Psychological Tests