title: [Depressive disorder in Mexican pediatric patients with systemic lupus erythematosus (SLE)].
abstract: OBJECTIVE
  To identify the prevalence of depression in Mexican pediatric patients with systemic lupus erythematosus.
  
  
  METHODS
  Analytical transversal study including patients aged 7-16 years with a diagnosis of systemic lupus erythematosus seen at the Pediatric Rheumatology Consultation Service. The disease was classified by means of the MEX-SLEDAI questionnaire. Descriptive statistics with central tendency and dispersion and comparative measurements with chi-squared and Mann-Whitney U tests. Logistic regression and association with odds ratios. SPSS v.21.0 statistical software package.
  
  
  RESULTS
  We evaluated 45 patients who presented depression, n=9 (20%), including eight females (89%) and one male (11%), median age 13 years (range, 7-16) in children with depression vs. 13 years (range, 9-14) p=0.941, depression more frequent in schoolchildren. Habitual residence, disease evolution time, and duration of the immunosuppressor did not show a significant difference between both groups. Divorced parents p=0.037. Neuropsychiatric manifestations of lupus presented in 2.2% of all patients and in 100% of patients with depression. Disease activity index (MEX-SLEDAI) did not demonstrate a relationship with the presence of depression.
  
  
  CONCLUSIONS
  Prevalences in pediatric populations are less that that reported in adults, association with disease activity, evolution time, and immunosuppressor use and duration not found.
authors.affiliation: Servicio de Reumatología Pediátrica, Centro Médico Nacional de Occidente, IMSS. Centro Universitario de Ciencias de la Salud, Universidad de Guadalajara, Guadalajara, Jal., México.
authors.forename: Hilda Lilian
authors.initials: HL
authors.lastname: Carbajal-Alonso
authors.affiliation: Servicio de Pediatría Médica, Centro Médico Nacional de Occidente, IMSS. Centro Universitario de Ciencias de la Salud, Universidad de Guadalajara, Guadalajara, Jal., México.
authors.forename: Norberta Prisilia
authors.initials: NP
authors.lastname: García-Moreno
authors.affiliation: Servicio de Epidemiología Hospitalaria, Centro Médico Nacional de Occidente, IMSS. Centro Universitario de Ciencias de la Salud, Universidad de Guadalajara, Guadalajara, Jal., México.
authors.forename: Brenda
authors.initials: B
authors.lastname: Rodríguez-Arreola
authors.affiliation: UMAE Hospital de Pediatría, Centro Médico Nacional de Occidente, IMSS. Centro Universitario de Ciencias de la Salud, Universidad de Guadalajara, Guadalajara, Jal., México.
authors.forename: Juan Carlos
authors.initials: JC
authors.lastname: Barrera de León
mesh_terms: D000293:Adolescent; D002648:Child; D003430:Cross-Sectional Studies; D003866:Depressive Disorder / Q000453:epidemiology* / Q000209:etiology*; D005260:Female; D006801:Humans; D008180:Lupus Erythematosus, Systemic / Q000150:complications*; D008297:Male; D008800:Mexico / Q000453:epidemiology; D015995:Prevalence