Background Resilience is the human capacity to respond positively to adverse situations, enabling individuals to achieve, maintain, or recover physical or emotional health after devastating illness, losses, or other stressful situations. Resilience may be an important factor in health promotion.
Objectives The aim of this study was to evaluate resilience and possible associated factors in patients with systemic lupus erythematosus (SLE).
Methods In a cross-sectional study, 123 SLE women and 133 age-matched controls were evaluated using the Spanish version of Wagnild and Young's Resilience Scale (WYRS, 1993). SLE patients underwent a structured interview to collect sociodemographic data, including socioeconomic status measured by the Graffar method. The Center for Epidemiologic Studies Depression Scale (CES-D) was used to measure depressive symptoms.
Results The median age and duration disease of SLE women was 45 (IQR: 34–54) years and 11 (IQR: 8–15) years, respectively. Thirty-three percent had depressive symptoms (CESD score ≥16). Resilience scores did not differ between patients and controls (median 80 IQR: 75–87 vs.80 IQR: 74–85;p=0.38). However, patients with SLE had a higher personal competence factor than controls. Personal competence factor correlated negatively with age and socioeconomic status (R= -0.220, p: 0.05 and R= -0.357, p<0.001) and positively with educational level (R=0.324, p<0.001). Less resilience (lower WYRS scores) correlated with depressed mood (higher CESD scores) (R= -0.537, p<0.001).
Conclusions Resilience in patients with SLE did not differ from that of controls. Age, socioeconomic status and depressive symptoms correlated with low resilience. Educational level correlated with higher resilience.
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Acknowledgements We would like to thank David Buss for his valuable guidance and advice during this project.
Disclosure of Interest None declared
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