Hostname: page-component-78c5997874-8bhkd Total loading time: 0 Render date: 2024-11-17T13:10:30.378Z Has data issue: false hasContentIssue false
  • English
  • Français

Psychiatric Manifestation of Systemic Lupus Erythematosus in Singapore a Cross-cultural Comparison

Published online by Cambridge University Press:  02 January 2018

Lionel Chee-Chong Lim ,
Tock-Eng Lee  and
Mee-Ling Boey
Lionel Chee-Chong Lim*
Affiliation:
Department of Psychological Medicine, National University of Singapore
Tock-Eng Lee
Affiliation:
Tan Tock Seng Hospital
Mee-Ling Boey
Affiliation:
Tan Tock Seng Hospital
*
∗c/o Department of Psychological Medicine, Institute of Psychiatry, De Crespigny Park, London SE5 8AF
Get access Rights & Permissions [Opens in a new window]

Abstract

In a case-control, cross-cultural study of the psychiatric morbidity of systemic lupus erythematosus in an Oriental population, 30 patients suffering from SLE and 29 controls with rheumatoid arthritis were interviewed. The SLE patients in Singapore exhibited greater psychiatric morbidity than their Western counterparts. Significant correlation was observed between psychiatric morbidity and the clinical disease activity. The patient's perception of the severity of arthritis, myalgia and dermatological lesions was an important aetiological factor. Culturally determined, disease-related psychological stresses also contributed to the psychopathology.

Type
Papers
Information
The British Journal of Psychiatry , Volume 159 , Issue 4 , October 1991 , pp. 520 - 523
Copyright
Copyright © 1991 The Royal College of Psychiatrists 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

American Psychiatric Association (1980) Diagnostic and Statistical Manual of Mental Disorders (3rd edn) (DSM—III). Washington: APA.Google Scholar
Beck, A. T., Ward, C. H., Mendelson, M., et al (1961) An inventory for measuring depression. Archives of General Psychiatry, 4, 53–63.Google Scholar
Estes, D. & Christian, C. L. (1971) The natural history of systemic erythematosus by prospective analysis. Medicine (Baltimore), 50, 85–95.Google Scholar
Feng, P. H. & Boey, M. L. (1982) Systemic lupus erythematosus in Chinese: the Singapore experience. Rheumatology International, 2, 151–154.Google Scholar
Fessel, J. W. (1974) Systemic lupus erythematosus in the community: incidence, prevalence, outcome and first symptoms. The high incidence in black women. Archives of Internal Medicine, 134, 1027–1034.Google Scholar
Folstein, M. F., Folstein, S. E. & McHugh, P. R. (1975) Mini Mental State: a practical method for grading the cognitive state of patients for the clinician. Journal of Psychiatric Research, 12, 189–198.Google Scholar
Frank, A. O. (1980) Apparent predisposition to systemic lupus erythematosus in Chinese patients in West Malaysia. Annals of Rheumatic Diseases, 39, 266–269.Google Scholar
Ganz, V. F., Gurland, B. J., Edwards, D. W., et al (1972) The study of the psychiatric symptoms of systemic lupus erythematosus. Psychosomatic Medicine, 34, 207–220.Google Scholar
Goldberg, D. P., Cooper, B., Eastwood, M. R., et al (1970) A standardised psychiatric interview for use in community survey. British Journal of Preventive and Social Medicine, 24, 18–23.Google Scholar
Hazelton, R. A., Reid, A. C. & Roones, P. J. (1980) Cerebral systemic lupus erythematosus: a case report and evaluation of diagnostic tests. Journal of Neurology, Neurosurgery and Psychiatry, 43, 357–359.Google Scholar
Hochberg, M. C. & Sutton, J. D. (1988) Physical disability and psychosocial dysfunction in systemic lupus erythematosus. Journal of Rheumatology, 15, 959–964.Google Scholar
Jenkins, R., Mann, A. H. & Belsey, E. (1981) The background, design and use of a short interview to assess social stress and support in research and clinical settings. Social Science and Medicine, 151, 195–203.Google Scholar
Johnson, R. T. & Richardson, E. P. (1968) The neurologic manifestations of systemic lupus erythematosus. Medicine, 47, 337–369.Google Scholar
Kaslow, R. A. (1982) High rate of death caused by systemic lupus erythematous among US residents of Asian descent. Arthritis and Rheumatism, 22, 328–333.Google Scholar
Kremer, J. M., Rynes, R. I., Bartholomew, L. E., et al (1981) Non-organic non-psychotic psychopathology (NONPP) in patients with systemic lupus erythematosus. Seminars in Arthritis and Rheumatism, 11, 182–189.Google Scholar
Lanham, J. G., Brown, M. M. & Hughes, G. R. V. (1985) Cerebral systemic lupus erythematosus presenting with catatonia. Postgraduate Medical Journal, 61, 329–330.Google Scholar
Lee, P., Urowitz, M. B., Bookman, A. A., et al (1977) Systemic lupus erythematosus: a review of 110 cases with reference to nephritis, the nervous system, infections, aseptic necrosis and prognosis. Quarterly Journal of Medicine, 46, 1–32.Google Scholar
Liang, M. H., Rogers, M., Larson, M., et al (1984) The psychosocial impact of systemic lupus erythematosus and rheumatoid arthritis. Arthritis and Rheumatism, 27, 13–19.Google Scholar
Lim, L., Ron, M. A., Ormerod, I. E. C., et al (1988) Psychiatric and neurological manifestations in systemic lupus erythematosus. Quarterly Journal of Medicine, New Series 66, 249, 27–38.Google Scholar
Morrow, W. J. W., Isenberg, D. A., Pokropek, T., et al (1982) Useful laboratory measurements in the management of systemic lupus erythematosus. Quarterly Journal of Medicine, 51, 125–138.Google Scholar
O'Connor, J. F. & Musher, D. M. (1966) Central nervous system involvement in systemic lupus erythematosus: a study of 150 cases. Archives of Neurology, 14, 157–164.Google Scholar
Rupe, C. E. & Nickel, S. N. (1959) New clinical concept of systemic lupus erythematosus: analysis of 100 cases. Journal of American Medical Association, 171, 1055.Google Scholar
Serdula, M. K. & Rhoads, G. G. (1979) Frequency of systemic lupus erythematosus in different ethnic groups in Hawaii. Arthritis and Rheumatism, 22, 328–333.Google Scholar
SPSS Inc. (1983) Statistical Package for Social Scientists. Chicago: SPSS.Google Scholar
Tan, E. M., Cohen, A. S., Fries, J. F., et al (1982) The 1982 revised criteria for the classification of systemic lupus erythematosus. Arthritis and Rheumatism, 25, 1271–1277.Google Scholar
Wessely, S. C. & Lewis, G.H. (1989) The classification of psychiatric morbidity in attenders at a dermatology clinic. British Journal of Psychiatry, 155, 686–691.Google Scholar
Submit a response

eLetters

No eLetters have been published for this article.