Estudo da associação entre risco de suicídio e dor psicológica em pacientes com lúpus eritematoso sistêmico

Abstract

Introduction: Systemic Lupus Erythematosus is a chronic inflammatory disease of multifactorial etiology that affects several organs and systems. It can cause neuropsychiatric manifestations in addition to joint pain, which can contribute to an increased risk of suicide. Objective: To analyze an association between suicide risk and psychological patients with Systemic Lupus Erythematosus. Methodology: Cross-sectional study with a quantitative approach, carried out at the rheumatology clinic of a hospital in the city of Maceió-AL. Convenience sample, found by 50 female patients in outpatient care. Used: Sociodemographic questionnaire prepared for the research, Mini International Neuropsychiatric Interview for the psychiatric diagnosis of mood disorders and risk of suicide; Symptom intensities instruments: Barratt Impulsiveness Scale, Buss-Perry Aggressiveness Scale, Beck Depression Inventory, Beck Hopelessness Scale, Pittsburgh Sleep Quality Index, Life Scale, and Psychological Pain Scale (Scale of Psyche). Results: The mean age of the 50 women investigated was 39.5 (± 12.5) years. Forty-six (92%) of respondents related to sleep. The average on the total Pittsburgh Sleep Quality Index was 10.3 (± 3.9). Current Major Depressive Episode was identified in 60% of the sample, with 100% of patients at risk of suicide and 48.7% of those without risk. The prevalence of suicide risk was 22% of women, as qualified higher scores on the BDI (p = 0.02), without BHS (p = 0.03) and on the Psychological Pain Scale (p<0,01). There was a direct correlation between psychological pain and BDI scores (r = 0.47, p<0,01) and PSQI (r = 0.31; p<0,05). Conclusions: About 1 in 5 women investigated with SLE was at risk of suicide. In all cases of suicide risk, a major depressive episode was detected. The greater the severity of depressive symptoms, the higher the psychological pain scores. The greater the psychological pain, the worse the quality of sleep.