Depression and pain in night time and daytime functioning of individuals with lupus

• Published in: Psychology & health Vol. 23; no. 5; pp. 537 - 550
• Main Authors: Lederman, Leah F., Lindner, Helen, Greenwood, Kenneth M., Philip, Errol J.
• Format: Journal Article
• Language: English
• Published: England Routledge 01.07.2008
• Subjects: Activities of Daily Living - psychology; Adult; Aged; Cross-Sectional Studies; daily functioning; depression; Depression - psychology; Female; Humans; lupus; Lupus Erythematosus, Systemic - complications; Lupus Erythematosus, Systemic - psychology; Male; Middle Aged; pain; Pain - etiology; Pain - psychology; Psychiatric Status Rating Scales; Regression Analysis; sleep; Sleep Wake Disorders - psychology; Surveys and Questionnaires; Time Factors; sleep; pain; depression; lupus; daily functioning
• ISSN: 0887-0446; 1476-8321
• DOI: 10.1080/08870440701724849

The purpose of this study was to investigate the role of pain and depression in night time and daytime functioning of individuals with lupus. A cross-sectional research design was used. Participants were recruited via a mail-out to members of the Lupus Australia Foundation and the Lupus Association of New South Wales. One hundred and fifty-four participants completed a questionnaire package consisting of a Lupus Medical and Symptoms Questionnaire designed by the researchers, the Cardiac Depression Scale and the Pittsburgh Sleep Quality Index. Hierarchical regression analyses revealed that pain principally predicted levels of sleep disturbance, whilst depression and pain (to a lesser extent) together predicted daytime dysfunction. The present results suggested the need for more adequate pain management, particularly at night and psychological interventions to decrease levels of depression that interfere with daily functioning in individuals with lupus.