Prevalencia e impacto de la violencia íntima de pareja en mujres con lupus eritematoso sistémico

Objective: Stress and trauma are psychosocial factors with an impact on the course of systemic lupus erythematosus (SLE). The influence of violence on SLE has not been entirely explored, even though women (including patients with rheumatic diseases) are a vulnerable population to any form of viol...

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Main Authors: Campos Tinajero, Emmanuel, Ortiz Nuño, Maria Fernanda, Flores Gutierrez, Diana Paola, Esquivel Valerio, Jorge Antonio, Serna Peña, Griselda, García Arellano, Gisela, Cárdenas de la Garza, J. A., Galarza Delgado, Dionicio Ángel, Villarreal Alarcón, Miguel Ángel, Aguilar Rivera, Estefania
Format: Tesis
Language:English
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Published: 2023
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Online Access:http://eprints.uanl.mx/26532/1/DRAFT%20TESIS%20V.%201.0%20DICIEMBRE%202023.docx
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author Campos Tinajero, Emmanuel
Ortiz Nuño, Maria Fernanda
Flores Gutierrez, Diana Paola
Esquivel Valerio, Jorge Antonio
Serna Peña, Griselda
García Arellano, Gisela
Cárdenas de la Garza, J. A.
Galarza Delgado, Dionicio Ángel
Villarreal Alarcón, Miguel Ángel
Aguilar Rivera, Estefania
author_facet Campos Tinajero, Emmanuel
Ortiz Nuño, Maria Fernanda
Flores Gutierrez, Diana Paola
Esquivel Valerio, Jorge Antonio
Serna Peña, Griselda
García Arellano, Gisela
Cárdenas de la Garza, J. A.
Galarza Delgado, Dionicio Ángel
Villarreal Alarcón, Miguel Ángel
Aguilar Rivera, Estefania
author_sort Campos Tinajero, Emmanuel
collection Tesis
description Objective: Stress and trauma are psychosocial factors with an impact on the course of systemic lupus erythematosus (SLE). The influence of violence on SLE has not been entirely explored, even though women (including patients with rheumatic diseases) are a vulnerable population to any form of violence. This study aims to assess the prevalence and impact of intimate partner violence (IPV) on healthrelated quality of life in women with SLE. Methods: An observational, cross-sectional, and analytical study was conducted at a rheumatology clinic of a university hospital from September 2022 and September 2023. We evaluated the presence of IPV in 85 women with SLE with the Hurt, Insulted, Threatened with Harm and Screamed at (HITS) questionnaire and the Index of Spouse Abuse (ISA), and quality of life with LupusQoL. Results: The prevalence by HITS score of past-year IPV was 24.4% and of lifetime IPV was 36.5%. Past-year non-physical violence was present in 17.1% of patients by ISA, and 27.1% were victims in their lifetime. While in physical violence, 7.3% were victims in the previous year and 21.2% in their lifetime. The total quality of life and the emotional domain by LupusQoL were diminished in victims of past-year IPV, compared to those who weren’t exposed (p = 0.018 and p = 0.036, respectively). Past-year HITS score correlated with the physician global assessment (PGA) (rho = 0.301, p = 0.006), while lifetime HITS score correlated with PGA (rho = 0.329, p = 0.002) and SLEDAI-2K (rho = 0.277, p = 0.010). Conclusion: We found that 1 in 4 women suffered IPV in the previous year, and those who were exposed had diminished quality of life. Also, the severity of the abuse correlated with disease activity. The findings of this study highlight the relevance of assessing psychosocial factors in these patients to achieve better comprehensive care.
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spelling eptesis-265322023-12-22T19:06:47Z http://eprints.uanl.mx/26532/ Prevalencia e impacto de la violencia íntima de pareja en mujres con lupus eritematoso sistémico Campos Tinajero, Emmanuel Ortiz Nuño, Maria Fernanda Flores Gutierrez, Diana Paola Esquivel Valerio, Jorge Antonio Serna Peña, Griselda García Arellano, Gisela Cárdenas de la Garza, J. A. Galarza Delgado, Dionicio Ángel Villarreal Alarcón, Miguel Ángel Aguilar Rivera, Estefania RC Medicina Interna, Psiquiatría, Neurología Objective: Stress and trauma are psychosocial factors with an impact on the course of systemic lupus erythematosus (SLE). The influence of violence on SLE has not been entirely explored, even though women (including patients with rheumatic diseases) are a vulnerable population to any form of violence. This study aims to assess the prevalence and impact of intimate partner violence (IPV) on healthrelated quality of life in women with SLE. Methods: An observational, cross-sectional, and analytical study was conducted at a rheumatology clinic of a university hospital from September 2022 and September 2023. We evaluated the presence of IPV in 85 women with SLE with the Hurt, Insulted, Threatened with Harm and Screamed at (HITS) questionnaire and the Index of Spouse Abuse (ISA), and quality of life with LupusQoL. Results: The prevalence by HITS score of past-year IPV was 24.4% and of lifetime IPV was 36.5%. Past-year non-physical violence was present in 17.1% of patients by ISA, and 27.1% were victims in their lifetime. While in physical violence, 7.3% were victims in the previous year and 21.2% in their lifetime. The total quality of life and the emotional domain by LupusQoL were diminished in victims of past-year IPV, compared to those who weren’t exposed (p = 0.018 and p = 0.036, respectively). Past-year HITS score correlated with the physician global assessment (PGA) (rho = 0.301, p = 0.006), while lifetime HITS score correlated with PGA (rho = 0.329, p = 0.002) and SLEDAI-2K (rho = 0.277, p = 0.010). Conclusion: We found that 1 in 4 women suffered IPV in the previous year, and those who were exposed had diminished quality of life. Also, the severity of the abuse correlated with disease activity. The findings of this study highlight the relevance of assessing psychosocial factors in these patients to achieve better comprehensive care. 2023-12-11 Tesis NonPeerReviewed text en http://eprints.uanl.mx/26532/1/DRAFT%20TESIS%20V.%201.0%20DICIEMBRE%202023.docx http://eprints.uanl.mx image en http://eprints.uanl.mx/26532/2/image18.png http://eprints.uanl.mx/26532/2.haspreviewThumbnailVersion/image18.png image en http://eprints.uanl.mx/26532/3/image1.png http://eprints.uanl.mx/26532/3.haspreviewThumbnailVersion/image1.png image en http://eprints.uanl.mx/26532/4/image16.png http://eprints.uanl.mx/26532/4.haspreviewThumbnailVersion/image16.png image en http://eprints.uanl.mx/26532/5/image17.png http://eprints.uanl.mx/26532/5.haspreviewThumbnailVersion/image17.png image en http://eprints.uanl.mx/26532/6/image10.png http://eprints.uanl.mx/26532/6.haspreviewThumbnailVersion/image10.png image en http://eprints.uanl.mx/26532/7/image19.png http://eprints.uanl.mx/26532/7.haspreviewThumbnailVersion/image19.png image en http://eprints.uanl.mx/26532/8/image5.png http://eprints.uanl.mx/26532/8.haspreviewThumbnailVersion/image5.png image en http://eprints.uanl.mx/26532/9/image7.png http://eprints.uanl.mx/26532/9.haspreviewThumbnailVersion/image7.png image en http://eprints.uanl.mx/26532/10/image2.png http://eprints.uanl.mx/26532/10.haspreviewThumbnailVersion/image2.png image en http://eprints.uanl.mx/26532/11/image13.png http://eprints.uanl.mx/26532/11.haspreviewThumbnailVersion/image13.png image en http://eprints.uanl.mx/26532/12/image15.png http://eprints.uanl.mx/26532/12.haspreviewThumbnailVersion/image15.png image en http://eprints.uanl.mx/26532/13/image11.png http://eprints.uanl.mx/26532/13.haspreviewThumbnailVersion/image11.png image en http://eprints.uanl.mx/26532/14/image12.png http://eprints.uanl.mx/26532/14.haspreviewThumbnailVersion/image12.png image en http://eprints.uanl.mx/26532/15/image8.png http://eprints.uanl.mx/26532/15.haspreviewThumbnailVersion/image8.png image en http://eprints.uanl.mx/26532/16/image4.png http://eprints.uanl.mx/26532/16.haspreviewThumbnailVersion/image4.png image en http://eprints.uanl.mx/26532/17/image20.png http://eprints.uanl.mx/26532/17.haspreviewThumbnailVersion/image20.png image en http://eprints.uanl.mx/26532/18/image14.png http://eprints.uanl.mx/26532/18.haspreviewThumbnailVersion/image14.png image en http://eprints.uanl.mx/26532/19/image6.png http://eprints.uanl.mx/26532/19.haspreviewThumbnailVersion/image6.png image en http://eprints.uanl.mx/26532/20/image3.jpeg http://eprints.uanl.mx/26532/20.haspreviewThumbnailVersion/image3.jpeg image en http://eprints.uanl.mx/26532/21/image9.png http://eprints.uanl.mx/26532/21.haspreviewThumbnailVersion/image9.png image en http://eprints.uanl.mx/26532/22/image80.png http://eprints.uanl.mx/26532/22.haspreviewThumbnailVersion/image80.png Campos Tinajero, Emmanuel y Ortiz Nuño, Maria Fernanda y Flores Gutierrez, Diana Paola y Esquivel Valerio, Jorge Antonio y Serna Peña, Griselda y García Arellano, Gisela y Cárdenas de la Garza, J. A. y Galarza Delgado, Dionicio Ángel y Villarreal Alarcón, Miguel Ángel y Aguilar Rivera, Estefania (2023) Prevalencia e impacto de la violencia íntima de pareja en mujres con lupus eritematoso sistémico. Especialidad thesis, Universidad Autónoma de Nuevo León. https://mc.manuscriptcentral.com/lupus
spellingShingle RC Medicina Interna, Psiquiatría, Neurología
Campos Tinajero, Emmanuel
Ortiz Nuño, Maria Fernanda
Flores Gutierrez, Diana Paola
Esquivel Valerio, Jorge Antonio
Serna Peña, Griselda
García Arellano, Gisela
Cárdenas de la Garza, J. A.
Galarza Delgado, Dionicio Ángel
Villarreal Alarcón, Miguel Ángel
Aguilar Rivera, Estefania
Prevalencia e impacto de la violencia íntima de pareja en mujres con lupus eritematoso sistémico
thumbnail https://rediab.uanl.mx/themes/sandal5/images/tesis.png
title Prevalencia e impacto de la violencia íntima de pareja en mujres con lupus eritematoso sistémico
title_full Prevalencia e impacto de la violencia íntima de pareja en mujres con lupus eritematoso sistémico
title_fullStr Prevalencia e impacto de la violencia íntima de pareja en mujres con lupus eritematoso sistémico
title_full_unstemmed Prevalencia e impacto de la violencia íntima de pareja en mujres con lupus eritematoso sistémico
title_short Prevalencia e impacto de la violencia íntima de pareja en mujres con lupus eritematoso sistémico
title_sort prevalencia e impacto de la violencia intima de pareja en mujres con lupus eritematoso sistemico
topic RC Medicina Interna, Psiquiatría, Neurología
url http://eprints.uanl.mx/26532/1/DRAFT%20TESIS%20V.%201.0%20DICIEMBRE%202023.docx
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