Effect of Mental Health Problems on the Quality of Life in Children with Lupus Nephritis

Azwin Mengindra Putera,1 Irwanto Irwanto,1 Margarita Maria Maramis,2 Risky Vitria Prasetyo,1 Ninik Asmaningsih Soemyarso,1 Mohammad Sjaifullah Noer1 1Department of Child Health, Faculty of Medicine, Universitas Airlangga - Dr. Soetomo General Academic Hospital, Surabaya, Indonesia; 2Department of Ps...

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Autores principales:	Putera AM, Irwanto I, Maramis MM, Prasetyo RV, Soemyarso NA, Noer MS
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2020
Materias:	anxiety depression disease activity coping quality of life lupus nephritis Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/ce995c8e699a4b2786bd10206ac6ecb3
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spelling	oai:doaj.org-article:ce995c8e699a4b2786bd10206ac6ecb32021-12-02T11:10:09ZEffect of Mental Health Problems on the Quality of Life in Children with Lupus Nephritis1178-2021https://doaj.org/article/ce995c8e699a4b2786bd10206ac6ecb32020-06-01T00:00:00Zhttps://www.dovepress.com/effect-of-mental-health-problems-on-the-quality-of-life-in-children-wi-peer-reviewed-article-NDThttps://doaj.org/toc/1178-2021Azwin Mengindra Putera,1 Irwanto Irwanto,1 Margarita Maria Maramis,2 Risky Vitria Prasetyo,1 Ninik Asmaningsih Soemyarso,1 Mohammad Sjaifullah Noer1 1Department of Child Health, Faculty of Medicine, Universitas Airlangga - Dr. Soetomo General Academic Hospital, Surabaya, Indonesia; 2Department of Psychiatry, Faculty of Medicine, Universitas Airlangga - Dr. Soetomo General Academic Hospital, Surabaya, IndonesiaCorrespondence: Azwin Mengindra PuteraDepartment of Child Health, Faculty of Medicine, Universitas Airlangga - Dr. Soetomo General Academic Hospital, Jl. Mayjen Prof. Dr. Moestopo No. 6– 8, Airlangga, Gubeng, Surabaya, East Java 60286, IndonesiaTel +6231-5501218Email azwinmengindraputera@gmail.comIntroduction: Mental health problems, such as anxiety, depression, and ineffective family coping, in children with lupus nephritis (LN) can increase the severity and affect the management of the disease, thus affecting the quality of life (QoL) of patients.Objective: Analyzing the association between levels of depression, anxiety, coping, disease activity on the QoL of pediatric patients with LN.Patients and Methods: There were 62 pediatric LN participants (16 participants in the induction phase and 46 participants in the maintenance phase). Participants were measured for anxiety, depression, coping, disease activity (systemic lupus erythematosus disease activity index/SLEDAI), and QoL. The measurement results were compared between induction and maintenance groups. Analysis of the association between anxiety, depression, coping, and disease activity with the QoL of children with LN used a multiple logistic regression test with p < 0.05.Results:: The measurement results obtained anxiety (induction = 69.06± 3.92 and maintenance = 45.24± 10.33; p < 0.001), depression (induction = 69.88± 3.34 and maintenance = 42.20± 9.12; p < 0.001), coping (induction = 99.88± 12.93 and maintenance = 115.67± 7.34; p < 0.001), SLEDAI (induction = 15.81± 12.58 and maintenance = 0.43± 1.26; p < 0.001), and QoL (induction = 49.92± 12.44 and maintenance = 88.15± 8.06; p < 0.001).. Anxiety level in the induction group (p = 0.043) and maintenance group (p < 0.001; p = 0.032; p = 0.008; p = 0.009). Depression level in the induction group (p = 0.031) and maintenance group (p = 0.024; p = 0.042; p = 0.003). SLEDAI score in the maintenance group (p = 0.003; p = 0.003). Coping in induction group (p = 0.016; p = 0.016) and maintenance group (p = 0.005).Conclusion: Mental health disorders reduce the QoL of LN children, and the level of QoL in induction phase is lower than maintenance phase.Keywords: anxiety, depression, disease activity, coping, quality of life, lupus nephritisPutera AMIrwanto IMaramis MMPrasetyo RVSoemyarso NANoer MSDove Medical Pressarticleanxietydepressiondisease activitycopingquality of lifelupus nephritisNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol Volume 16, Pp 1583-1593 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	anxiety depression disease activity coping quality of life lupus nephritis Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
spellingShingle	anxiety depression disease activity coping quality of life lupus nephritis Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429 Putera AM Irwanto I Maramis MM Prasetyo RV Soemyarso NA Noer MS Effect of Mental Health Problems on the Quality of Life in Children with Lupus Nephritis
description	Azwin Mengindra Putera,1 Irwanto Irwanto,1 Margarita Maria Maramis,2 Risky Vitria Prasetyo,1 Ninik Asmaningsih Soemyarso,1 Mohammad Sjaifullah Noer1 1Department of Child Health, Faculty of Medicine, Universitas Airlangga - Dr. Soetomo General Academic Hospital, Surabaya, Indonesia; 2Department of Psychiatry, Faculty of Medicine, Universitas Airlangga - Dr. Soetomo General Academic Hospital, Surabaya, IndonesiaCorrespondence: Azwin Mengindra PuteraDepartment of Child Health, Faculty of Medicine, Universitas Airlangga - Dr. Soetomo General Academic Hospital, Jl. Mayjen Prof. Dr. Moestopo No. 6– 8, Airlangga, Gubeng, Surabaya, East Java 60286, IndonesiaTel +6231-5501218Email azwinmengindraputera@gmail.comIntroduction: Mental health problems, such as anxiety, depression, and ineffective family coping, in children with lupus nephritis (LN) can increase the severity and affect the management of the disease, thus affecting the quality of life (QoL) of patients.Objective: Analyzing the association between levels of depression, anxiety, coping, disease activity on the QoL of pediatric patients with LN.Patients and Methods: There were 62 pediatric LN participants (16 participants in the induction phase and 46 participants in the maintenance phase). Participants were measured for anxiety, depression, coping, disease activity (systemic lupus erythematosus disease activity index/SLEDAI), and QoL. The measurement results were compared between induction and maintenance groups. Analysis of the association between anxiety, depression, coping, and disease activity with the QoL of children with LN used a multiple logistic regression test with p < 0.05.Results:: The measurement results obtained anxiety (induction = 69.06± 3.92 and maintenance = 45.24± 10.33; p < 0.001), depression (induction = 69.88± 3.34 and maintenance = 42.20± 9.12; p < 0.001), coping (induction = 99.88± 12.93 and maintenance = 115.67± 7.34; p < 0.001), SLEDAI (induction = 15.81± 12.58 and maintenance = 0.43± 1.26; p < 0.001), and QoL (induction = 49.92± 12.44 and maintenance = 88.15± 8.06; p < 0.001).. Anxiety level in the induction group (p = 0.043) and maintenance group (p < 0.001; p = 0.032; p = 0.008; p = 0.009). Depression level in the induction group (p = 0.031) and maintenance group (p = 0.024; p = 0.042; p = 0.003). SLEDAI score in the maintenance group (p = 0.003; p = 0.003). Coping in induction group (p = 0.016; p = 0.016) and maintenance group (p = 0.005).Conclusion: Mental health disorders reduce the QoL of LN children, and the level of QoL in induction phase is lower than maintenance phase.Keywords: anxiety, depression, disease activity, coping, quality of life, lupus nephritis
format	article
author	Putera AM Irwanto I Maramis MM Prasetyo RV Soemyarso NA Noer MS
author_facet	Putera AM Irwanto I Maramis MM Prasetyo RV Soemyarso NA Noer MS
author_sort	Putera AM
title	Effect of Mental Health Problems on the Quality of Life in Children with Lupus Nephritis
title_short	Effect of Mental Health Problems on the Quality of Life in Children with Lupus Nephritis
title_full	Effect of Mental Health Problems on the Quality of Life in Children with Lupus Nephritis
title_fullStr	Effect of Mental Health Problems on the Quality of Life in Children with Lupus Nephritis
title_full_unstemmed	Effect of Mental Health Problems on the Quality of Life in Children with Lupus Nephritis
title_sort	effect of mental health problems on the quality of life in children with lupus nephritis
publisher	Dove Medical Press
publishDate	2020
url	https://doaj.org/article/ce995c8e699a4b2786bd10206ac6ecb3
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Effect of Mental Health Problems on the Quality of Life in Children with Lupus Nephritis

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