PMID- 24135079 OWN - NLM STAT- MEDLINE DCOM- 20140829 LR - 20220331 IS - 1477-0962 (Electronic) IS - 0961-2033 (Linking) VI - 22 IP - 14 DP - 2013 Dec TI - Depression in systemic lupus erythematosus, dependent on or independent of severity of disease. PG - 1462-9 LID - 10.1177/0961203313508443 [doi] AB - OBJECTIVES: To estimate the prevalence of depression in subjects with systemic lupus erythematosus (SLE) in relation to the general population and to unravel the relation between depression and SLE disease characteristics. METHODS: One hundred and two subjects with SLE (mean age 44.4 years) were studied using the Beck Depression Inventory (BDI) score to estimate the prevalence of depression. The BDI scores in subjects with SLE were compared with BDI scores from a pan-European population based study (Outcome in Depression International Network (ODIN) study, n = 7934), i.e. the general population. RESULTS: The mean BDI score was higher in SLE subjects (10.1 points) compared with the BDI scores derived from the general population (10.1 versus 5.6 points, respectively, p < 0.001). This corresponds to a prevalence of depression of 16.6% and 6.7%, respectively. There was no association between disease activity or organ damage and BDI scores in subjects with SLE (p > 0.1). Only 7% of SLE subjects with high BDI scores used antidepressants. CONCLUSION: The mean BDI score and prevalence of depression are significantly higher in SLE subjects compared with the general population. No association was found between SLE disease characteristics and BDI scores. The number of depressed SLE subjects treated with antidepressants is low, suggesting inadequate recognition and treatment of depression in SLE. FAU - van Exel, E AU - van Exel E AD - 1Department of Psychiatry, VU University Medical Center, the Netherlands. FAU - Jacobs, J AU - Jacobs J FAU - Korswagen, L-A AU - Korswagen LA FAU - Voskuyl, A E AU - Voskuyl AE FAU - Stek, M AU - Stek M FAU - Dekker, J AU - Dekker J FAU - Bultink, I E M AU - Bultink IE LA - eng PT - Journal Article DEP - 20131017 PL - England TA - Lupus JT - Lupus JID - 9204265 RN - 0 (Antidepressive Agents) SB - IM MH - Adult MH - Aged MH - Antidepressive Agents/administration & dosage/*therapeutic use MH - Depression/drug therapy/*epidemiology MH - Female MH - Humans MH - Lupus Erythematosus, Systemic/*physiopathology MH - Male MH - Middle Aged MH - Prevalence MH - Psychiatric Status Rating Scales MH - Severity of Illness Index OTO - NOTNLM OT - Systemic lupus erythematosus OT - depression OT - disease activity EDAT- 2013/10/19 06:00 MHDA- 2014/08/30 06:00 CRDT- 2013/10/19 06:00 PHST- 2013/10/19 06:00 [entrez] PHST- 2013/10/19 06:00 [pubmed] PHST- 2014/08/30 06:00 [medline] AID - 0961203313508443 [pii] AID - 10.1177/0961203313508443 [doi] PST - ppublish SO - Lupus. 2013 Dec;22(14):1462-9. doi: 10.1177/0961203313508443. Epub 2013 Oct 17.