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Home  >  Medical Research Archives  >  Issue 149  > Effectiveness in the Long-Term Follow-Up of Brief Group Psychoanalytic Psychotherapy in Quality of Life, Symptoms, Coping, Anxiety, and Depression in Systemic Lupus Erythematosus Patients
Published in the Medical Research Archives
Feb 2024 Issue

Effectiveness in the Long-Term Follow-Up of Brief Group Psychoanalytic Psychotherapy in Quality of Life, Symptoms, Coping, Anxiety, and Depression in Systemic Lupus Erythematosus Patients

Published on Feb 27, 2024

DOI 

Abstract

 

Objective: To evaluate the effectiveness in the long-term follow-up of brief group psychoanalytic psychotherapy in improving quality of life, symptoms, coping strategies, anxiety, and depression levels in systemic lupus erythematosus (SLE) patients.

Methods: Prospective, randomized clinical trial including 80 SLE patients divided into two groups: therapy (n=37) and control (n=43), with standard clinical care. Therapy group received weekly therapy for 20 weeks. The assessments were at baseline, after 20 weeks and after 24 months from the end of intervention. Damage and disease activity were assessed by rheumatologists. Self-administered questionnaires were supervised by blind evaluators: quality of life, symptoms, coping strategies, anxiety, and depression. Intent to treat statistical analysis. Comparisons of variance between groups over time (ANOVA repeated measures). P <0.05 significant.

Results: At baseline, both groups were homogeneous. After intervention, therapy group showed significant improvement in most domains of quality of life, symptoms, all domains of anxiety, and depression and several domains of coping strategies. Benefits in quality of life and coping remained at 24 months follow-up. However, the improvement in anxiety, and depression was not maintained. Medications and clinical variables did not change.

Conclusion: This study showed the effectiveness of brief group psychoanalytic psychotherapy in improving quality of life, symptoms and coping strategies in SLE patients even in the long-term follow-up. Depression and anxiety levels reduced at the end of therapy, although, the improvement did not last 24 months.

Author info

Emília Sato, Céu Conceição, Ivone Meinão, Sérgio Blay

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