Abstract：
OBJECTIVE: To describe the impact of the COVID-19 on the psychosocial health of patients with rheumatoid arthritis (RA), spondyloarthritis (SpA), and systemic lupus erythematosus (SLE).
METHODS: Longitudinal observational study of a series of patients with rheumatic disease.
METHODS: The main outcome measure was impairment of the ability to participate in social activities, as measured using the PROMIS-APS instrument Short Form-8a. We evaluated social activities in various settings and performed a multivariate analysis to study the association between worsening of social participation during the COVID-19 pandemic and implicated factors.
RESULTS: One hundred and twenty-five patients had completed the prospective follow-up: 40 with AR (32%), 42 with SpA (33.6%), and 43 with SLE (34.4%). Overall, poorer mean PROMIS scores were recorded after the COVID-19 pandemic for: satisfaction with social roles (p=0.029), depression (p=0.039), and ability to participate in social activities (p=0.024). The factors associated with ability to participate in social activities after the COVID-19 pandemic were older age (β=-0.215; p=0.012), diagnosis of SLE (β=-0.203; p=0.015), depression (β=-0.295; p=0.003) and satisfaction with social roles (β=0.211; p=0.037).
CONCLUSIONS: The ability to participate in social activities after the COVID-19 pandemic is affected in patients with rheumatic disease, especially in SLE.
METHODS: Longitudinal observational study of a series of patients with rheumatic disease.
METHODS: The main outcome measure was impairment of the ability to participate in social activities, as measured using the PROMIS-APS instrument Short Form-8a. We evaluated social activities in various settings and performed a multivariate analysis to study the association between worsening of social participation during the COVID-19 pandemic and implicated factors.
RESULTS: One hundred and twenty-five patients had completed the prospective follow-up: 40 with AR (32%), 42 with SpA (33.6%), and 43 with SLE (34.4%). Overall, poorer mean PROMIS scores were recorded after the COVID-19 pandemic for: satisfaction with social roles (p=0.029), depression (p=0.039), and ability to participate in social activities (p=0.024). The factors associated with ability to participate in social activities after the COVID-19 pandemic were older age (β=-0.215; p=0.012), diagnosis of SLE (β=-0.203; p=0.015), depression (β=-0.295; p=0.003) and satisfaction with social roles (β=0.211; p=0.037).
CONCLUSIONS: The ability to participate in social activities after the COVID-19 pandemic is affected in patients with rheumatic disease, especially in SLE.
摘要：
目的：描述COVID-19对类风湿关节炎（RA）患者的社会心理健康的影响，脊柱关节炎(SpA),和系统性红斑狼疮（SLE）。
方法：一系列风湿性疾病患者的纵向观察性研究。
方法：主要结果指标是参与社会活动的能力受损，使用PROMIS-APS仪器ShortForm-8a测量。我们评估了各种环境中的社会活动，并进行了多变量分析，以研究COVID-19大流行期间社会参与恶化与相关因素之间的关系。
结果：120例患者完成了前瞻性随访：40例AR（32％），42与SpA（33.6％），和43与SLE（34.4％）。总的来说,COVID-19大流行后记录的平均PROMIS得分较差：对社会角色的满意度(p=0.029)，抑郁（p=0.039），和参与社会活动的能力（p=0.024）。与COVID-19大流行后参与社会活动能力相关的因素是年龄较大（β=-0.215；p=0.012），诊断为SLE（β=-0.203；p=0.015），抑郁（β=-0.295；p=0.003）和对社会角色的满意度（β=0.211；p=0.037）。
结论：风湿性疾病患者在COVID-19大流行后参与社会活动的能力受到影响，尤其是在SLE。
方法：一系列风湿性疾病患者的纵向观察性研究。
方法：主要结果指标是参与社会活动的能力受损，使用PROMIS-APS仪器ShortForm-8a测量。我们评估了各种环境中的社会活动，并进行了多变量分析，以研究COVID-19大流行期间社会参与恶化与相关因素之间的关系。
结果：120例患者完成了前瞻性随访：40例AR（32％），42与SpA（33.6％），和43与SLE（34.4％）。总的来说,COVID-19大流行后记录的平均PROMIS得分较差：对社会角色的满意度(p=0.029)，抑郁（p=0.039），和参与社会活动的能力（p=0.024）。与COVID-19大流行后参与社会活动能力相关的因素是年龄较大（β=-0.215；p=0.012），诊断为SLE（β=-0.203；p=0.015），抑郁（β=-0.295；p=0.003）和对社会角色的满意度（β=0.211；p=0.037）。
结论：风湿性疾病患者在COVID-19大流行后参与社会活动的能力受到影响，尤其是在SLE。
