Brief supportive-expressive psychotherapy in a systemic lupus erythematosus (sle): changing themes and psychological distress

Maria Dritsa, Patricia L. Dobkin, Deborah Da Costa, Paul R. Fortin, John M. Esdaile, Ann E. Clarke

The aim of this study was to describe the process of Brief Supportive-Expressive Group psychotherapy provided to women with systemic lupus erythematosus (SLE) in the context of a randomized clinical trial. A secondary objective was to contrast baseline characteristics in patients whose psychological distress decreased over time compared to those who remained distressed. Sixty-two women with SLE participated. Thirty-five reported clinically significant psychological distress at study entry. Therapists rated predominant themes, affective expression and emotional processing after each session. Emotional processing increased significantly over the course of therapy (F=33.44, p<.02). Women with more severe and generalized distress at baseline were less likely to show improvements at the 6 month follow- -up (t= -3.14, p<.005). Baseline disease activity or damage did not differ between patients who were no longer clinically distressed at 6 months follow-up and those who remained distressed.

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