Psychological and emotional status was assessed in 36 patients with systemi
c lupus erythematosus (SLE) with the General Health Questionnaire-30 (GHQ-3
0) and Minnesota Multiphasic Personality Inventory (MMPT)questionnaires. Th
e two tests were found to measure different aspects of psychological functi
oning. More than 50% of the patients could be classified as cases with mild
psychiatric disturbances, according to the GHQ, and 28% had an abnormal sc
ore >70 on the MMPI depression subscale, indicating significant depression.
Emotional disturbances such as problems with social functioning, personal
discomfort in social situations, and depressive mood, were frequent and ass
ociated with skin and joint abnormalities. This suggests additional etiolog
ies for psychological dysfunction among SLE patients other than the direct
central nervous system (CNS) effect of SLE.