Abstract
Living with SLE is a major task for the patients and their social environment. In modern health care, quality of life is increasingly incorporated as an important outcome. Studying novels about illness is a new method of exploring quality of life in patients with an illness. In this paper, we use the novel A tribe of women by Hervé Bazin as data to explore how a patient with SLE gives meaning to her illness and how her social environment reacts toward the illness and its treatment. We find that the novel—probably the only one where SLE is a major subject—offers a rich set of data on “living with SLE”. Our findings may be instrumental in encouraging health care providers to explore quality of life in patients with SLE, incorporating self-management in order to improve their quality of life, and in teaching medical students about “medical humanities”.
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References
Bazin H (1958) A tribe of women. Simon and Schuster, New York, 1958
Bolton G (2005) Medicine and literature: writing and reading. J Eval Clin Pract 11:171–179
Brody H (2011) Defining the Medical Humanities: three conceptions and three narratives. J Med Human 32:1–7
Cleanthous S, Newman SP, Shipley M, Isenberg DA, Cano SJ (2013) What constitutes uncertainty in systemic lupus erythematosus and rheumatoid arthritis? Psychol Health 28:171–188
Daleboudt GMN, Broadbent E, Berger SP, Kaptein AA (2011) Illness perceptions in patients with systemic lupus erythematosus and proliferative lupus nephritis. Lupus 20:290–298
Daleboudt GMN, Broadbent E, McQueen F, Kaptein AA (2013) The impact of illness perceptions on sexual functioning in patients with systemic lupus erythematosus. J Psychosom Res 74:260–264
Gallop K, Nixon A, Swinburn P et al (2012) Development of a conceptual model of health-related quality of life for systemic lupus erythematosus from the patient’s perspective. Lupus 21:934–943
Hemingway E (1972) The Nick Adams Stories. Charles Scribner’s Sons, New York
Horner CS (2005) Misfit as metaphor: The question and the contradiction of lupus in Flannery O’ Connor’s “A good man is hard to find”. Disabil Stud Quart 25, (4)
Kaptein AA, Bijsterbosch J, Scharloo M et al (2010) Using the Common Sense Model of illness perceptions to examine osteoarthritis: a 6-year longitudinal study. Health Psychol 29:56–64
Kaptein AA, Lyons AC (2010) Cancer ward: patient perceptions in oncology. J Health Psychol 15:848–857
Kaptein AA, Meulenberg F, Smyth JM (2013) Do art lovers make better doctors? Lancet Respir Med 1:769–770
Kiani AN, Strand V, Fang H, Jaranilla J, Petri M (2013) Predictors of self-reported health-related quality of life in systemic lupus erythematosus. Rheumatol 52:1651–1657
Kotsis K, Voulgari PV, Tsifetaki N et al. (in press) Illness perceptions and psychological distress associated with physical health-related quality of life in primary Sjögren’s syndrome compared to systemic lupus erythematosus and rheumatoid arthritis. Rheum Intern
Lederman LF, Lindner H, Greenwood KM, Philip EJ (2008) Depression and pain in night time and daytime functioning of individuals with lupus. Psychol Health 23:537–550
Mazzoni D, Cicognani E (2014) Problematic social support from patients’ perspective: the case of systemic lupus erythematosus. Soc Work Health Care 53:435–445
Mazzoni D, Cicognani E (2014) Sharing experiences and social support requests in an Internet forum for patients with systemic lupus erythematosus. J Health Psychol 19:689–696
Neville C, da Costa D, Mill C et al (2014) The needs of persons with lupus and health care providers: a qualitative study aimed toward the development of the Lupus Interactive NavigatorTM. Lupus 23:176–182
Nowicka-Sauer K (2007) Patients’ perspectives: lupus in patients’ drawings. Assessing drawing as a diagnostic and therapeutic method. Clin Rheumatol 26:1523–1525
Ousager J, Johannessen H (2010) Humanities in undergraduate medical education: a literature review. Acad Med 85:988–998
Panush RS (2011) Rheum with a view—why I sometimes read poetry instead of medicine—and why you should, too. Rheumatologist 5:47–49
Parker JC, Hart ES (2010) Rheumatoid arthritis. In: Newman S, Steed L, Mulligan K (eds) Chronic physical illness: self-management and behavioural interventions. McGraw-Hill, Maidenhead, pp 189–203
Ramos-Remus C, Castillo – Ortiz JD, Sandoval – Castro C et al. (in press) Divergent perceptions in health-related quality of life between family members and patients with rheumatoid arthritis, systemic lupus erythematosus, and ankylosing spondylitis. Rheumatol Intern
Schipper HJ, Clinch JJ, Olweny CLM. Quality of life studies: definitions and conceptual issues. In: Spilker B (ed) (1996) Quality of Life and Pharmacoeconomics in clinical trials. Lippincott-Raven, Philadelphia, pp. 11 – 23
Schmeding A, Schneider M (2013) Fatigue, health-related quality of life and other patient-reported outcomes in systemic lupus erythematosus. Best Pract Res Clin Rheum 27:363–375
Smyth JM, Stone AA, Hurewitz A, Kaell A (1999) Effects of writing about stressful experiences on symptom reduction in patients with asthma or rheumatoid arthritis. JAMA 281:1304–1309
Stebbings SM, Treharne GJ, Jenks K, Highton J (2014) Fatigue in patients with spondyloarthritis associates with disease activity, quality of life and inflammatory bowel symptoms. Clin Rheumatol 33:1467–1474
Sutanto B, Singh-Grewal D, McNeil HP et al (2013) Experiences and perspectives of adults living with systemic lupus erythematosus: thematic synthesis of qualitative studies. Arthritis Care Res 65:1752–1765
Vadacca M, Bruni R, Terminio N, Sambataro G, Margiotta D, Serino FM et al (2014) Alexithymia, mood states and pain experience in systemic lupus erythematosus and rheumatoid arthritis. Clin Rheumatol 33:1443–1450
Zirkzee EJM, Steup-Beekman GM, Schouffoer AA, Henquet SM, Caljouw MAA, Huizinga TWJ et al (2014) Health care in systemic lupus erythematosus (SLE): the patient’s perspective. Clin Rheumatol 33:1279–1287
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Kaptein, A.A., Smyth, J.M. & Panush, R.S. Wolf—living with SLE in a novel. Clin Rheumatol 34, 887–890 (2015). https://doi.org/10.1007/s10067-014-2814-9
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DOI: https://doi.org/10.1007/s10067-014-2814-9