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Lupus, Vol. 13, No. 9, 666-668 (2004)
DOI: 10.1191/0961203303lu2003oa
© 2004 SAGE Publications

Pregnancy in patients with rheumatic diseases: psychological implication of a chronic disease and neuropsychological evaluation of the children

F Neri

Pediatric Neuropsychiatry Institute, University of Brescia, Italy, neri{at}med.unibs.it

L Chimini

Pediatric Neuropsychiatry Institute, University of Brescia, Italy

E Filippini

Pediatric Neuropsychiatry Institute, University of Brescia, Italy

M Motta

Neonatal Intensive Care Unit, Brescia Hospital, Italy

D Faden

Obstetrics and Gynecology Department, Brescia University and Hospital, Italy

A Tincani

Rheumatology and Clinical Immunology, Brescia University and Hospital, Italy

As a consequence of the general improvement in the diagnosis and management of rheumatic diseases, patients achieve a better quality of life, with the possibility of a normal family life including one or more pregnancies. It is important, therefore, to consider the psychological aspects of these mothers’ life and the influence of their chronic disease on their children is development. Several papers have reported the impact of systemic lupus erythematosus (SLE) on the quality of life. They found higher incidence of anxiety (from 15 to 45%) and depression (from 25 to 47%) compared to the general population. We have investigated the psychological influence of SLE on family planning, and we observed that it can interfere with physiological phenomena such as parenthood and the upbringing of children. The children of lupus mothers have a normal intelligence level for their age. What is emerging, however, is an increased incidence of learning disabilities compared to the general population. This observation suggests the importance of an early neuropsychological examination, in order to identify the children needing particular care. Therefore, psychological support seems to be an important help in the counseling of patients with rheumatic disease and in the future life of their children.

Key Words: neuropsychological evaluation • pregnancy • quality of life • rheumatic diseases • systemic lupus erythematosus


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