The Social Representation of Systemic Lupus Erythematosus (SLE) among attendees at an international lupus conference in Guadalajara, Jalisco

Authors

  • Aarón González-Palacios Centro de Investigación Educativa y Bienestar Universitario, Departamento de Disciplinas Filosófico, Metodológicas e Instrumentales, Universidad de Guadalajara. https://orcid.org/0000-0001-5895-6847
  • María Paulina Reyes-Mata Centro de Investigación Educativa y Bienestar Universitario, Departamento de Disciplinas Filosófico, Metodológicas e Instrumentales, Universidad de Guadalajara. https://orcid.org/0000-0001-8856-8722
  • Claudia Azucena Palafox-Sánchez Instituto de Investigación en Ciencias Biomédicas, Departamento de Clínicas Médicas Universidad de Guadalajara. https://orcid.org/0000-0003-0836-4186
  • Miguel Marín-Rosales Instituto de Investigación en Ciencias Biomédicas, Departamento de Clínicas Médicas Universidad de Guadalajara. https://orcid.org/0000-0003-1658-8630
  • Karina Aimeé Ramírez-Contreras Licenciatura en Médico, Cirujano y Partero, Centro Universitario de Ciencias de la Salud

DOI:

https://doi.org/10.29059/rpcc.20251201-199

Keywords:

“Social Representation”, “Systemic Lupus Erythematosus”, “Structural Model”, “Natural Semantic Networks”, “Meaning”, “Pain”, “Resilience”

Abstract

Systemic lupus erythematosus (SLE) is a chronic autoimmune disease with clinical manifestations that impact the quality of life of those who suffer from it. This study explores the social representation of attendees at an international conference on SLE in Mexico. The technique of hierarchical verbal associations and response justification was applied. Data was analyzed using the structural model of social representations, the modified natural semantic network technique (MNSN), and thematic content analysis. Forty-one subjects (35 women and 6 men) were included. In the structural prototypical analysis, the central core consisted of terms such as "pain," "resilience," and "challenge." The MNSN analysis revealed a high negative emotional charge, especially in participants with SLE, who associated the disease with sadness, frustration, and anguish. On the other hand, the external perspective (non-patients) emphasized the challenging nature of SLE, with a lower emotional charge and greater reference to hope and knowledge. The social representation of SLE reflects an experience marked by uncertainty, stigma, and physical and emotional suffering.

References

Abric, J.-C. (1993). Central system, peripheral system: their functions and roles in the dynamics of social representations. Papers on Social Representations, 2(2), 75–78. https://psr.iscte-iul.pt/index.php/PSR/article/view/126

Abric, J.-C. (2001). Las representaciones sociales: aspectos teóricos. En Prácticas Sociales y Representaciones (pp. 11–32). Ediciones Coyoacán S.A. de C.V.

Anders, H.-J., Saxena, R., Zhao, M., Parodis, I., Salmon, J. E., & Mohan, C. (2020). Lupus nephritis. Nature Reviews Disease Primers, 6(1), 7. https://doi.org/10.1038/s41572-019-0141-9

Barbasio, C., Vagelli, R., Marengo, D., Querci, F., Settanni, M., Tani, C., Mosca, M., & Granieri, A. (2015). Illness perception in systemic lupus erythematosus patients: The roles of alexithymia and depression. Comprehensive Psychiatry, 63, 88–95. https://doi.org/10.1016/j.comppsych.2015.09.004

Barber, M. R. W., Drenkard, C., Falasinnu, T., Hoi, A., Mak, A., Kow, N. Y., Svenungsson, E., Peterson, J., Clarke, A. E., & Ramsey-Goldman, R. (2021). Global epidemiology of systemic lupus erythematosus. Nature reviews. Rheumatology, 17(9), 515–532. https://doi.org/10.1038/s41584-021-00668-1

Canva UK Operations Limited brand. (2024). Flourish. Web Page. https://flourish.studio/

Centro de Estudios Transdisciplinarios Athié-Calleja por los Derechos de las Personas con Lupus A. C. (2025, Marzo). Congreso Internacional Potencia Lupus. Otras realidades son posibles. https://cetlu.com.mx/potencialupus2025/

Ceppas Resende, O. L., Serrano Barbosa, M. T., Teixeira Simões, B. F., & de Souza Velasque, L. (2016). A representação do adoecer em adolescentes com lúpus eritematoso sistêmico. Revista Brasileira de Reumatologia, 56(5), 398–405. https://doi.org/10.1016/j.rbr.2016.02.004

Curtain, C. & Droege, K. (2024) QualCoder 3.5 [Computer software]. Recuperado de https://github.com/ccbogel/QualCoder/releases/tag/3.5

DeQuattro, K., & Yelin, E. (2020). Socioeconomic status, health care, and outcomes in systemic lupus erythematosus. Rheumatic Disease Clinics of North America, 46(4), 631–638. https://doi.org/10.1016/j.rdc.2020.07.004

Eicher, V., & Bangerter, A. (2015). Social representations of infectious diseases. In G. Sammut, E. Andreouli, G. Gaskell, & J. Valsiner (Eds.), The Cambridge Handbook of Social Representations (pp. 385–396). Cambridge University Press.

Elera-Fitzcarrald, C., Fuentes, A., González, L. A., Burgos, P. I., Alarcón, G. S., & Ugarte-Gil, M. F. (2018). Factors affecting quality of life in patients with systemic lupus erythematosus: Important considerations and potential interventions. Expert Review of Clinical Immunology, 14(11), 915–931. https://doi.org/10.1080/1744666X.2018.1529566

Etchegaray-Morales, I., Mendoza-Pinto, C., Arellano-Avendaño, F. J., Ibañez-Ovando, S., Munguía-Realpozo, P., Orbe-Sosa, J. G., Ramírez-Lara, E., & García-Carrasco, M. (2024). Epidemiología del lupus eritematoso sistémico en Latinoamérica. Reumatología Clínica, 20(10) https://doi.org/10.1016/j.reuma.2024.09.005

Flick, U. (2015). El diseño de Investigación Cualitativa. Ediciones Morata.

Published

2025-12-01

Issue

Section

Investigación empírica y análisis teórico