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The objective was to assess the association between body self-esteem, global self-esteem, and sexual function in patients with SLE.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A cross-sectional study was conducted at a tertiary care center. We included patients aged 18 and older who met the EULAR\/ACR criteria for SLE. Body self-esteem was measured using the Body Self-Esteem Scale (BSES), while global self-esteem was assessed with the Rosenberg Self-Esteem Scale (RSE). Sexual function was evaluated using the Changes in Sexual Functioning Questionnaire Short-Form questionnaire (CSFQ-14). Sexual dysfunction (SD) was defined as a total CSFQ-14 score of less than 41 points for women and less than 47 points for men. We assessed disease activity using the SLEDAI-2\u00a0K, and damage accrual with the SLICC damage index.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 280 patients were included, the majority of whom were female (88.6%). The median age was 39 years (IQR 31 to 49). The median SLEDAI-2\u00a0K score was 2 (IQR 0 to 4), and the SLICC damage index was 0 (IQR 0 to 1). A total of 147 patients (52.5%) were classified as having SD. The BSES score showed a significant correlation with the total CSFQ-14 score (rho\u2009=\u20090.364,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). Similarly, the RSE subcomponents, self-competence (rho\u2009=\u20090.262,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001) and self-liking (rho\u2009=\u20090.274,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001) showed both a significant positive correlation with the total CSFQ-14 score. Patients with SD compared to those without SD had significantly lower BSES scores, lower self-competence scores and lower self-liking scores. Female sex (OR 2.6, 95% CI 1.2 to 6.0,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.026), lower leukocyte count (OR 1.2, 95% CI 1.0 to 1.3,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.046), and lower BSES score (OR 1.9, 95% CI 1.8 to 2.1,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001) were independent risk factors for sexual dysfunction.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This is the first study to evaluate self-esteem as a determinant of sexual function in SLE patients. Given the significant impact of self-esteem on sexual dysfunction, its relationship should be assessed during rheumatology evaluations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical trial number<\/jats:title>\n                    <jats:p>Not applicable.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s42358-026-00570-y","type":"journal-article","created":{"date-parts":[[2026,7,25]],"date-time":"2026-07-25T06:22:49Z","timestamp":1784960569000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Self-esteem as a determinant of sexual function in systemic lupus erythematosus patients: a cross-sectional study"],"prefix":"10.1186","volume":"66","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-8471-4552","authenticated-orcid":false,"given":"Daniela","family":"Marengo-Rodr\u00edguez","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-7687-858X","authenticated-orcid":false,"given":"Mar\u00eda","family":"Espinosa-Le\u00f3n","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Monserrat","family":"Ibarra-Velasco-Siles","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6042-9322","authenticated-orcid":false,"given":"Paola","family":"V\u00e1zquez-C\u00e1rdenas","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7012-8419","authenticated-orcid":false,"given":"Erik","family":"Cim\u00e9-Ak\u00e9","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-7249-3016","authenticated-orcid":false,"given":"Jonathan","family":"Campos-Guzm\u00e1n","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1754-0500","authenticated-orcid":false,"given":"Ana","family":"Barrera-Vargas","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5870-0523","authenticated-orcid":false,"given":"Javier","family":"Merayo-Chalico","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,7,25]]},"reference":[{"issue":"17","key":"570_CR1","doi-asserted-by":"publisher","first-page":"1480","DOI":"10.1001\/jama.2024.2315","volume":"331","author":"CH Siegel","year":"2024","unstructured":"Siegel CH, Sammaritano LR. 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