Mental health in patients with systemic sclerosis: a controlled investigation

Mozzetta, A.; Antinone, Valeria; Alfani, Stefania; Neri, P; Bonda, PG Foglio; Pasquini, Paolo; Puddu, Pietro; Picardi, Angelo

doi:10.1111/j.1468-3083.2007.02426.x

Cited by 36 publications

(31 citation statements)

References 26 publications

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“…Patients can adapt well to their slowly progressing disease so that social factors and disease coping may contribute to relatively better mental health than in other dermatoses. More therapeutic emphasis should therefore be placed on techniques for coping with the disease and biopsycho-social support [35, 36]. When it is an option for the patient, spiritual care can improve mental health scores by helping to alleviate depression or pain [37, 38].…”

Section: Resultsmentioning

confidence: 99%

Impaired quality of life in patients with systemic sclerosis compared to the general population and chronic dermatoses

et al. 2014

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BackgroundSystemic sclerosis (SSc) is a rare and potentially life threatening autoimmune disorder. The burden of disease compared to other dermatoses is unknown. The purpose of this study was to assess both the quality of life in patients with SSc and the variables that are associated with poor quality of life. Forty-one patients with systemic sclerosis (29 limited, 2 diffuse, 10 undifferentiated forms) were assessed with respect to their health status and compared to published data for the normal population, SSc patients from other studies, and patients with chronic skin diseases.ResultsFor the most part, our SSc patients had better outcomes in all 8 dimensions of the SF-36 than SSc patients from other studies, and poorer scores than the healthy population and those with occupational contact dermatitis, ichthyosis, non-melanoma skin cancer, contact dermatitis, atopic eczema, chronic nail disease, vitiligo, health care workers with work-related disease, and those with other chronic skin diseases, but significantly better scores for mental health than those with nail disease, vitiligo, and health-care workers. Patients with atopic dermatitis, psoriasis and pemphigus had significantly poorer mean scores in social function and mental health than SSc patients. Patients with pemphigus were also significantly impaired in their physical and emotional roles. Patients with systemic lupus erythematosus (SLE) had the significantly poorest mean scores for QoL in all 8 domains except bodily pain and emotional role.ConclusionBesides SLE, SSc is one of the most severe chronic dermatologic diseases in terms of reduced QoL. Since SSc cannot be cured, treatment strategies should include therapeutic interventions such as psychotherapy, social support, physiotherapy, and spiritual care. Their beneficial effects could be studied in future.

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Section: Resultsmentioning

confidence: 99%

Impaired quality of life in patients with systemic sclerosis compared to the general population and chronic dermatoses

et al. 2014

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“…In another study, use of the Delusions-Symptoms-States Inventory/states of Anxiety and Depression (DSSI/Sad), otherwise known as the Personal Disturbance Scale revealed 16.7% of 30 patients with borderline anxiety and 46.6% with severe anxiety [7]. In a third study involving the Zung Anxiety Scale, SSc patients scored higher than did patients with naevi or melanoma [16].…”

mentioning

confidence: 96%

Mood and anxiety disorders in systemic sclerosis patients

et al. 2011

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“…As there is no effective treatment or cure to SSc, it is important to know the different features of disease and have an interdisciplinary approach to SSc patients, using both pharmacological and nonpharmacological interventions, and involving physicians, psychologists, physical and occupational therapists, social workers and spiritual advisers if it is an option for the patient. More emphasis should be placed on techniques for coping with the disease and biopsycho-social support [84][85][86], measures of overall management of SSc, acceptance of body image, management of energy and fatigue, sleep problems, sexual dysfunction, and occupational therapy for hands. It is also important to assess the impairment of disease in terms of HR-QoL and for that there are several generic and specific HR-QoL instruments that could be used, covering physical, social, psychological, emotional, cognitive, spiritual, work-or role-related and financial impact domains.…”

Section: Resultsmentioning

confidence: 99%

“…Salt and pepper appearance was the cutaneous finding that had association with high dermatology life quality index scores [16]. In SSc patients skin remission cannot be achieved like in others dermatoses (psoriasis, atopic dermatitis, pemphigus, or SLE) [10] and so the social factors and disease coping may contribute to a better mental health [84][85][86].…”

Section: Skin Deformities and Disfigurementmentioning

confidence: 99%