Predictors of psychosocial adjustment in systemic sclerosis

Moser, Debra K.; Clements, Philip J.; Brecht, Mary‐Lynn; Weiner, Saul J.

doi:10.1002/art.1780361012

Cited by 41 publications

(10 citation statements)

References 44 publications

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“…Severity of illness, and consequent disability, may be regarded as a central factor contributing to the development of psychiatric symptomatology. Other factors, such as social support [7, 25]may also play significant roles. Medication could not be regarded as innocent.…”

Section: Discussionmentioning

confidence: 99%

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Psychiatric Symptoms Associated with Scleroderma

Angelopoulos¹,

Drosos

Moutsopoulos

2001

Psychother Psychosom

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Background: The prevalence of psychiatric symptoms and hostility factors in patients with scleroderma, although a matter of clinical interest, it is rather poorly studied. Methods: Thirty female patients with scleroderma were investigated. Thirty-three healthy women were used as a comparison group. The applied psychometric instruments were the Hostility and Direction of Hostility Questionnaire (HDHQ), the Delusions Symptoms States Inventory/states of Anxiety and Depression (DSSI/sAD) and the Symptom Check List-90R (SCL-90R). Results: The scleroderma patients reported significantly increased depression and anxiety, somatization, interpersonal sensitivity and obsessive-compulsiveness. Paranoid ideation and psychotic symptoms scores were also increased. On hostility, they presented significantly higher scores predominantly on guilt. Conclusions: Psychiatric symptomatology in the form of anxiety, depression, obsessive-compulsiveness, somatization and feelings of guilt were reported by the majority of the patients with scleroderma.

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Section: Discussionmentioning

confidence: 99%

“…Depressive symptomatology has been reported in two case studies [5, 6]. In another study [7]a psychosocial investigation of sclerodermatic patients was carried out. Only one published study on the prevalence of psychiatric symptomatology, namely depression [8], in patients with scleroderma can be found in the literature.…”

Section: Introductionmentioning

confidence: 99%

Psychiatric Symptoms Associated with Scleroderma

Angelopoulos¹,

Drosos

Moutsopoulos

2001

Psychother Psychosom

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“…These psychological variables predicting depressed mood (i.e., social support, cognitions and coping) are largely unrelated to clinical disease status in SSc (Matsuura et al 2003;Moser et al 1993). Furthermore, studies in rheumatoid arthritis (RA) have shown that psychological interventions can improve perceived social support, improve the use of 'adaptive' cognitions and improve coping skills, with positive effects for the patient's psychological mood (Astin et al 2002;Riemsma et al 2002;Savelkoul et al 2000).…”

Section: Introductionmentioning

confidence: 97%

“…For instance, perceived adequacy of social support (Roca et al 1996) and dissatisfaction with social support (Moser et al 1993) have been shown to be associated with psychological mood. The interaction between these coping resources and the stressful event determines the patient's appraisal of the situation: the way patients perceive and think about their disease.…”

Section: Introductionmentioning

confidence: 99%

Social Support, Disease-Related Cognitions and Coping as Predictors of Depressed Mood in Systemic Sclerosis

et al. 2007

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Psychological mood or distress in patients with systemic sclerosis (SSc) is only weakly related to physician-assessed disease severity, self-reported symptoms and physical functioning. Psychological variables such as social support indices, disease-related cognitions and coping strategies are likely predictors of depressed mood. Until now, however, the independent association between these variables and psychological mood in patients with SSc after controlling for disease severity, symptoms and functioning has not been studied. One hundred and twenty-three patients completed questionnaires measuring symptoms, physical functioning, social support, cognitions, coping and depressed mood. Depressed mood was measured using a subscale of a self-report function scale developed for patients with rheumatic conditions. In addition, disease severity was assessed by a rheumatologist. In the final analysis, being married, higher levels of perceived potential support and higher levels of disease-related cognition acceptance each showed independent associations with lower levels of depressed mood after controlling for disease severity, self-reported symptoms and function. Expression of emotion showed associations with higher levels of depressed mood. These findings suggest that psychological interventions in SSc should try to improve social support skills and acceptance of the disease by the patient.

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“…Only two studies evaluated the relationship between educational levels and SSc (Moser et al, 1993;Edwards et al, 2006). The two studies, conducted in the US and using self-reported educational levels, reported that the low level of formal education was a risk factor for adverse outcomes of SSc.…”

Section: Introductionmentioning

confidence: 99%

Investigation of stressful life events in patients with systemic sclerosis

Chen

Huang

et al. 2008

J. Zhejiang Univ. Sci. B

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Abstract:Objective: To assess the occurrence of stressful life events in the year before the initiation of systemic sclerosis. Methods: A consecutive series of 40 patients with systemic sclerosis (mean age (56.3±11.9) years, mean disease duration (4.3±3.1) years; 32 females and 8 males), including 28 with diffuse cutaneous scleroderma and 12 with limited cutaneous scleroderma, were evaluated. A control group of 40 healthy subjects free of systemic sclerosis also was included. Socioeconomic status was investigated and Paykel's interview for recent life events (a semi-structured research interview covering 64 life events) was conducted. Results: Patients with systemic sclerosis showed higher percentages of lower education (72.5%) and working class (82.5%), and reported more stressful life events (P<0.05), such as exits (P<0.05), undesirable events (P<0.01), and uncontrolled events (P<0.001), when compared with the control. More events that had an objective negative impact (P<0.001) were also reported in systemic sclerosis patients than in the control. These results are in accordance with a multifactorial model of pathogenesis in systemic sclerosis. Conclusion: We reported a strong relationship between stressful life events and the initiation of systemic sclerosis. Our findings are consistent with current understanding of the extensive links of behavioral responses to stress with neurophysiological and biochemical processes.

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Predictors of psychosocial adjustment in systemic sclerosis

Cited by 41 publications

References 44 publications

Psychiatric Symptoms Associated with Scleroderma

Psychiatric Symptoms Associated with Scleroderma

Social Support, Disease-Related Cognitions and Coping as Predictors of Depressed Mood in Systemic Sclerosis

Investigation of stressful life events in patients with systemic sclerosis

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