Psychosocial aspects of systemic sclerosis

Vanessa L. Malcarne*, Rina S. Fox, Sarah D. Mills, Shadi Gholizadeh

*Corresponding author for this work

Research output: Contribution to journalReview article

18 Citations (Scopus)

Abstract

PURPOSE OF REVIEW: In 2010, an international consortium of researchers published a consensus agenda for research on psychosocial aspects of systemic sclerosis (SSc; scleroderma). The present review summarizes recent research on SSc-related depression and anxiety, fatigue and sleep, pain, pruritus, body image distress, sexual function, work disability, healthcare needs, psychosocial interventions, and psychoneuroimmunology. RECENT FINDINGS: Researchers have used structured interviews to establish prevalence rates for clinical mood disorders in SSc, although anxiety remains understudied and distress may be a useful outcome to consider. Longitudinal research has identified predictors of fatigue. Research on body image distress suggests the importance of changes in the facial skin and hands. Studies have identified sexual function problems in women and men with SSc. A prospective study found that breathing problems and fatigue predicted workplace disability. A randomized controlled trial evaluating multidisciplinary care showed benefits for health-related quality of life. SUMMARY: There has been a recent expansion in studies of psychosocial aspects of SSc, and in the validation of psychosocial measures that can be used in clinics to identify problems and track outcomes; however, prospective studies remain scarce. To better address the psychosocial needs of persons with SSc, interventions need to be developed and tested via randomized controlled trials with power to detect clinically meaningful changes.

Original languageEnglish (US)
Pages (from-to)707-713
Number of pages7
JournalCurrent Opinion in Rheumatology
Volume25
Issue number6
DOIs
StatePublished - Nov 1 2013

Fingerprint

Systemic Scleroderma
Fatigue
Body Image
Research
Anxiety
Randomized Controlled Trials
Psychoneuroimmunology
Research Personnel
Prospective Studies
Pruritus
Mood Disorders
Workplace
Consensus
Sleep
Respiration
Hand
Quality of Life
Interviews
Depression
Delivery of Health Care

Keywords

  • Psychosocial
  • Scleroderma
  • Systemic sclerosis

ASJC Scopus subject areas

  • Rheumatology

Cite this

Malcarne, Vanessa L. ; Fox, Rina S. ; Mills, Sarah D. ; Gholizadeh, Shadi. / Psychosocial aspects of systemic sclerosis. In: Current Opinion in Rheumatology. 2013 ; Vol. 25, No. 6. pp. 707-713.
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title = "Psychosocial aspects of systemic sclerosis",
abstract = "PURPOSE OF REVIEW: In 2010, an international consortium of researchers published a consensus agenda for research on psychosocial aspects of systemic sclerosis (SSc; scleroderma). The present review summarizes recent research on SSc-related depression and anxiety, fatigue and sleep, pain, pruritus, body image distress, sexual function, work disability, healthcare needs, psychosocial interventions, and psychoneuroimmunology. RECENT FINDINGS: Researchers have used structured interviews to establish prevalence rates for clinical mood disorders in SSc, although anxiety remains understudied and distress may be a useful outcome to consider. Longitudinal research has identified predictors of fatigue. Research on body image distress suggests the importance of changes in the facial skin and hands. Studies have identified sexual function problems in women and men with SSc. A prospective study found that breathing problems and fatigue predicted workplace disability. A randomized controlled trial evaluating multidisciplinary care showed benefits for health-related quality of life. SUMMARY: There has been a recent expansion in studies of psychosocial aspects of SSc, and in the validation of psychosocial measures that can be used in clinics to identify problems and track outcomes; however, prospective studies remain scarce. To better address the psychosocial needs of persons with SSc, interventions need to be developed and tested via randomized controlled trials with power to detect clinically meaningful changes.",
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Psychosocial aspects of systemic sclerosis. / Malcarne, Vanessa L.; Fox, Rina S.; Mills, Sarah D.; Gholizadeh, Shadi.

In: Current Opinion in Rheumatology, Vol. 25, No. 6, 01.11.2013, p. 707-713.

Research output: Contribution to journalReview article

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AU - Gholizadeh, Shadi

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