Appearance self-esteem in systemic sclerosis--subjective experience of skin deformity and its relationship with physician-assessed skin involvement, disease status and psychological variables.
until further notice
SourceRheumatology, 46, 5, (2007), pp. 872-876
Article / Letter to editor
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SW OZ BSI OGG
SubjectEBP 1: Determinants of Health and Disease; EBP 2: Effective Hospital Care; N4i 4: Auto-immunity, transplantation and immunotherapy; NCEBP 8: Psychological determinants of chronic illness; UMCN 4.2: Chronic inflammation and autoimmunity; EBP 1: Determinants of Health and Disease; EBP 2: Effective Hospital Care
OBJECTIVES: To determine the importance of skin deformity in systemic sclerosis (SSc) relative to other disease stressors and to find psychological correlates of appearance self-esteem (ASE) after controlling for disease status. METHODS: Disease-related stressors, symptoms, physical and psychological functioning, social support, coping styles, cognitions and ASE were assessed in 123 patients with SSc. A rheumatologist determined disease duration, SSc subtype, presence of organ involvement and skin-thickness scores. Stepwise hierarchical regression analysis of disease-related cognitions on ASE was performed after controlling for selected variables. RESULTS: Skin deformities proved a core stressor of the disease, only preceded by fatigue. Physician-assessed disease status, including modified Rodnan skin score, was unrelated to ASE. Sex, self-reported functioning and symptoms were related to ASE and used as control variables. Both acceptance and anxiety correlated strongly with ASE. The stepwise regression procedure only identified the disease-related cognition acceptance. CONCLUSIONS: In SSc, ASE proved unrelated to the extent of skin thickness. Psychological interventions aimed at boosting ASE should primarily target the psychological factors acceptance and anxiety.
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