Evidence map›Paper›PMID 40697915›Full record

ArticleFrontiers in medicine2025

Psychosomatic profile in patients with systemic sclerosis: results from an observational study.

Sara Romanazzo, Francesco Sera, Margherita Cappelli, Francesca Nacci, Serena Guiducci, Fiammetta Cosci

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Article in Frontiers in medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Sara RomanazzoDepartment of Health Sciences, University of Florence, Florence, Italy.
Francesco SeraDepartment of Statistics, Computer Science and Applications G. Parenti, University of Florence, Florence, Italy.
Margherita CappelliDepartment of Health Sciences, University of Florence, Florence, Italy.
Francesca NacciRheumatology Unit, Department of Experimental and Clinical Medicine, University of Florence, Florence, Italy.
Serena GuiducciRheumatology Unit, Department of Experimental and Clinical Medicine, University of Florence, Florence, Italy.
Fiammetta CosciDepartment of Health Sciences, University of Florence, Florence, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: The aim of the present study was to test whether the occurrence of psychosomatic syndromes in patients with systemic sclerosis (SSc) may influence psychopathological distress and well-being. Methods: A total of 276 outpatients with SSc were consecutively enrolled. Mental disorders were assessed using the Mini-International Neuropsychiatric Interview (MINI), while psychosomatic syndromes were assessed using the Semi-Structured Interview for Diagnostic Criteria for Psychosomatic Research-Revised (DCPR-R-SSI). Psychological distress and well-being were assessed using the Mental Pain Questionnaire (MPQ), the Symptom Questionnaire (SQ), the Psychological Well-Being (PWB) scales, the 5-item World Health Organization Well-Being Index (WHO-5), the Euthymia Scale (ES), and the Pictorial Representation of Illness and Self Measure (PRISM). Latent Class Analysis (LCA) was performed on the 14 items of the DCPR-R-SSI. The LCA solution identified two distinct latent patient groups with distinct clinical profiles: LC1, comprising 255 patients (92.4%), and LC2, comprising 21 patients (7.6%). Results: DCPR-R allostatic overload, demoralization, irritable mood, type a behavior, and alexithymia primarily discriminated between the two distinct latent groups of patients. The probabilities of observing these syndromes were higher among the patients belonging to the LC2 group. Depression was found to be associated with belonging to the LC2 group, as well as with higher scores on the MPQ and the SQ scales for depression, anxiety, anger-hostility, and somatization ( Conclusion: Psychosomatic syndromes may help define distinct clusters among patients with SSc, reflecting specific clinical profiles that should be considered during patient assessment and when proposing tailored interventions.

Indexed as

DCPRpsychological distressresiliencesystemic sclerosiswell-being

Identifiers

PMID40697915
PMCPMC12279850

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