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Psychiatric symptoms associated with scleroderma.

N V Angelopoulos1, A A Drosos, H M Moutsopoulos

  • 1Department of Psychiatry, Medical School, University of Thessalia, Larissa, Greece. nikifang@med.uth.gr

Psychotherapy and Psychosomatics
|May 8, 2001
PubMed
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Scleroderma patients exhibit higher rates of psychiatric symptoms, including anxiety, depression, and guilt, compared to healthy individuals. This study highlights the significant psychological burden associated with scleroderma.

Area of Science:

  • Rheumatology
  • Psychiatry
  • Psychosomatic Medicine

Background:

  • Scleroderma is associated with psychiatric symptoms and hostility, though poorly studied.
  • Understanding the psychological impact is crucial for comprehensive patient care.

Purpose of the Study:

  • To investigate the prevalence of psychiatric symptoms and hostility in scleroderma patients.
  • To compare these factors with a healthy control group.

Main Methods:

  • Thirty female scleroderma patients and 33 healthy women were assessed.
  • Psychometric instruments included the Hostility and Direction of Hostility Questionnaire (HDHQ), Delusions Symptoms States Inventory/states of Anxiety and Depression (DSSI/sAD), and Symptom Check List-90R (SCL-90R).

Main Results:

Related Experiment Videos

  • Scleroderma patients showed significantly higher scores for depression, anxiety, somatization, interpersonal sensitivity, and obsessive-compulsiveness.
  • Elevated scores were also noted for paranoid ideation and psychotic symptoms.
  • Patients reported significantly higher hostility, particularly guilt.

Conclusions:

  • A majority of scleroderma patients experience psychiatric symptoms like anxiety, depression, obsessive-compulsiveness, somatization, and guilt.
  • These findings underscore the significant psychological distress in scleroderma.