Psychological resilience in patients with primary Sjögren's syndrome: effect of involvement of major salivary and lacrimal glands.

IF 1.8 4区 医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE European Journal of Oral Sciences Pub Date : 2024-10-16 DOI:10.1111/eos.13022
Esra Sevimli, Seda Günay, Alida Aliyeva, Burcu Aksoy, Farida Fortune, Nevsun Inanc, Gonca Mumcu
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Abstract

The aim of this study was to assess whether the involvement of major salivary and lacrimal glands in primary Sjögren's syndrome (pSS) affected the psychological resilience of patients. This cross-sectional study included 116 patients with pSS. Data were collected through clinical examinations, measurement of salivary flow rates (SFRs), and from Schirmer's test, as well as from patient-reported outcome measures (PROMs), such as the European League Against Rheumatism (EULAR) Sjögren's Syndrome Patient Reported Index (ESSPRI), Brief Resilience Scale (BRS), Work Productivity and Activity Impairment (WPAI), Oral Health Impact Profile-14 (OHIP-14), and the Hospital Anxiety and Depression Scale (HADS). Hyposalivation was defined as an unstimulated SFR of ≤0.1 mL/min. The BRS score (mean ± SD = 2.60 ± 0.69) was lower in patients with recurrent parotitis (2.11 ± 0.37) than in those without recurrent parotitis (2.67 ± 0.86), in the whole group. In patients with an unacceptable symptom state (ESSPRI score ≥ 5 points), a lower BRS score was observed in patients with both hyposalivation and ocular dryness (2.59 ± 0.69) than in patients with isolated hyposalivation (2.84 ± 0.84). The BRS score was also negatively associated with the WPAI-Daily Impairment and OHIP-14 scores in patients with hyposalivation as well as with HADS-A (the seven items of HADS relating to the anxiety dimension) and HADS-D (the seven items of HADS relating to the depression dimension) in the whole group. The results suggest that psychological resilience in pSS may be affected by recurrent parotitis, the levels of anxiety and depression, as well as hyposalivation with ocular dryness.

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原发性斯约格伦综合征患者的心理适应能力:主要唾液腺和泪腺受累的影响。
本研究旨在评估原发性斯约格伦综合征(pSS)的主要唾液腺和泪腺受累是否会影响患者的心理适应能力。这项横断面研究包括 116 名原发性斯约格伦综合征患者。研究人员通过临床检查、唾液流速(SFR)测量、施尔默试验以及患者报告结果测量(PROMs)收集数据,如欧洲抗风湿联盟(EULAR)的斯约格伦综合征患者报告指数(ESSPRI)、简易复原力量表(BRS)、工作效率和活动障碍(WPAI)、口腔健康影响档案-14(OHIP-14)以及医院焦虑抑郁量表(HADS)。唾液分泌过少定义为非刺激性 SFR ≤0.1 mL/min。整组患者中,复发性腮腺炎患者的 BRS 评分(平均值 ± SD = 2.60 ± 0.69)(2.11 ± 0.37)低于非复发性腮腺炎患者(2.67 ± 0.86)。在症状状态不可接受(ESSPRI 评分≥ 5 分)的患者中,同时存在唾液分泌过少和眼部干燥的患者(2.59 ± 0.69)的 BRS 评分低于单独存在唾液分泌过少的患者(2.84 ± 0.84)。BRS评分与唾液分泌过少患者的WPAI-日常障碍和OHIP-14评分呈负相关,与全组患者的HADS-A(HADS中与焦虑维度相关的7个项目)和HADS-D(HADS中与抑郁维度相关的7个项目)也呈负相关。研究结果表明,复发性腮腺炎、焦虑和抑郁程度以及唾液分泌过少和眼部干燥可能会影响 pSS 患者的心理适应能力。
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来源期刊
European Journal of Oral Sciences
European Journal of Oral Sciences 医学-牙科与口腔外科
CiteScore
3.50
自引率
5.30%
发文量
61
审稿时长
2 months
期刊介绍: The European Journal of Oral Sciences is an international journal which publishes original research papers within clinical dentistry, on all basic science aspects of structure, chemistry, developmental biology, physiology and pathology of relevant tissues, as well as on microbiology, biomaterials and the behavioural sciences as they relate to dentistry. In general, analytical studies are preferred to descriptive ones. Reviews, Short Communications and Letters to the Editor will also be considered for publication. The journal is published bimonthly.
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