{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T20:29:49Z","timestamp":1790108989250,"version":"4.0.1"},"reference-count":49,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2023,2,2]],"date-time":"2023-02-02T00:00:00Z","timestamp":1675296000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100018950","name":"Centre Hospitalier Universitaire de Rennes","doi-asserted-by":"publisher","award":["CORECT Visiting Grant 2020"],"award-info":[{"award-number":["CORECT Visiting Grant 2020"]}],"id":[{"id":"10.13039\/501100018950","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000069","name":"National Institute of Arthritis and Musculoskeletal and Skin Diseases","doi-asserted-by":"publisher","award":["K24\u2010AR\u2010063129"],"award-info":[{"award-number":["K24\u2010AR\u2010063129"]}],"id":[{"id":"10.13039\/100000069","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["acrjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Arthritis Care &amp; Research"],"published-print":{"date-parts":[[2023,8]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>Perceived cognitive dysfunction is prevalent in patients with systemic sclerosis (SSc) but not well understood. This study aimed to examine potential factors associated with perceived cognitive function and to investigate the contributions of perceived cognitive function and symptoms to functional measures.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A cross\u2010sectional survey was conducted among patients with SSc (n\u00a0=\u00a0106). Participants were mainly female (84%) and White (82%). Perceived cognitive function, symptoms, and functional measures were assessed with Patient\u2010Reported Outcomes Measurement Information System (PROMIS) measures. A multivariable regression was conducted to identify factors associated with perceived cognition. Hierarchical linear regressions examined the unique contributions of perceived cognitive function and symptoms to social participation and physical function.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Fifty\u2010nine (56%) patients with SSc perceived mild\u2010to\u2010severe cognitive dysfunction. Being on work disability and having more fatigue were both significantly associated with perceived cognitive dysfunction. When examining the contributions of cognition and other symptoms to functional measures, self\u2010reported cognition became nonsignificant after fatigue and pain were entered into the regression model.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Being on work disability and having more fatigue were most highly associated with perceived cognitive dysfunction in patients with SSc. Unlike fatigue and pain, perceived cognitive function was not independently associated with functional measures. Nonetheless, future research should disentangle cognitive function and other symptoms, as well as their effects on daily activities, in SSc.<\/jats:p><\/jats:sec>","DOI":"10.1002\/acr.25000","type":"journal-article","created":{"date-parts":[[2022,8,23]],"date-time":"2022-08-23T08:43:50Z","timestamp":1661244230000},"page":"1706-1714","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Perceived Cognitive Function in People With Systemic Sclerosis: Associations With Symptoms and Daily Life Functioning"],"prefix":"10.1002","volume":"75","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7723-6431","authenticated-orcid":false,"given":"Yen T.","family":"Chen","sequence":"first","affiliation":[{"name":"University of Michigan  Ann Arbor"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2081-8558","authenticated-orcid":false,"given":"Alain","family":"Lescoat","sequence":"additional","affiliation":[{"name":"University of Michigan, Ann Arbor, and Rennes University Hospital and University Rennes, CHU Rennes, INSERM, EHESP, Institut de Recherche en Sant\u00e9, Environnement et Travail  Rennes France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1412-4453","authenticated-orcid":false,"given":"Dinesh","family":"Khanna","sequence":"additional","affiliation":[{"name":"University of Michigan  Ann Arbor"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7924-0012","authenticated-orcid":false,"given":"Susan L.","family":"Murphy","sequence":"additional","affiliation":[{"name":"University of Michigan  Ann Arbor"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,2,2]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(17)30933-9"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/art.24614"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2665-9913(21)00318-0"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1093\/rheumatology\/ker020"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1093\/rheumatology\/kes347"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.lpm.2010.09.019"},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/acr.24122"},{"key":"e_1_2_5_9_1","doi-asserted-by":"publisher","DOI":"10.1177\/2397198320965383"},{"key":"e_1_2_5_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2015.12.314"},{"key":"e_1_2_5_11_1","doi-asserted-by":"publisher","DOI":"10.1093\/rheumatology\/keq145"},{"key":"e_1_2_5_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00296-013-2680-9"},{"key":"e_1_2_5_13_1","first-page":"1","article-title":"Importance and difficulty with valued life activities for people with systemic sclerosis","author":"Poole JL","year":"2022","journal-title":"Disabil Rehabil"},{"key":"e_1_2_5_14_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0090484"},{"key":"e_1_2_5_15_1","doi-asserted-by":"publisher","DOI":"10.1002\/acr.23207"},{"key":"e_1_2_5_16_1","first-page":"1718","article-title":"Disease and symptom burden in systemic sclerosis: a patient perspective","volume":"34","author":"Suarez\u2010Almazor ME","year":"2007","journal-title":"J Rheumatol"},{"key":"e_1_2_5_17_1","doi-asserted-by":"publisher","DOI":"10.1093\/rheumatology\/keab339"},{"key":"e_1_2_5_18_1","doi-asserted-by":"publisher","DOI":"10.1002\/acr.23595"},{"key":"e_1_2_5_19_1","doi-asserted-by":"publisher","DOI":"10.1002\/msc.1617"},{"key":"e_1_2_5_20_1","doi-asserted-by":"publisher","DOI":"10.5114\/reum.2021.105454"},{"key":"e_1_2_5_21_1","doi-asserted-by":"publisher","DOI":"10.1002\/acr.24737"},{"key":"e_1_2_5_22_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1468-1331.2009.02714.x"},{"key":"e_1_2_5_23_1","doi-asserted-by":"publisher","DOI":"10.1097\/WNN.0b013e3182593c75"},{"key":"e_1_2_5_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.semarthrit.2021.11.003"},{"key":"e_1_2_5_25_1","doi-asserted-by":"publisher","DOI":"10.1136\/annrheumdis-2015-eular.1903"},{"key":"e_1_2_5_26_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10067-019-04884-9"},{"key":"e_1_2_5_27_1","doi-asserted-by":"publisher","DOI":"10.3233\/JAD-180516"},{"key":"e_1_2_5_28_1","doi-asserted-by":"publisher","DOI":"10.1093\/rheumatology\/keac004"},{"key":"e_1_2_5_29_1","doi-asserted-by":"publisher","DOI":"10.1097\/AJP.0b013e3181ed1762"},{"key":"e_1_2_5_30_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2018.00377"},{"key":"e_1_2_5_31_1","doi-asserted-by":"publisher","DOI":"10.1093\/pm\/pnx024"},{"key":"e_1_2_5_32_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11136-015-1160-y"},{"key":"e_1_2_5_33_1","doi-asserted-by":"publisher","DOI":"10.1080\/03009742.2016.1206617"},{"key":"e_1_2_5_34_1","doi-asserted-by":"publisher","DOI":"10.1177\/0961203313511554"},{"key":"e_1_2_5_35_1","doi-asserted-by":"publisher","DOI":"10.1177\/09612033211006187"},{"key":"e_1_2_5_36_1","doi-asserted-by":"publisher","DOI":"10.3899\/jrheum.120871"},{"key":"e_1_2_5_37_1","doi-asserted-by":"publisher","DOI":"10.1093\/gerona\/gls224"},{"key":"e_1_2_5_38_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamda.2019.08.032"},{"key":"e_1_2_5_39_1","doi-asserted-by":"publisher","DOI":"10.1002\/pon.3522"},{"key":"e_1_2_5_40_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11136-017-1709-z"},{"key":"e_1_2_5_41_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychores.2011.04.007"},{"key":"e_1_2_5_42_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pain.2010.04.025"},{"key":"e_1_2_5_43_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jval.2019.02.004"},{"key":"e_1_2_5_44_1","doi-asserted-by":"publisher","DOI":"10.1080\/15402002.2012.636266"},{"key":"e_1_2_5_45_1","doi-asserted-by":"publisher","DOI":"10.1177\/1073191111411667"},{"key":"e_1_2_5_46_1","doi-asserted-by":"publisher","DOI":"10.1093\/rheumatology\/kep400"},{"key":"e_1_2_5_47_1","doi-asserted-by":"publisher","DOI":"10.3109\/10582452.2013.806977"},{"key":"e_1_2_5_48_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006842-200201000-00008"},{"key":"e_1_2_5_49_1","doi-asserted-by":"publisher","DOI":"10.1002\/acr.20581"},{"key":"e_1_2_5_50_1","doi-asserted-by":"publisher","DOI":"10.1002\/acr.23475"}],"container-title":["Arthritis Care &amp; Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/acr.25000","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/acr.25000","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/acrjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/acr.25000","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,2]],"date-time":"2025-10-02T16:12:48Z","timestamp":1759421568000},"score":1,"resource":{"primary":{"URL":"https:\/\/acrjournals.onlinelibrary.wiley.com\/doi\/10.1002\/acr.25000"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,2,2]]},"references-count":49,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2023,8]]}},"alternative-id":["10.1002\/acr.25000"],"URL":"https:\/\/doi.org\/10.1002\/acr.25000","archive":["Portico"],"relation":{},"ISSN":["2151-464X","2151-4658"],"issn-type":[{"value":"2151-464X","type":"print"},{"value":"2151-4658","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,2,2]]},"assertion":[{"value":"2022-03-14","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-08-16","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-02-02","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}