{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,2]],"date-time":"2025-10-02T17:42:02Z","timestamp":1759426922505,"version":"build-2065373602"},"reference-count":39,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2022,5,23]],"date-time":"2022-05-23T00:00:00Z","timestamp":1653264000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000142","name":"Arthritis Society","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000142","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000024","name":"Canadian Institutes of Health Research","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000024","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100008582","name":"McGill University","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100008582","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100019175","name":"Scleroderma Society of Ontario","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100019175","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["acrjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ACR Open Rheumatology"],"published-print":{"date-parts":[[2022,8]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>Systemic sclerosis (SSc) has significant psychosocial implications. We aimed to evaluate the proportion of participants in a large international SSc cohort who used mental health services in a 3\u2010month period and to evaluate demographic, psychological, and disease\u2010specific factors associated with use.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Baseline data of participants enrolled in the Scleroderma Patient\u2010Centered Intervention Network Cohort were analyzed. We determined the proportion that used mental health services and the source of services in the 3 months prior to enrollment. Multivariable logistic regression was used to identify variables associated with service use.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of the 2319 participants included in the analysis, 417 (18%) used mental health services in the 3 months prior to enrollment. General practitioners were the most common mental health service providers (59%), followed by psychologists (25%) and psychiatrists (19%). In multivariable analysis, mental health service use was independently associated with higher education (odds ratio [OR] 1.07, 95% confidence interval [CI] 1.03\u20101.11), smoking (OR 1.06, 95% CI 1.02\u20101.11), being retired (OR 0.60, 95% CI 0.38\u20100.93), having limited SSc (OR 1.39, 95% CI 1.02\u20101.89), and having higher anxiety symptom scores (OR 1.04, 95% CI 1.03\u20101.06) and lower self\u2010efficacy scores (OR 0.90, 95% CI 0.83\u20100.97). Variables not significantly associated included age, race, disease manifestations, depression symptom scores, and body image distress.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>About 18% of participants in a large international cohort received mental health services in a 3\u2010month period, of whom the majority received these services from a general practitioner.<\/jats:p><\/jats:sec>","DOI":"10.1002\/acr2.11439","type":"journal-article","created":{"date-parts":[[2022,5,23]],"date-time":"2022-05-23T05:53:56Z","timestamp":1653285236000},"page":"647-657","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Mental Health Care Use and Associated Factors in Systemic Sclerosis: A Scleroderma <scp>Patient\u2010Centered<\/scp> Intervention Network Cohort Study"],"prefix":"10.1002","volume":"4","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0715-2993","authenticated-orcid":false,"given":"Karima","family":"Becetti","sequence":"first","affiliation":[{"name":"Hamad Medical Corporation  Doha Qatar"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joseph T.","family":"Nguyen","sequence":"additional","affiliation":[{"name":"Hospital for Special Surgery  New York City New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Linda","family":"Kwakkenbos","sequence":"additional","affiliation":[{"name":"Behavioural Science Institute, Radboud University  Nijmegen the Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marie\u2010Eve","family":"Carrier","sequence":"additional","affiliation":[{"name":"Lady Davis Institute for Medical Research Jewish General Hospital  Montreal Quebec 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Netherlands, and Federation of European Scleroderma Associations  Brussels Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luc","family":"Mouthon","sequence":"additional","affiliation":[{"name":"Universit\u00e9 Paris Descartes, Assistance Publique\u2013H\u00f4pitaux de Paris, and H\u00f4pital Cochin  Paris France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9755-2490","authenticated-orcid":false,"given":"Susan J.","family":"Bartlett","sequence":"additional","affiliation":[{"name":"McGill University and McGill University Health Center Research Institute  Montreal Quebec Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vanessa L.","family":"Malcarne","sequence":"additional","affiliation":[{"name":"San Diego State University  San Diego California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5644-8432","authenticated-orcid":false,"given":"Brett D.","family":"Thombs","sequence":"additional","affiliation":[{"name":"Lady Davis Institute for Medical Research, Jewish General Hospital and McGill University  Montreal Quebec Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2911-6800","authenticated-orcid":false,"given":"Robert F.","family":"Spiera","sequence":"additional","affiliation":[{"name":"Hospital for Special Surgery  New York City New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"Scleroderma Patient\u2010Centered Intervention Network 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