{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,7]],"date-time":"2026-02-07T15:15:29Z","timestamp":1770477329632,"version":"3.49.0"},"reference-count":57,"publisher":"Elsevier BV","issue":"2","license":[{"start":{"date-parts":[[2007,10,1]],"date-time":"2007-10-01T00:00:00Z","timestamp":1191196800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Seminars in Arthritis and Rheumatism"],"published-print":{"date-parts":[[2007,10]]},"DOI":"10.1016\/j.semarthrit.2007.03.008","type":"journal-article","created":{"date-parts":[[2007,5,23]],"date-time":"2007-05-23T11:54:13Z","timestamp":1179921253000},"page":"81-92","source":"Crossref","is-referenced-by-count":47,"title":["The Impact of Psychological Functioning upon Systemic Sclerosis Patients\u2019 Quality of Life"],"prefix":"10.1016","volume":"37","author":[{"given":"Thomas N.","family":"Hyphantis","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Niki","family":"Tsifetaki","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vassiliki","family":"Siafaka","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paraskevi V.","family":"Voulgari","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christina","family":"Pappa","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marina","family":"Bai","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kalliopi","family":"Palieraki","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aliki","family":"Venetsanopoulou","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Venetsanos","family":"Mavreas","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexandros A.","family":"Drosos","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"78","reference":[{"key":"10.1016\/j.semarthrit.2007.03.008_bib1","series-title":"Arthritis and Allied Conditions: A Textbook of Rheumatology","first-page":"1633","article-title":"Systemic sclerosis and scleroderma variants: clinical aspects","author":"Silver","year":"2005"},{"key":"10.1016\/j.semarthrit.2007.03.008_bib2","doi-asserted-by":"crossref","first-page":"147","DOI":"10.1136\/ard.41.2.147","article-title":"The articular manifestations of progressive systemic sclerosis (scleroderma)","volume":"41","author":"Baron","year":"1982","journal-title":"Ann Rheum Dis"},{"key":"10.1016\/j.semarthrit.2007.03.008_bib3","doi-asserted-by":"crossref","first-page":"59","DOI":"10.1001\/jama.273.1.59","article-title":"Linking clinical variables with health-related quality of life","volume":"273","author":"Wilson","year":"1995","journal-title":"JAMA"},{"key":"10.1016\/j.semarthrit.2007.03.008_bib4","first-page":"1117","article-title":"Quality of life and functional status in systemic sclerosis compared to other rheumatic diseases","volume":"33","author":"Johnson","year":"2006","journal-title":"J Rheumatol"},{"issue":"3","key":"10.1016\/j.semarthrit.2007.03.008_bib5","doi-asserted-by":"crossref","first-page":"475","DOI":"10.1002\/art.20389","article-title":"Health-related quality of life in systemic sclerosis as measured by the Short Form 36: relationship with clinical and biologic markers","volume":"51","author":"Del Rosso","year":"2004","journal-title":"Arthritis Rheum"},{"issue":"10","key":"10.1016\/j.semarthrit.2007.03.008_bib6","doi-asserted-by":"crossref","first-page":"1298","DOI":"10.1093\/rheumatology\/kel189","article-title":"Impact of pain in health related quality of life of patients with systemic sclerosis","volume":"45","author":"Georges","year":"2006","journal-title":"Rheumatology (Oxford)"},{"key":"10.1016\/j.semarthrit.2007.03.008_bib7","doi-asserted-by":"crossref","first-page":"48","DOI":"10.1007\/s10067-004-0970-z","article-title":"Health-related quality of life measured by the Short Form 36 (SF 36) in systemic sclerosis : correlations with indexes of disease activity and severity, disability and depressive symptoms","volume":"24","author":"Danieli","year":"2005","journal-title":"Clin Rheumatol"},{"issue":"3","key":"10.1016\/j.semarthrit.2007.03.008_bib8","doi-asserted-by":"crossref","first-page":"350","DOI":"10.1002\/art.20398","article-title":"Quality of life of people with rheumatoid arthritis as measured by the World Health Organization Quality of Life Instrument, Short Form (WHOQOL-BREF): score distributions and psychometric properties","volume":"51","author":"Taylor","year":"2004","journal-title":"Arthritis Rheum (Arthritis Care Res)"},{"key":"10.1016\/j.semarthrit.2007.03.008_bib9","doi-asserted-by":"crossref","first-page":"47","DOI":"10.1001\/jama.278.1.47","article-title":"The problem of quality of life in medicine","volume":"278","author":"Leplege","year":"1997","journal-title":"JAMA"},{"key":"10.1016\/j.semarthrit.2007.03.008_bib10","doi-asserted-by":"crossref","first-page":"495","DOI":"10.1037\/0278-6133.18.5.495","article-title":"The World Health Organization WHOQOL-100: tests of the universality of quality of life in 15 different cultural groups worldwide","volume":"18","author":"Power","year":"1999","journal-title":"Health Psychol"},{"issue":"2","key":"10.1016\/j.semarthrit.2007.03.008_bib11","doi-asserted-by":"crossref","first-page":"299","DOI":"10.1023\/B:QURE.0000018486.91360.00","article-title":"The World Health Organization\u2019s WHOQOL-BREF quality of life assessment: psychometric properties and results of the international field trial","volume":"13","author":"Skevington","year":"2004","journal-title":"Qual Life Res"},{"issue":"3","key":"10.1016\/j.semarthrit.2007.03.008_bib12","doi-asserted-by":"crossref","first-page":"551","DOI":"10.1017\/S0033291798006667","article-title":"Development of the World Health Organization WHOQOL-BREF quality of life assessment","volume":"28","author":"Harper","year":"1998","journal-title":"Psychol Med"},{"issue":"6","key":"10.1016\/j.semarthrit.2007.03.008_bib13","doi-asserted-by":"crossref","first-page":"758","DOI":"10.1093\/rheumatology\/keh170","article-title":"Measurement of fatigue and discomfort in primary Sjogren\u2019s syndrome using a new questionnaire tool","volume":"43","author":"Bowman","year":"2004","journal-title":"Rheumatology (Oxford)"},{"key":"10.1016\/j.semarthrit.2007.03.008_bib14","doi-asserted-by":"crossref","first-page":"337","DOI":"10.1097\/00001504-199709000-00001","article-title":"How useful is the concept of quality of life in psychiatry?","volume":"10","author":"Katschnig","year":"1997","journal-title":"Curr Opin Psychiatry"},{"issue":"1","key":"10.1016\/j.semarthrit.2007.03.008_bib15","doi-asserted-by":"crossref","first-page":"81","DOI":"10.1007\/s00127-005-0997-8","article-title":"What does the WHOQOL-BREF measure?","volume":"41","author":"Aigner","year":"2006","journal-title":"Soc Psychiatry Psychiatr Epidemiol"},{"issue":"2","key":"10.1016\/j.semarthrit.2007.03.008_bib16","doi-asserted-by":"crossref","first-page":"427","DOI":"10.1016\/S0889-857X(03)00020-6","article-title":"Psychologic factors in scleroderma","volume":"29","author":"Haythornthwaite","year":"2003","journal-title":"Rheum Dis Clin North Am"},{"issue":"6","key":"10.1016\/j.semarthrit.2007.03.008_bib17","doi-asserted-by":"crossref","first-page":"1035","DOI":"10.1002\/art.1780390623","article-title":"Depressive symptoms associated with scleroderma","volume":"39","author":"Roca","year":"1996","journal-title":"Arthritis Rheum"},{"issue":"1","key":"10.1016\/j.semarthrit.2007.03.008_bib18","doi-asserted-by":"crossref","first-page":"47","DOI":"10.1016\/j.jpsychores.2006.07.028","article-title":"Clinical features and personality traits associated with psychological distress in systemic sclerosis patients","volume":"62","author":"Hyphantis","year":"2007","journal-title":"J Psychosom Res"},{"key":"10.1016\/j.semarthrit.2007.03.008_bib19","first-page":"869","article-title":"Sense of coherence-a protective factor for depression in rheumatoid arthritis","volume":"25","author":"Buchi","year":"1998","journal-title":"J Rheumatol"},{"key":"10.1016\/j.semarthrit.2007.03.008_bib20","doi-asserted-by":"crossref","first-page":"828","DOI":"10.1007\/s00296-005-0086-z","article-title":"Psychological distress and personality traits in early rheumatoid arthritis: a preliminary survey","volume":"26","author":"Hyphantis","year":"2006","journal-title":"Rheumatol Int"},{"key":"10.1016\/j.semarthrit.2007.03.008_bib21","doi-asserted-by":"crossref","first-page":"20","DOI":"10.1080\/030097400750001761","article-title":"Health-related quality of life in primary Sjogren\u2019s syndrome, rheumatoid arthritis and fibromyalgia compared to normal population data using SF-36","volume":"29","author":"Strombeck","year":"2000","journal-title":"Scand J Rheumatol"},{"key":"10.1016\/j.semarthrit.2007.03.008_bib22","doi-asserted-by":"crossref","first-page":"581","DOI":"10.1002\/art.1780230510","article-title":"Preliminary criteria for the classification of systemic sclerosis (scleroderma)","volume":"23","year":"1980","journal-title":"Arthritis Rheum"},{"issue":"3","key":"10.1016\/j.semarthrit.2007.03.008_bib23","doi-asserted-by":"crossref","first-page":"315","DOI":"10.1002\/art.1780310302","article-title":"The American Rheumatism Association 1987 revised criteria for the classification of rheumatoid arthritis","volume":"31","author":"Arnett","year":"1988","journal-title":"Arthritis Rheum"},{"issue":"11","key":"10.1016\/j.semarthrit.2007.03.008_bib24","doi-asserted-by":"crossref","first-page":"1271","DOI":"10.1002\/art.1780251101","article-title":"The 1982 revised criteria for the classification of systemic lupus erythematosus","volume":"25","author":"Tan","year":"1982","journal-title":"Arthritis Rheum"},{"issue":"9","key":"10.1016\/j.semarthrit.2007.03.008_bib25","doi-asserted-by":"crossref","first-page":"1725","DOI":"10.1002\/art.1780400928","article-title":"Updating the American College of Rheumatology revised criteria for the classification of systemic lupus erythematosus","volume":"40","author":"Hochberg","year":"1997","journal-title":"Arthritis Rheum"},{"issue":"6","key":"10.1016\/j.semarthrit.2007.03.008_bib26","doi-asserted-by":"crossref","first-page":"554","DOI":"10.1136\/ard.61.6.554","article-title":"European Study Group on Classification Criteria for Sjogren\u2019s Syndrome","volume":"61","author":"Vitali","year":"2002","journal-title":"Ann Rheum Dis"},{"key":"10.1016\/j.semarthrit.2007.03.008_bib27","first-page":"202","article-title":"Scleroderma (systemic sclerosis): classification, subsets and pathogenesis","volume":"15","author":"LeRoy","year":"1988","journal-title":"J Rheumatol"},{"key":"10.1016\/j.semarthrit.2007.03.008_bib28","first-page":"1","article-title":"Translation and cross-cultural adaptation of WHOQOL-100 in Greece","volume":"32","author":"Ginieri-Coccossis","year":"2001","journal-title":"Psychiatry Today"},{"key":"10.1016\/j.semarthrit.2007.03.008_bib29","series-title":"Quality of life in relation to WHOQOL-100 questionnaire \u0395\u0393X\u0395\u0399\u03a1\u0399\u0394\u0399\u039f \u03a0\u039f\u0399\u039f\u03a4\u0397\u03a4\u0391\u03a3 \u0396\u03a9\u0397\u03a3 \u039c\u0395 \u0391\u039e\u039f\u039d\u0391 \u03a4\u039f \u0395\u03a1\u03a9\u03a4\u0397\u039c\u0391\u03a4\u039f\u039b\u039f\u0393\u0399\u039f WHOQOL-100","author":"Ginieri-Coccossis","year":"2001"},{"key":"10.1016\/j.semarthrit.2007.03.008_bib30","doi-asserted-by":"crossref","first-page":"139","DOI":"10.1017\/S0033291700021644","article-title":"A scaled version of the General Health Questionnaire","volume":"9","author":"Goldberg","year":"1979","journal-title":"Psychol Med"},{"key":"10.1016\/j.semarthrit.2007.03.008_bib31","doi-asserted-by":"crossref","first-page":"371","DOI":"10.1111\/j.1600-0447.1991.tb03162.x","article-title":"Greek version of the General Health Questionnaire: accuracy of translation and validity","volume":"84","author":"Garyfallos","year":"1991","journal-title":"Acta Psychiatr Scand"},{"key":"10.1016\/j.semarthrit.2007.03.008_bib32","doi-asserted-by":"crossref","first-page":"356","DOI":"10.1177\/070674378703200506","article-title":"The detection of psychiatric morbidity and associated factors in patients with rheumatoid arthritis","volume":"32","author":"Chandarana","year":"1987","journal-title":"Can J Psychiatry"},{"key":"10.1016\/j.semarthrit.2007.03.008_bib33","series-title":"SCL-90-R: administration, scoring, and procedure manual","author":"Derogatis","year":"1994"},{"key":"10.1016\/j.semarthrit.2007.03.008_bib34","first-page":"1016","article-title":"Psychological screening in rheumatoid arthritis","volume":"17","author":"Parker","year":"1990","journal-title":"J Rheumatol"},{"key":"10.1016\/j.semarthrit.2007.03.008_bib35","first-page":"42","article-title":"Standardization of the symptom checklist-90-R rating scale in a Greek population (in Greek with English abstract) \u0397 \u03a3\u03a4\u0391\u03f4\u039c\u0399\u03a3\u0397 \u03a4\u039fY \u0395\u03a1\u03a9\u03a4\u0397\u039c\u0391\u03a4\u039f\u039b\u039f\u0393\u0399\u039fY SCL-90 \u03a3\u03a4\u039f\u039d \u0395\u039b\u039b\u0397\u039d\u0399K\u039f \u03a0\u039b\u0397\u03f4Y \u03a3\u039c\u039f","volume":"2","author":"Donias","year":"1991","journal-title":"Psychiatriki"},{"key":"10.1016\/j.semarthrit.2007.03.008_bib36","series-title":"Ego Mechanisms of Defense: A Guide for Clinicians and Researchers","first-page":"139","article-title":"An empirical study of defense styles: the Defense Style Questionnaire","author":"Bond","year":"1992"},{"issue":"1","key":"10.1016\/j.semarthrit.2007.03.008_bib37","doi-asserted-by":"crossref","first-page":"103","DOI":"10.2190\/NBQA-08A7-6MG9-GC8W","article-title":"Personality correlates of adherence to type 2 diabetes regimens","volume":"35","author":"Hyphantis","year":"2005","journal-title":"Int J Psychiatry Med"},{"key":"10.1016\/j.semarthrit.2007.03.008_bib38","doi-asserted-by":"crossref","first-page":"24","DOI":"10.1007\/s00535-004-1491-x","article-title":"Defense mechanisms in inflammatory bowel disease","volume":"40","author":"Hyphantis","year":"2005","journal-title":"J Gastroenterol"},{"key":"10.1016\/j.semarthrit.2007.03.008_bib39","series-title":"Manual of Hostility and Direction of Hostility Questionnaire","author":"Caine","year":"1967"},{"key":"10.1016\/j.semarthrit.2007.03.008_bib40","doi-asserted-by":"crossref","first-page":"145","DOI":"10.1159\/000056240","article-title":"Psychiatric symptoms associated with scleroderma","volume":"70","author":"Angelopoulos","year":"2001","journal-title":"Psychother Psychosom"},{"issue":"6","key":"10.1016\/j.semarthrit.2007.03.008_bib41","doi-asserted-by":"crossref","first-page":"725","DOI":"10.1016\/0277-9536(93)90033-Z","article-title":"The structure and properties of the sense of coherence scale","volume":"36","author":"Antonovsky","year":"1993","journal-title":"Soc Sci Med"},{"key":"10.1016\/j.semarthrit.2007.03.008_bib42","doi-asserted-by":"crossref","first-page":"28","DOI":"10.1002\/art.1790080108","article-title":"The Sense of Coherence scale in patients with rheumatoid arthritis","volume":"8","author":"Callahan","year":"1995","journal-title":"Arthritis Care Res"},{"issue":"8","key":"10.1016\/j.semarthrit.2007.03.008_bib43","first-page":"1782","article-title":"Frequency and analysis of factors closely associated with the development of depressive symptoms in patients with scleroderma","volume":"30","author":"Matsuura","year":"2003","journal-title":"J Rheumatol"},{"issue":"2","key":"10.1016\/j.semarthrit.2007.03.008_bib44","first-page":"195","volume":"21","author":"Karalis","year":"2004","journal-title":"Arch Hellenic Med"},{"key":"10.1016\/j.semarthrit.2007.03.008_bib45","first-page":"1281","article-title":"Inter and intraobserver variability of total skin thickness score (modified Rodnan TSS) in systemic sclerosis","volume":"22","author":"Clements","year":"1995","journal-title":"J Rheumatol"},{"issue":"1","key":"10.1016\/j.semarthrit.2007.03.008_bib46","first-page":"167","article-title":"The Stanford health assessment questionnaire (HAQ): a review of its history, issues, progress, and documentation","volume":"30","author":"Bruce","year":"2003","journal-title":"J Rheumatol"},{"issue":"suppl 29","key":"10.1016\/j.semarthrit.2007.03.008_bib47","first-page":"19","article-title":"Assessment of lung involvement","volume":"21","author":"Matucci-Cericic","year":"2003","journal-title":"Clin Exp Rheumatol"},{"issue":"suppl 29","key":"10.1016\/j.semarthrit.2007.03.008_bib48","first-page":"15","article-title":"Assessment of gastrointestinal involvement","volume":"21","author":"Clements","year":"2003","journal-title":"Clin Exp Rheumatol"},{"issue":"suppl 29","key":"10.1016\/j.semarthrit.2007.03.008_bib49","first-page":"24","article-title":"Assessment of heart involvement","volume":"21","author":"Ferri","year":"2003","journal-title":"Clin Exp Rheumatol"},{"issue":"suppl 29","key":"10.1016\/j.semarthrit.2007.03.008_bib50","first-page":"29","article-title":"Assessment of kidney involvement","volume":"21","author":"Steen","year":"2003","journal-title":"Clin Exp Rheumatol"},{"key":"10.1016\/j.semarthrit.2007.03.008_bib51","first-page":"285","article-title":"Practical statistics for medical research","author":"Altman","year":"1991"},{"issue":"2","key":"10.1016\/j.semarthrit.2007.03.008_bib52","doi-asserted-by":"crossref","first-page":"255","DOI":"10.1016\/S0889-857X(03)00023-1","article-title":"Natural history of systemic sclerosis and the assessment of disease activity, severity, functional status, and psychologic well-being","volume":"29","author":"Medsger","year":"2003","journal-title":"Rheum Dis Clin North Am"},{"issue":"2","key":"10.1016\/j.semarthrit.2007.03.008_bib53","doi-asserted-by":"crossref","first-page":"592","DOI":"10.1002\/art.20787","article-title":"Correlation of the degree of dyspnea with health-related quality of life, functional abilities and diffusing capacity for carbon monoxide in patients with systemic sclerosis and active alveolitis","volume":"52","author":"Khanna","year":"2005","journal-title":"Arthritis Rheum"},{"issue":"1","key":"10.1016\/j.semarthrit.2007.03.008_bib54","first-page":"51","article-title":"Correlates of depression, including overall and gastrointestinal functional status, among patients with systemic sclerosis","volume":"32","author":"Nietert","year":"2005","journal-title":"J Rheumatol"},{"issue":"4","key":"10.1016\/j.semarthrit.2007.03.008_bib55","doi-asserted-by":"crossref","first-page":"403","DOI":"10.1002\/art.1780340405","article-title":"Predictors of survival in systemic sclerosis (scleroderma)","volume":"34","author":"Altman","year":"1991","journal-title":"Arthritis Rheum"},{"issue":"6","key":"10.1016\/j.semarthrit.2007.03.008_bib56","doi-asserted-by":"crossref","first-page":"281","DOI":"10.1097\/00005792-199411000-00001","article-title":"Suicide as an outcome for medical disorders","volume":"73","author":"Harris","year":"1994","journal-title":"Medicine (Baltimore)"},{"issue":"1","key":"10.1016\/j.semarthrit.2007.03.008_bib57","doi-asserted-by":"crossref","first-page":"51","DOI":"10.1002\/art.1790090110","article-title":"Psychological adjustment to systemic sclerosis","volume":"9","author":"Malcarne","year":"1996","journal-title":"Arthritis Care Res"}],"container-title":["Seminars in Arthritis and Rheumatism"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0049017207000595?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0049017207000595?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2019,4,28]],"date-time":"2019-04-28T07:19:02Z","timestamp":1556435942000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0049017207000595"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2007,10]]},"references-count":57,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2007,10]]}},"alternative-id":["S0049017207000595"],"URL":"https:\/\/doi.org\/10.1016\/j.semarthrit.2007.03.008","relation":{},"ISSN":["0049-0172"],"issn-type":[{"value":"0049-0172","type":"print"}],"subject":[],"published":{"date-parts":[[2007,10]]}}}