Gkountinaki Stella, Protopapa Foula, Syal Amit, Chatzittofis Andreas, Parperis Konstantinos, Derk Chris T
University of Cyprus Medical School, Nicosia, Cyprus.
European University of Cyprus School of Medicine, Nicosia, Cyprus.
Clin Rheumatol. 2025 Sep 17. doi: 10.1007/s10067-025-07689-1.
Spirituality has become an increasingly important domain of care in chronic diseases, yet little is known about its impact in systemic sclerosis (SSc), a rare autoimmune condition associated with high psychosocial burden. Understanding the spiritual well-being of these patients may offer important insights into coping, quality of life, and patient-centered interventions.
This scoping review followed PRISMA guidelines and included a comprehensive search of five databases for studies addressing spirituality in patients with SSc. We extracted demographic and methodological details from each study and assessed quality using the Joanna Briggs Institute (JBI) criteria.
Ten studies met inclusion criteria. Spirituality was frequently associated with improved psychological outcomes, including reduced depression and anxiety, increased life satisfaction, and greater resilience. Instruments used to assess spirituality included FACIT-Sp, MI-RSWB, and STS, among others. However, heterogeneity in methodology and limited focus on SSc-specific populations remain notable.
Spiritual well-being plays a significant role in the lived experience of patients with SSc. Future studies should standardize measurement tools and examine culturally sensitive, spirituality-integrated interventions. Incorporating spiritual assessment into rheumatologic care may enhance patient outcomes. Key Points •Spiritual well-being is increasingly recognized as a critical domain of health in patients with chronic illnesses, including systemic sclerosis. •Spirituality is a relevant and influential factor in the lived experience of SSc. It affects not only how patients understand and cope with their illness but also how they engage with healthcare systems. •Spirituality was frequently associated with improved psychological outcomes, including reduced depression and anxiety, increased life satisfaction, and greater resilience.
在慢性病护理中，精神层面已成为一个日益重要的领域，但对于其在系统性硬化症（SSc）中的影响却知之甚少，SSc是一种罕见的自身免疫性疾病，伴有较高的心理社会负担。了解这些患者的精神健康状况可能为应对策略、生活质量及以患者为中心的干预措施提供重要见解。
本范围综述遵循PRISMA指南，全面检索了五个数据库，以查找关于SSc患者精神层面的研究。我们从每项研究中提取了人口统计学和方法学细节，并使用乔安娜·布里格斯研究所（JBI）标准评估质量。
十项研究符合纳入标准。精神层面常与心理状况改善相关，包括抑郁和焦虑减轻、生活满意度提高以及更强的恢复力。用于评估精神层面的工具包括FACIT-Sp、MI-RSWB和STS等。然而，方法学的异质性以及对SSc特定人群的关注有限仍然很显著。
精神健康在SSc患者的生活经历中起着重要作用。未来的研究应规范测量工具，并研究具有文化敏感性、整合精神层面的干预措施。将精神评估纳入风湿病护理可能会改善患者的预后。要点：•精神健康日益被视为包括系统性硬化症在内的慢性病患者健康的关键领域。•精神层面是SSc患者生活经历中的一个相关且有影响力的因素。它不仅影响患者对疾病的理解和应对方式，还影响他们与医疗保健系统的互动方式。•精神层面常与心理状况改善相关，包括抑郁和焦虑减轻、生活满意度提高以及更强的恢复力。
