Systemic sclerosis & Raynaud's

Hopelessness is associated to severity of both digital vasculopathy and lung disease in systemic sclerosis patients: a prospective one-year study

Clin Exp RheumatolPublished Prospective cohort study

Authors' conclusion

Hopelessness is common in SSc and linked to lung severity and digital vasculopathy

Study context

Population
Systemic sclerosis (SSc) patients followed prospectively over one year
Participants
76 patients
Exposure
Moderate/severe hopelessness vs mild hopelessness
Outcome
Burden of hopelessness (Beck Hopelessness Scale) and its clinical and psychosocial correlates
Methodological detailsone-year follow-up, multivariate analysis
  • One-year follow-up
  • Multivariate analysis

Main finding

As reported in the abstract

Disease severity (MSS)

Beck Hopelessness Scale (BHS)>8

6

range or IQR 4–10

≤8

3

range or IQR 2–5

P = 0.008

Observational data: associations, not effects.

Further findings

OutcomeP value
MSS lung scores over timeWorse in moderate/severe hopelessnessP < 0.05

HAMIS, Raynaud's Condition Score (RCS) and ADL function

BHS>8 associated with poorer HAMIS, RCS and ADL function

Multivariate association of hopelessness with Medsger Severity Score (MSS) lung, RCS and Body Image Scale (BIS)

MSS lung scores: Coeff
0.490 (CI [0.030-0.957], p=0.037)
RCS: Coeff
0.180 (CI [0.029-0.329], p=0.019)
BIS: Coeff
0.229 (CI [0.165-0.292], p<0.001)
  • Multivariate analysis

Hopelessness and DUCAS in patients with active digital ulcer (DU) (subgroup)

DUCAS: Coeff
0.636 (CI [0.033-1.239], p=0.039)

Original publication

Hopelessness is associated to severity of both digital vasculopathy and lung disease in systemic sclerosis patients: a prospective one-year study. Clin Exp Rheumatol. Published 1 August 2025. doi:10.55563/clinexprheumatol/cp6fec

Composed by AI from the published abstract and checked against it. How Briefs are made →

Get them every week

New studies on this topic in My Week and in your Monday e-mail.

We e-mail you a sign-in link and a code. No password, no spam.