Exploring Factors Associated With Psychological Resilience in Sjögren's Disease
Oral Diseases, 2026 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Tam Makale
- Basım Tarihi: 2026
- Doi Numarası: 10.1111/odi.70530
- Dergi Adı: Oral Diseases
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, CINAHL, EMBASE, MEDLINE, Academic Search Ultimate (EBSCO), Natural Science Collection (ProQuest), Biological Science Database (ProQuest), Biomedical Reference Collection: Corporate Edition (EBSCO), Health Research Premium Collection (ProQuest)
- Anahtar Kelimeler: glandular involvement, oral disease burden, outcome measures, psychological resilience, Sjögren's disease
- Marmara Üniversitesi Adresli: Evet
Özet
Aim: This study aimed to examine the factors associated with psychological resilience in Sjögren's disease. Methods: This cross-sectional study included 83 patients (F/M: 79/4). Hyposalivation was observed in 41%, while Schirmer's test positivity was observed in 84.3% of patients. Scores of the Brief Resilience Scale, self-reported general health, self-reported oral health, EULAR Sjögren's Syndrome Patient Reported Index (ESSPRI), and physician global assessment for disease activity were noted. A mediation analysis was performed to examine the relationships among these variables. Results: Lower BRS scores were associated with Schirmer's test positivity and reduced salivary flow rate, higher scores of ESSPRI, physician and patient global assessments of disease activity (p < 0.05). In the simple mediation analysis, a lower BRS score as the dependent variable was directly associated with a higher physician-assessed global disease activity as the independent variable and indirectly associated with the higher ESSPRI score as a mediator variable (p < 0.05). Conclusions: Since ocular dryness, lower salivary flow rates, physician global assessment of disease activity, and ESSPRI reflecting patient-reported symptom severity were identified as key contributors to lower levels of psychological resilience in Sjögren's disease, these measures may offer clinicians valuable guidance for tailoring more effective, patient-centered integrated multidisciplinary care strategies for patients with SjD.