rspНаучно-практическая ревматологияRheumatology Science and Practice1995-44841995-4492IMA-PRESS, LLC10.14412/1995-4484-2012-1187rsp-1101Research ArticleСтатьиArticlesСТРЕССОВЫЕ ФАКТОРЫ И ПСИХИЧЕСКИЕ РАССТРОЙСТВА ПРИ БОЛЕЗНИ ШЕГРЕНА: СОВРЕМЕННЫЕ НАПРАВЛЕНИЯ ИССЛЕДОВАНИЙSTRESS FACTORS AND MENTAL DISORDERS IN SJOGREN'S DISEASE: MODERN TRENDS IN RESEARCHShelomkovaOlga AleksandrovnaShelomkovaOlga Aleksandrovnashelomkova-olga@ram-bler.ruVeltishchevD YuVeltishchevD Yu-ВасильевВ. И.VasilyevV I-ЛисицынаТ. А.LisitsynaT A-201215102012505№5 (2012)8589Copyright © Shelomkova O.A., Veltishchev D.Y., Васильев В.И., Лисицына Т.А., 20122012Shelomkova O.A., Veltishchev D.Y., Васильев В.И., Лисицына Т.А.Shelomkova O.A., Veltishchev D.Y., Vasilyev V.I., Lisitsyna T.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://rsp.mediar-press.net/rsp/article/view/1101References<div><p>Аронов П.В., Старовойтова М.Н., Ковалевская О.Б. и др. Стресс и депрессия у больных системной склеродермией (обзор зарубежной литературы). Псих. расстр. общ. мед. 2009; 4: 17-9.</p><p>Васильев В.И. Болезнь Шегрена. Рус. мед. журн. 1998; 18: 1206—10.</p><p>Васильев В.И. Клиника, диагностика и дифференциальная диагностика болезни Шегрена. Рус. мед. журн. Ревматология 2008; 16(10): 638—49.</p><p>Вельтищев Д.Ю., Марченко А.С., Серавина О.Ф. и др. Аффективно-стрессовая модель депрессии: практическое внедрение в ревматологической практике. Cons Med. Психиатр. психофарм. 2009; 5: 17-21.</p><p>Дрождина Е.Н. Психотравмирующие факторы и личностная аффективность при стрессовых расстройствах у подростков с ювенильным хроническим артритом. Современные принципы терапии и реабилитации психических больных: Матер. рос. конф. М., 2006; 154—5.</p><p>Евменова Н.Н., Гурвич В.Б. Взаимодействие стоматологического и психического статусов при синдроме и болезни Шегрена. Вопр. соц. клин. психиатр. наркол. 1989; 4(1): 143—5.</p><p>Зелтынь А.Е., Вельтищев Д.Ю., Фофанова Ю.С. и др. Ревматоидный артрит и депрессия: патогенетическая роль стрессовых факторов (обзор литературы). Псих. расстр. общ. мед. 2010; 1: 48-51.</p><p>Зелтынь А.Е., Фофанова Ю.С., Лисицына Т.А. и др. Хронический стресс и депрессия у больных ревматоидным артритом. Соц. клин. психиатр. 2009; 2: 69-76.</p><p>Лисицына Т.А., Вельтищев Д.Ю., Серавина О.Ф. и др. Варианты психических нарушений у больных системной красной волчанкой. Науч.-практич. ревматол. 2008; 4: 21-7.</p><p>Лисицына Т.А., Вельтищев Д.Ю., Серавина О.Ф. и др. Распространенность психических нарушений у больных системной красной волчанкой: связь с активностью заболевания и сопутствующими хроническими расстройствами. Тер. арх. 2009; 6: 10—6.</p><p>Александер Ф. Психосоматическая медицина. Принципы и применение. М.: Ин-т общегуманитарных исследований, 2009; 224—33.</p><p>Pelizza L., Bonacini F., Ferrari A. Psychiatric disorder as clinical presentation of primary Sjö gren's syndrome: two case reports. Ann Gen Psychiatr 2010; 1: 9-12.</p><p>Van Dam A.P., Wekking E.M., Callewaert J.A. et al. Psychiatric symptoms before systemic lupus erythematosus is diagnosed. Rheumatol Int 1994; 14(2): 57—62.</p><p>De Vries E., Schipperijn A.J., Breedveld F.C. Antinuclear antibodies in psychiatric patients. Acta Psychiatr Scand 1994; 89(4): 289—90.</p><p>Academic highlights of the primary care companion. Translating evidence of depression and physical symptoms into effective clinical practice. J Clin Psychiatr 2007; 9(4): 295—302.</p><p>Strain J.J., Blumenfield M. Challenges for Consultation-Lialison Psychiatry in the 21st Century. Psychosomatics 2008; 49(2): 93—6.</p><p>Valtysdottir S.T. Primary Sjö gren's syndrome. Clinical studies with reference to hormonal status, psychiatric symptoms and well-being. Comprehensive summaries of Uppsala dissertations from the faculty of medicine 984. Acta Univers Upsaliensis. Uppsala, 2001.</p><p>Moutsopoulos H., Youinou P. New developments in Sjö gren's syndrome. Curr Opin Rheumatol 1991; 3: 815-22.</p><p>Drosos A.A., Angelopoulos N. Personality and psychopathology in patients with primary Sjö gren's syndrome. Ter Arkh 1988; 60(4): 49—52.</p><p>Harbuz M. Neuroendocrine function and chronic inflammatory stress. Exp Physiol 2002; 87: 519-25.</p><p>Malinow K.L., Molina R., Gordon B. et al. Neuropsychiatric dysfunction in primary Sjö gren's syndrome. Ann Intern Med 1985; 103(3): 344—50.</p><p>Vitali C., Tavoni A., Neri R. Fibromyalgia features in patients with primary Sjö gren's syndrome: evidence of a relationship with psychological depression. Scand J Rheumatol 1989; 18(1): 21—7.</p><p>Mukai M., Sagawa A., Baba Y. Neuro-psychiatric symptom associated with primary Sjö gren's syndrome. Ryumachi 1990; 30(2): 109—18.</p><p>Hietaharju A., Yli-Kerttula U., Häkkinen V., Frey H. Nervous system manifestations in Sjö gren's syndrome. Acta Neurol Scand 1990; 81(2): 144—52.</p><p>Cox P., Hales R. CNS Sjö gren's syndrome: an underrecognized and underappreciated neuropsychiatric disorder. J Neuropsych Clin Neurosci 1999; 11: 241-7.</p><p>Valtysdottir S.T., Gudbjornsson B., Lindqvist U. et al. Anxiety and depression in patients with primary Sjö gren's syndrome. J Rheumatol 2000; 27: 165-9.</p><p>Harboe E., Tjensvoll A.B., Maroni S. et al. Neuropsychiatric syndromes in patients with systemic lupus erythematousus and primary Sjö gren's syndrome — a comparative population-based study. Ann Rheum Dis 2009; 68(10): 1541-6.</p><p>Segal B., Bowman S.J., Fox P.C. et al. Primary Sjö gren's syndrome: health experiences and predictors of health quality among patients in the United States. Health Qual Life Outcomes 2009; 7: 46.</p><p>Valtysdottir S.T., Gudbjörnsson B., Hällgren R., Hetta J. Psychological well-being in patients with primary Sjö gren's syndrome. Clin Exp Rheumatol 2000; 18(5): 597—600.</p><p>Robson S.C., Klemp P., Meyers O.L. Central nervous system manifestations of Sjö gren's syndrome. A case report. S Afr Med J 1986; 69(3): 196-7.</p><p>Tishler M., Barak Y., Paran D. et al. Sleep disturbances, fibromyalgia and primary Sjö gren's syndrome. Clin Exp Rheumatol 1997; 15(1): 71-4.</p><p>Jiunn-Horng Kang, Herng-Ching Lin. Comorbidities in patients with primary Sjö gren's syndrome: a registry-based case-control study. J Rheumatol 2010; 37(6): 1188—94.</p><p>Karaiskos D., Mavragani C.P., Makaroni S. Stress, coping strategies and social support in patients with primary Sjö gren's syndrome prior to disease onset: a retrospective case-control study. Ann Rheum Dis 2009; 68(1): 40—6.</p><p>Drosos A.A., Andonopoulos A.P., Lagos G. et al. Neuropsychiatric abnormalities in primary Sjö gren's syndrome. Clin Exp Rheumatol 1989; 7(2): 207-9.</p><p>Hyphantis T., Mantis D., Voulgari P.V. et al. The psychological defensive profile of primary Sjö gren's syndrome patients and its relationship to health-related quality of life. Clin Exp Rheumatol 2011; 29(3): 485—93.</p><p>De Brouwer S.J.M., Kraaimaat F.W., Sweep F.C.G.J. et al. Experimental stress in inflammatory rheumatic diseases: a review of psychophysiological stress responses. Arthr Res Ther 2010; 12(3): R89.</p><p>Cutolo M., Straub R.H. Stress as a risk factor in the pathogenesis of rheumatoid arthritis. Neuroimmunomodulation 2006; 13: 277-82.</p><p>Straub R.H., Dhabhar F.S., Bijlsma J.W., Cutolo M. How psychological stress via hormones and nerve fibers may exacerbate rheumatoid arthritis. Arthr Rheum 2005; 52: 16-26.</p><p>Walker J.G., Littlejohn G.O., McMurray N.E., Cutolo M. Stress system response and rheumatoid arthritis: a multilevel approach. Rheumatology (Oxford) 1999; 38: 1050-7.</p><p>Zautra A.J., Hamilton N.A., Potter P., Smith B. Field research on the relationship between stress and disease activity in rheumatoid arthritis. Ann NY Acad Sci 1999; 876: 397-412.</p><p>Ampelas J., Wattiaux M., van Amerongen A. Psychiatric manifestations of systemic lupus erythematosus and Sjö gren's syndrome. Encephale 2001; 27: 588-99.</p><p>Inal V., Kitapcioglu G., Karabulut G. et al. Evaluation of quality of life in relation to anxiety and depression in primary Sjö gren's syndrome. Mod Rheumatol 2010; 20(6): 588—97.</p><p>Utset K., Fink J., Doninger N.A. Prevalence of neurocognitive dysfunction and other clinical manifestations in disabled patients with systemic lupus erythematosus. J Rheumatol 2006; 33: 531-8.</p><p>Mauch E., Völk C., Kratzsch G. et al. Neurological and neuropsychiatric dysfunction in primary Sjogren's syndrome. Acta Neurol Scand 1994; 89(1): 31-5.</p><p>Alexander E. Neurological disease in Sjogren's syndrome: mononuclear inflammatory vasculopathy affecting central/peripheral nervous system and muscle. Rheum Dis Clin North Am 1993; 19: 869-908.</p><p>Gudbjö rnsson B., Broman J.E., Hetta J. et al. Sleep disturbances in patients with primary Sjö gren's syndrome. Br J Rheumatol 1993; 32(12): 1072-6.</p><p>Theander L., Strömbeck B., Mandl T. et al. Sleepiness or fatigue? Can we detect treatable causes of tiredness in primary Sjö gren's syndrome? Rheumatology (Oxford) 2010; 49(6): 1177—83.</p><p>Barendregt P., Visser M., Smets E. Fatigue in primary Sjö gren's syndrome. Ann Rheum Dis 1998; 57(5): 291-5.</p><p>Dickerson S.S., Kemeny M.E. Acute stressors and cortisol responses: a theoretical integration and synthesis of laboratory research. Psychol Bull 2004; 130: 355-91.</p><p>Westhoff G., Dörner T., Zink A. Fatigue and depression predict physician visits and work disability in women with primary Sjö gren's syndrome: results from a cohort study. Rheumatology (Oxford) 2012; 51(2): 262-9.</p><p>Segal B., Thomas W., Rogers T. et al. Prevalence, severity, and predictors of fatigue in subjects with primary Sjö gren's syndrome. Arthr Rheum 2008; 59(12): 1780-7.</p><p>Vriezekolk J.E., Geenen R., Hartkamp A., Godaert G.L. Psychological and somatic predictors of perceived and measured ocular dryness of patients with primary Sjö gren's syndrome. J Rheumatol 2005; 32(12): 2351-5.</p><p>Sirois A.D., Natelson B. Clinicopathological findings consistent with primary Sjö gren's syndrome in a subset of patients diagnosed with chronic fatigue syndrome: preliminary observations. J Rheumatol 2001; 28(1): 126-31.</p><p>Andersson S.I., Manthorpe R., Theander E. Situational patterns in coping with primary Sjö gren's syndrome. Psychol Health Med 2001; 6(1): 29-40.</p><p>Johnson E.O., Kostandi M., Moutsopoulos H.M. Hypothalamic-pituitary-adrenal axis function in Sjö gren's syndrome: mechanisms of neuroendocrine and immune system homeostasis. Ann NY Acad Sci 2006; 1088: 41-51.</p><p>Dohrenbusch R., Grü terich M., Genth E. Fibromyalgia and Sjö gren's syndrome-clinical and methodological aspects. J Rheumatol 1996; 55(1): 19-27.</p><p>Champey J., Corruble E., Gottenberg J.E. et al. Quality of life and psychological status in patients with primary Sjö gren's syndrome and sicca symptoms without autoimmune features. Arthr Rheum 2006; 55: 451-7.</p><p>Karaiskos D., Mavragani C.P., Sinno M.H. et al. Psychopathological and personality features in primary Sjö gren's syndrome - associations with autoantibodies to neuropeptides. Rheumatology (Oxford) 2010; 49(9): 1762-9.</p><p>Wang Y., Wang S.L., Zou Y.Z. Psychiatric and central nervous system involvement in Sjö gren's syndrome. Zhonghua Kou Qiang Yi Xue Za Zhi 2004; 39(2): 158—60.</p><p>Herbert J., Goodyer I.M, Grossman A.B. et al. Do corticosteroids damage the brain? J Neuroendocrinol 2006; 18(6): 393—411.</p><p>Lewis D.A., Smith R.E. Steroid-induced psychiatric syndromes. A report of 14 cases and a review of the literature. J Affect Disord 1983; 5(4): 319-32.</p></div><br /><div><p>Аронов П.В., Старовойтова М.Н., Ковалевская О.Б. и др. Стресс и депрессия у больных системной склеродермией (обзор зарубежной литературы). Псих. расстр. общ. мед. 2009; 4: 17-9.</p><p>Васильев В.И. Болезнь Шегрена. Рус. мед. журн. 1998; 18: 1206—10.</p><p>Васильев В.И. Клиника, диагностика и дифференциальная диагностика болезни Шегрена. Рус. мед. журн. Ревматология 2008; 16(10): 638—49.</p><p>Вельтищев Д.Ю., Марченко А.С., Серавина О.Ф. и др. Аффективно-стрессовая модель депрессии: практическое внедрение в ревматологической практике. Cons Med. Психиатр. психофарм. 2009; 5: 17-21.</p><p>Дрождина Е.Н. Психотравмирующие факторы и личностная аффективность при стрессовых расстройствах у подростков с ювенильным хроническим артритом. Современные принципы терапии и реабилитации психических больных: Матер. рос. конф. М., 2006; 154—5.</p><p>Евменова Н.Н., Гурвич В.Б. Взаимодействие стоматологического и психического статусов при синдроме и болезни Шегрена. Вопр. соц. клин. психиатр. наркол. 1989; 4(1): 143—5.</p><p>Зелтынь А.Е., Вельтищев Д.Ю., Фофанова Ю.С. и др. Ревматоидный артрит и депрессия: патогенетическая роль стрессовых факторов (обзор литературы). Псих. расстр. общ. мед. 2010; 1: 48-51.</p><p>Зелтынь А.Е., Фофанова Ю.С., Лисицына Т.А. и др. Хронический стресс и депрессия у больных ревматоидным артритом. Соц. клин. психиатр. 2009; 2: 69-76.</p><p>Лисицына Т.А., Вельтищев Д.Ю., Серавина О.Ф. и др. Варианты психических нарушений у больных системной красной волчанкой. Науч.-практич. ревматол. 2008; 4: 21-7.</p><p>Лисицына Т.А., Вельтищев Д.Ю., Серавина О.Ф. и др. Распространенность психических нарушений у больных системной красной волчанкой: связь с активностью заболевания и сопутствующими хроническими расстройствами. Тер. арх. 2009; 6: 10—6.</p><p>Александер Ф. Психосоматическая медицина. Принципы и применение. М.: Ин-т общегуманитарных исследований, 2009; 224—33.</p><p>Pelizza L., Bonacini F., Ferrari A. Psychiatric disorder as clinical presentation of primary Sjö gren's syndrome: two case reports. Ann Gen Psychiatr 2010; 1: 9-12.</p><p>Van Dam A.P., Wekking E.M., Callewaert J.A. et al. Psychiatric symptoms before systemic lupus erythematosus is diagnosed. Rheumatol Int 1994; 14(2): 57—62.</p><p>De Vries E., Schipperijn A.J., Breedveld F.C. Antinuclear antibodies in psychiatric patients. Acta Psychiatr Scand 1994; 89(4): 289—90.</p><p>Academic highlights of the primary care companion. Translating evidence of depression and physical symptoms into effective clinical practice. J Clin Psychiatr 2007; 9(4): 295—302.</p><p>Strain J.J., Blumenfield M. Challenges for Consultation-Lialison Psychiatry in the 21st Century. Psychosomatics 2008; 49(2): 93—6.</p><p>Valtysdottir S.T. Primary Sjö gren's syndrome. Clinical studies with reference to hormonal status, psychiatric symptoms and well-being. Comprehensive summaries of Uppsala dissertations from the faculty of medicine 984. Acta Univers Upsaliensis. Uppsala, 2001.</p><p>Moutsopoulos H., Youinou P. New developments in Sjö gren's syndrome. Curr Opin Rheumatol 1991; 3: 815-22.</p><p>Drosos A.A., Angelopoulos N. Personality and psychopathology in patients with primary Sjö gren's syndrome. Ter Arkh 1988; 60(4): 49—52.</p><p>Harbuz M. Neuroendocrine function and chronic inflammatory stress. Exp Physiol 2002; 87: 519-25.</p><p>Malinow K.L., Molina R., Gordon B. et al. Neuropsychiatric dysfunction in primary Sjö gren's syndrome. Ann Intern Med 1985; 103(3): 344—50.</p><p>Vitali C., Tavoni A., Neri R. Fibromyalgia features in patients with primary Sjö gren's syndrome: evidence of a relationship with psychological depression. Scand J Rheumatol 1989; 18(1): 21—7.</p><p>Mukai M., Sagawa A., Baba Y. Neuro-psychiatric symptom associated with primary Sjö gren's syndrome. Ryumachi 1990; 30(2): 109—18.</p><p>Hietaharju A., Yli-Kerttula U., Häkkinen V., Frey H. Nervous system manifestations in Sjö gren's syndrome. Acta Neurol Scand 1990; 81(2): 144—52.</p><p>Cox P., Hales R. CNS Sjö gren's syndrome: an underrecognized and underappreciated neuropsychiatric disorder. J Neuropsych Clin Neurosci 1999; 11: 241-7.</p><p>Valtysdottir S.T., Gudbjornsson B., Lindqvist U. et al. Anxiety and depression in patients with primary Sjö gren's syndrome. J Rheumatol 2000; 27: 165-9.</p><p>Harboe E., Tjensvoll A.B., Maroni S. et al. Neuropsychiatric syndromes in patients with systemic lupus erythematousus and primary Sjö gren's syndrome — a comparative population-based study. Ann Rheum Dis 2009; 68(10): 1541-6.</p><p>Segal B., Bowman S.J., Fox P.C. et al. Primary Sjö gren's syndrome: health experiences and predictors of health quality among patients in the United States. Health Qual Life Outcomes 2009; 7: 46.</p><p>Valtysdottir S.T., Gudbjörnsson B., Hällgren R., Hetta J. Psychological well-being in patients with primary Sjö gren's syndrome. Clin Exp Rheumatol 2000; 18(5): 597—600.</p><p>Robson S.C., Klemp P., Meyers O.L. Central nervous system manifestations of Sjö gren's syndrome. A case report. S Afr Med J 1986; 69(3): 196-7.</p><p>Tishler M., Barak Y., Paran D. et al. Sleep disturbances, fibromyalgia and primary Sjö gren's syndrome. Clin Exp Rheumatol 1997; 15(1): 71-4.</p><p>Jiunn-Horng Kang, Herng-Ching Lin. Comorbidities in patients with primary Sjö gren's syndrome: a registry-based case-control study. J Rheumatol 2010; 37(6): 1188—94.</p><p>Karaiskos D., Mavragani C.P., Makaroni S. Stress, coping strategies and social support in patients with primary Sjö gren's syndrome prior to disease onset: a retrospective case-control study. Ann Rheum Dis 2009; 68(1): 40—6.</p><p>Drosos A.A., Andonopoulos A.P., Lagos G. et al. Neuropsychiatric abnormalities in primary Sjö gren's syndrome. Clin Exp Rheumatol 1989; 7(2): 207-9.</p><p>Hyphantis T., Mantis D., Voulgari P.V. et al. The psychological defensive profile of primary Sjö gren's syndrome patients and its relationship to health-related quality of life. Clin Exp Rheumatol 2011; 29(3): 485—93.</p><p>De Brouwer S.J.M., Kraaimaat F.W., Sweep F.C.G.J. et al. Experimental stress in inflammatory rheumatic diseases: a review of psychophysiological stress responses. Arthr Res Ther 2010; 12(3): R89.</p><p>Cutolo M., Straub R.H. Stress as a risk factor in the pathogenesis of rheumatoid arthritis. Neuroimmunomodulation 2006; 13: 277-82.</p><p>Straub R.H., Dhabhar F.S., Bijlsma J.W., Cutolo M. How psychological stress via hormones and nerve fibers may exacerbate rheumatoid arthritis. Arthr Rheum 2005; 52: 16-26.</p><p>Walker J.G., Littlejohn G.O., McMurray N.E., Cutolo M. Stress system response and rheumatoid arthritis: a multilevel approach. Rheumatology (Oxford) 1999; 38: 1050-7.</p><p>Zautra A.J., Hamilton N.A., Potter P., Smith B. Field research on the relationship between stress and disease activity in rheumatoid arthritis. Ann NY Acad Sci 1999; 876: 397-412.</p><p>Ampelas J., Wattiaux M., van Amerongen A. Psychiatric manifestations of systemic lupus erythematosus and Sjö gren's syndrome. Encephale 2001; 27: 588-99.</p><p>Inal V., Kitapcioglu G., Karabulut G. et al. Evaluation of quality of life in relation to anxiety and depression in primary Sjö gren's syndrome. Mod Rheumatol 2010; 20(6): 588—97.</p><p>Utset K., Fink J., Doninger N.A. Prevalence of neurocognitive dysfunction and other clinical manifestations in disabled patients with systemic lupus erythematosus. J Rheumatol 2006; 33: 531-8.</p><p>Mauch E., Völk C., Kratzsch G. et al. Neurological and neuropsychiatric dysfunction in primary Sjogren's syndrome. Acta Neurol Scand 1994; 89(1): 31-5.</p><p>Alexander E. Neurological disease in Sjogren's syndrome: mononuclear inflammatory vasculopathy affecting central/peripheral nervous system and muscle. Rheum Dis Clin North Am 1993; 19: 869-908.</p><p>Gudbjö rnsson B., Broman J.E., Hetta J. et al. Sleep disturbances in patients with primary Sjö gren's syndrome. Br J Rheumatol 1993; 32(12): 1072-6.</p><p>Theander L., Strömbeck B., Mandl T. et al. Sleepiness or fatigue? Can we detect treatable causes of tiredness in primary Sjö gren's syndrome? Rheumatology (Oxford) 2010; 49(6): 1177—83.</p><p>Barendregt P., Visser M., Smets E. Fatigue in primary Sjö gren's syndrome. Ann Rheum Dis 1998; 57(5): 291-5.</p><p>Dickerson S.S., Kemeny M.E. Acute stressors and cortisol responses: a theoretical integration and synthesis of laboratory research. Psychol Bull 2004; 130: 355-91.</p><p>Westhoff G., Dörner T., Zink A. Fatigue and depression predict physician visits and work disability in women with primary Sjö gren's syndrome: results from a cohort study. Rheumatology (Oxford) 2012; 51(2): 262-9.</p><p>Segal B., Thomas W., Rogers T. et al. Prevalence, severity, and predictors of fatigue in subjects with primary Sjö gren's syndrome. Arthr Rheum 2008; 59(12): 1780-7.</p><p>Vriezekolk J.E., Geenen R., Hartkamp A., Godaert G.L. Psychological and somatic predictors of perceived and measured ocular dryness of patients with primary Sjö gren's syndrome. J Rheumatol 2005; 32(12): 2351-5.</p><p>Sirois A.D., Natelson B. Clinicopathological findings consistent with primary Sjö gren's syndrome in a subset of patients diagnosed with chronic fatigue syndrome: preliminary observations. J Rheumatol 2001; 28(1): 126-31.</p><p>Andersson S.I., Manthorpe R., Theander E. Situational patterns in coping with primary Sjö gren's syndrome. Psychol Health Med 2001; 6(1): 29-40.</p><p>Johnson E.O., Kostandi M., Moutsopoulos H.M. Hypothalamic-pituitary-adrenal axis function in Sjö gren's syndrome: mechanisms of neuroendocrine and immune system homeostasis. Ann NY Acad Sci 2006; 1088: 41-51.</p><p>Dohrenbusch R., Grü terich M., Genth E. Fibromyalgia and Sjö gren's syndrome-clinical and methodological aspects. J Rheumatol 1996; 55(1): 19-27.</p><p>Champey J., Corruble E., Gottenberg J.E. et al. Quality of life and psychological status in patients with primary Sjö gren's syndrome and sicca symptoms without autoimmune features. Arthr Rheum 2006; 55: 451-7.</p><p>Karaiskos D., Mavragani C.P., Sinno M.H. et al. Psychopathological and personality features in primary Sjö gren's syndrome - associations with autoantibodies to neuropeptides. Rheumatology (Oxford) 2010; 49(9): 1762-9.</p><p>Wang Y., Wang S.L., Zou Y.Z. Psychiatric and central nervous system involvement in Sjö gren's syndrome. Zhonghua Kou Qiang Yi Xue Za Zhi 2004; 39(2): 158—60.</p><p>Herbert J., Goodyer I.M, Grossman A.B. et al. Do corticosteroids damage the brain? J Neuroendocrinol 2006; 18(6): 393—411.</p><p>Lewis D.A., Smith R.E. Steroid-induced psychiatric syndromes. A report of 14 cases and a review of the literature. J Affect Disord 1983; 5(4): 319-32.</p></div><br />
The authors declare that there are no conflicts of interest present.