Chronic stress resulting from stressful life events and its role in the onset of primary Sjögren’s syndrome: a comparative analysis using the modified Holmes-Rahe stress scale

Recent years brought considerable attention to the connection between chronic stress and the development of autoimmune diseases. However, little is still known about the impact of prolonged stress reactions on the onset and course of primary Sjögren Syndrome (pSS). This study aimed to seek for assoc...

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Main Authors: Marta Jaskólska, Iga Kościńska-Shukla, Dawid Jaskólski, Alessandro Viti, Marcin Ziętkiewicz, Michał Chmielewski
Format: Article
Language:English
Published: Taylor & Francis Group 2025-12-01
Series:Stress
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Online Access:https://www.tandfonline.com/doi/10.1080/10253890.2024.2447868
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author Marta Jaskólska
Iga Kościńska-Shukla
Dawid Jaskólski
Alessandro Viti
Marcin Ziętkiewicz
Michał Chmielewski
author_facet Marta Jaskólska
Iga Kościńska-Shukla
Dawid Jaskólski
Alessandro Viti
Marcin Ziętkiewicz
Michał Chmielewski
author_sort Marta Jaskólska
collection DOAJ
description Recent years brought considerable attention to the connection between chronic stress and the development of autoimmune diseases. However, little is still known about the impact of prolonged stress reactions on the onset and course of primary Sjögren Syndrome (pSS). This study aimed to seek for associations between chronic stress, resulting from stressful life events, and pSS. In the study, 50 patients with diagnosed pSS, as well as 50 control patients with osteoarthritis underwent an assessment. Modified Holmes-Rahe (H-R) stress scale was used in order to evaluate the impact of stressful events within 12 months prior to the diagnosis. Patients with pSS had a significantly higher total score on H-R stress scale within one-year preceding the disease diagnosis (152 ± 66.3 vs 50 ± 54.6; p [Formula: see text] 0.001). Additionally, the pSS patients more commonly than the controls reported a subjectively perceived correlation between stressful events and the occurrence of disease symptoms (50% vs 12%; p [Formula: see text] 0.001). Moreover, the H-R score at the time of the assessment correlated with the disease activity. The results support the view that pSS belongs to the group of diseases which pathogenesis is closely related to stressful life events. The novelty of this work lies in focus on both the correlation of stress on the onset of autoimmune disease as well as the activity of previously diagnosed disorder. Our data contributes to finding evidence-based medicine (EBM) arguments to what has until recently been merely a thematic observation—the harmfulness of negative stress on individual’s health status.
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spelling doaj-art-fa3e31562cfa4b3486faf823f9ab4d642025-01-11T06:30:10ZengTaylor & Francis GroupStress1025-38901607-88882025-12-0128110.1080/10253890.2024.2447868Chronic stress resulting from stressful life events and its role in the onset of primary Sjögren’s syndrome: a comparative analysis using the modified Holmes-Rahe stress scaleMarta Jaskólska0Iga Kościńska-Shukla1Dawid Jaskólski2Alessandro Viti3Marcin Ziętkiewicz4Michał Chmielewski5Department of Rheumatology, Clinical Immunology, Geriatrics and Internal Medicine, Medical University of Gdańsk, Gdańsk, PolandDepartment of Rheumatology, Clinical Immunology, Geriatrics and Internal Medicine, Medical University of Gdańsk, Gdańsk, PolandSecond Clinic of Orthopaedics and Kinetic Organ Traumatology, Medical University of Gdańsk, Gdańsk, PolandDepartment of Rheumatology, Clinical Immunology, Geriatrics and Internal Medicine, Medical University of Gdańsk, Gdańsk, PolandDepartment of Rheumatology, Clinical Immunology, Geriatrics and Internal Medicine, Medical University of Gdańsk, Gdańsk, PolandDepartment of Rheumatology, Clinical Immunology, Geriatrics and Internal Medicine, Medical University of Gdańsk, Gdańsk, PolandRecent years brought considerable attention to the connection between chronic stress and the development of autoimmune diseases. However, little is still known about the impact of prolonged stress reactions on the onset and course of primary Sjögren Syndrome (pSS). This study aimed to seek for associations between chronic stress, resulting from stressful life events, and pSS. In the study, 50 patients with diagnosed pSS, as well as 50 control patients with osteoarthritis underwent an assessment. Modified Holmes-Rahe (H-R) stress scale was used in order to evaluate the impact of stressful events within 12 months prior to the diagnosis. Patients with pSS had a significantly higher total score on H-R stress scale within one-year preceding the disease diagnosis (152 ± 66.3 vs 50 ± 54.6; p [Formula: see text] 0.001). Additionally, the pSS patients more commonly than the controls reported a subjectively perceived correlation between stressful events and the occurrence of disease symptoms (50% vs 12%; p [Formula: see text] 0.001). Moreover, the H-R score at the time of the assessment correlated with the disease activity. The results support the view that pSS belongs to the group of diseases which pathogenesis is closely related to stressful life events. The novelty of this work lies in focus on both the correlation of stress on the onset of autoimmune disease as well as the activity of previously diagnosed disorder. Our data contributes to finding evidence-based medicine (EBM) arguments to what has until recently been merely a thematic observation—the harmfulness of negative stress on individual’s health status.https://www.tandfonline.com/doi/10.1080/10253890.2024.2447868StressSjögren Syndromeimmune systemautoimmunity triggersaetiopathogenesis
spellingShingle Marta Jaskólska
Iga Kościńska-Shukla
Dawid Jaskólski
Alessandro Viti
Marcin Ziętkiewicz
Michał Chmielewski
Chronic stress resulting from stressful life events and its role in the onset of primary Sjögren’s syndrome: a comparative analysis using the modified Holmes-Rahe stress scale
Stress
Stress
Sjögren Syndrome
immune system
autoimmunity triggers
aetiopathogenesis
title Chronic stress resulting from stressful life events and its role in the onset of primary Sjögren’s syndrome: a comparative analysis using the modified Holmes-Rahe stress scale
title_full Chronic stress resulting from stressful life events and its role in the onset of primary Sjögren’s syndrome: a comparative analysis using the modified Holmes-Rahe stress scale
title_fullStr Chronic stress resulting from stressful life events and its role in the onset of primary Sjögren’s syndrome: a comparative analysis using the modified Holmes-Rahe stress scale
title_full_unstemmed Chronic stress resulting from stressful life events and its role in the onset of primary Sjögren’s syndrome: a comparative analysis using the modified Holmes-Rahe stress scale
title_short Chronic stress resulting from stressful life events and its role in the onset of primary Sjögren’s syndrome: a comparative analysis using the modified Holmes-Rahe stress scale
title_sort chronic stress resulting from stressful life events and its role in the onset of primary sjogren s syndrome a comparative analysis using the modified holmes rahe stress scale
topic Stress
Sjögren Syndrome
immune system
autoimmunity triggers
aetiopathogenesis
url https://www.tandfonline.com/doi/10.1080/10253890.2024.2447868
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