{"id":"https://openalex.org/W2010042544","doi":"https://doi.org/10.3109/s10165-010-0412-5","title":"Functional disturbance of the stress-adaptation system in patients with scleroderma","display_name":"Functional disturbance of the stress-adaptation system in patients with scleroderma","publication_year":2011,"publication_date":"2011-01-20","ids":{"openalex":"https://openalex.org/W2010042544","doi":"https://doi.org/10.3109/s10165-010-0412-5","mag":"2010042544","pmid":"https://pubmed.ncbi.nlm.nih.gov/21253801"},"language":"en","primary_location":{"id":"doi:10.3109/s10165-010-0412-5","doi":"https://doi.org/10.3109/s10165-010-0412-5","is_oa":false,"landing_page_url":"https://doi.org/10.3109/s10165-010-0412-5","pdf_url":null,"source":{"id":"https://openalex.org/S30446230","display_name":"Modern Rheumatology","issn_l":"1439-7595","issn":["1439-7595","1439-7609"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-c","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-70","russia-white-list-2"],"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Modern Rheumatology","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5103823691","display_name":"Emi Matsuura","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I177136067","display_name":"Saga University","ror":"https://ror.org/04f4wg107","country_code":"JP","type":"education","lineage":["https://openalex.org/I177136067"]},{"id":"https://openalex.org/I930055837","display_name":"Kwassui Women's University","ror":"https://ror.org/006c2dp67","country_code":"JP","type":"education","lineage":["https://openalex.org/I930055837"]}],"countries":["JP"],"is_corresponding":true,"raw_author_name":"Emi Matsuura","raw_affiliation_strings":["Graduate School of Medical Science, Saga University, 5-1-1 Nabeshima, Saga, 849-8501, Japan. emimatsu@kwassui.ac.jp","Kwassui Women\u2019s University","Saga University"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Graduate School of Medical Science, Saga University, 5-1-1 Nabeshima, Saga, 849-8501, Japan. emimatsu@kwassui.ac.jp","institution_ids":["https://openalex.org/I177136067"]},{"raw_affiliation_string":"Kwassui Women\u2019s University","institution_ids":["https://openalex.org/I930055837"]},{"raw_affiliation_string":"Saga University","institution_ids":["https://openalex.org/I177136067"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5100972181","display_name":"Akihide Ohta","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I177136067","display_name":"Saga University","ror":"https://ror.org/04f4wg107","country_code":"JP","type":"education","lineage":["https://openalex.org/I177136067"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Akihide Ohta","raw_affiliation_strings":["Department of Adult and Gerontological Nursing, Faculty of Medicine, Saga University, 5-1-1 Nabeshima, Saga 849-8501, Japan","<I>Saga University</I>"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Adult and Gerontological Nursing, Faculty of Medicine, Saga University, 5-1-1 Nabeshima, Saga 849-8501, Japan","institution_ids":["https://openalex.org/I177136067"]},{"raw_affiliation_string":"<I>Saga University</I>","institution_ids":["https://openalex.org/I177136067"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5016006630","display_name":"Rie Suematsu","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I177136067","display_name":"Saga University","ror":"https://ror.org/04f4wg107","country_code":"JP","type":"education","lineage":["https://openalex.org/I177136067"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Rie Suematsu","raw_affiliation_strings":["Division of Rheumatology, Department of Internal Medicine, Faculty of Medicine, Saga University, 5-1-1 Nabeshima, Saga 849-8501, Japan","<I>Saga University</I>"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of Rheumatology, Department of Internal Medicine, Faculty of Medicine, Saga University, 5-1-1 Nabeshima, Saga 849-8501, Japan","institution_ids":["https://openalex.org/I177136067"]},{"raw_affiliation_string":"<I>Saga University</I>","institution_ids":["https://openalex.org/I177136067"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5111887963","display_name":"Hisako Inoue","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I177136067","display_name":"Saga University","ror":"https://ror.org/04f4wg107","country_code":"JP","type":"education","lineage":["https://openalex.org/I177136067"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Hisako Inoue","raw_affiliation_strings":["Division of Rheumatology, Department of Internal Medicine, Faculty of Medicine, Saga University, 5-1-1 Nabeshima, Saga 849-8501, Japan","<I>Saga University</I>"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of Rheumatology, Department of Internal Medicine, Faculty of Medicine, Saga University, 5-1-1 Nabeshima, Saga 849-8501, Japan","institution_ids":["https://openalex.org/I177136067"]},{"raw_affiliation_string":"<I>Saga University</I>","institution_ids":["https://openalex.org/I177136067"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5086868324","display_name":"Syuichi Koarada","orcid":"https://orcid.org/0000-0002-4794-8881","observed_orcids":["https://orcid.org/0000-0002-4794-8881"]},"institutions":[{"id":"https://openalex.org/I177136067","display_name":"Saga University","ror":"https://ror.org/04f4wg107","country_code":"JP","type":"education","lineage":["https://openalex.org/I177136067"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Syuichi Koarada","raw_affiliation_strings":["Division of Rheumatology, Department of Internal Medicine, Faculty of Medicine, Saga University, 5-1-1 Nabeshima, Saga 849-8501, Japan","<I>Saga University</I>"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of Rheumatology, Department of Internal Medicine, Faculty of Medicine, Saga University, 5-1-1 Nabeshima, Saga 849-8501, Japan","institution_ids":["https://openalex.org/I177136067"]},{"raw_affiliation_string":"<I>Saga University</I>","institution_ids":["https://openalex.org/I177136067"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5101872474","display_name":"Yoshifumi Tada","orcid":"https://orcid.org/0000-0003-0742-831X","observed_orcids":["https://orcid.org/0000-0003-0742-831X"]},"institutions":[{"id":"https://openalex.org/I177136067","display_name":"Saga University","ror":"https://ror.org/04f4wg107","country_code":"JP","type":"education","lineage":["https://openalex.org/I177136067"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Yoshifumi Tada","raw_affiliation_strings":["Division of Rheumatology, Department of Internal Medicine, Faculty of Medicine, Saga University, 5-1-1 Nabeshima, Saga 849-8501, Japan","<I>Saga University</I>"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of Rheumatology, Department of Internal Medicine, Faculty of Medicine, Saga University, 5-1-1 Nabeshima, Saga 849-8501, Japan","institution_ids":["https://openalex.org/I177136067"]},{"raw_affiliation_string":"<I>Saga University</I>","institution_ids":["https://openalex.org/I177136067"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5036272623","display_name":"Ryoko Sherriff-Tadano","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I79072001","display_name":"International University of Health and Welfare","ror":"https://ror.org/053d3tv41","country_code":"JP","type":"education","lineage":["https://openalex.org/I79072001"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Ryoko Sherriff-Tadano","raw_affiliation_strings":["Department of Comprehensive Support in Nursing, International University of Health and Welfare, 1-3-1 Nagahama, Chuo-ku, Fukuoka 810-0072, Japan","International University of Health          and Welfare"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Comprehensive Support in Nursing, International University of Health and Welfare, 1-3-1 Nagahama, Chuo-ku, Fukuoka 810-0072, Japan","institution_ids":["https://openalex.org/I79072001"]},{"raw_affiliation_string":"International University of Health          and Welfare","institution_ids":["https://openalex.org/I79072001"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5110276701","display_name":"Tsukasa Kuroki","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I113306721","display_name":"Hiroshima University","ror":"https://ror.org/03t78wx29","country_code":"JP","type":"education","lineage":["https://openalex.org/I113306721"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Tsukasa Kuroki","raw_affiliation_strings":["Department of Nursing Science, Hiroshima University Graduate School of Health Sciences, 1-2-3 Kasumi, Minami-ku, Hiroshima 734-8553, Japan","Hiroshima University Graduate School of Health Sciences"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Nursing Science, Hiroshima University Graduate School of Health Sciences, 1-2-3 Kasumi, Minami-ku, Hiroshima 734-8553, Japan","institution_ids":["https://openalex.org/I113306721"]},{"raw_affiliation_string":"Hiroshima University Graduate School of Health Sciences","institution_ids":["https://openalex.org/I113306721"]}]},{"author_position":"middle","author":{"id":null,"display_name":"Daisaku Ikeda","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210097767","display_name":"Kyushu University Hospital","ror":"https://ror.org/00ex2fc97","country_code":"JP","type":"healthcare","lineage":["https://openalex.org/I135598925","https://openalex.org/I4210097767"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Daisaku Ikeda","raw_affiliation_strings":["Department of Nursing, Kyushu University Hospital, 3-1-1 Maidashi, Higashi-ku, Fukuoka 812-8582, Japan","Kyushu University Hospital>"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Nursing, Kyushu University Hospital, 3-1-1 Maidashi, Higashi-ku, Fukuoka 812-8582, Japan","institution_ids":["https://openalex.org/I4210097767"]},{"raw_affiliation_string":"Kyushu University Hospital>","institution_ids":["https://openalex.org/I4210097767"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5102136646","display_name":"Kohei Nagasawa","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I177136067","display_name":"Saga University","ror":"https://ror.org/04f4wg107","country_code":"JP","type":"education","lineage":["https://openalex.org/I177136067"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Kohei Nagasawa","raw_affiliation_strings":["Division of Rheumatology, Department of Internal Medicine, Faculty of Medicine, Saga University, 5-1-1 Nabeshima, Saga 849-8501, Japan","<I>Saga University</I>"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of Rheumatology, Department of Internal Medicine, Faculty of Medicine, Saga University, 5-1-1 Nabeshima, Saga 849-8501, Japan","institution_ids":["https://openalex.org/I177136067"]},{"raw_affiliation_string":"<I>Saga University</I>","institution_ids":["https://openalex.org/I177136067"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":5,"corresponding_author_ids":["https://openalex.org/A5103823691"],"corresponding_institution_ids":["https://openalex.org/I177136067","https://openalex.org/I930055837"],"apc_list":{"value":3208,"currency":"USD","value_usd":3208},"apc_paid":null,"fwci":1.0029,"has_fulltext":false,"cited_by_count":9,"citation_normalized_percentile":{"value":0.75417308,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":88,"max":95},"biblio":{"volume":"21","issue":"4","first_page":"397","last_page":"405"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11330","display_name":"Systemic Sclerosis and Related Diseases","score":0.9301999807357788,"subfield":{"id":"https://openalex.org/subfields/2745","display_name":"Rheumatology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11330","display_name":"Systemic Sclerosis and Related Diseases","score":0.9301999807357788,"subfield":{"id":"https://openalex.org/subfields/2745","display_name":"Rheumatology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10529","display_name":"Stress Responses and Cortisol","score":0.05730000138282776,"subfield":{"id":"https://openalex.org/subfields/2802","display_name":"Behavioral Neuroscience"},"field":{"id":"https://openalex.org/fields/28","display_name":"Neuroscience"},"domain":{"id":"https://openalex.org/domains/1","display_name":"Life Sciences"}},{"id":"https://openalex.org/T11334","display_name":"Psychosomatic Disorders and Their Treatments","score":0.0019000000320374966,"subfield":{"id":"https://openalex.org/subfields/2738","display_name":"Psychiatry and Mental health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/systemic-sclerosis","display_name":"systemic sclerosis","score":0.890999972820282},{"id":"https://openalex.org/keywords/stress-response","display_name":"stress response","score":0.7699999809265137},{"id":"https://openalex.org/keywords/neuroendocrine-immune-network","display_name":"neuroendocrine-immune network","score":0.8059999942779541},{"id":"https://openalex.org/keywords/cortisol","display_name":"cortisol","score":0.7419999837875366},{"id":"https://openalex.org/keywords/pro-inflammatory-cytokines","display_name":"inflammatory cytokines","score":0.9210000038146973},{"id":"https://openalex.org/keywords/norepinephrine","display_name":"norepinephrine","score":0.9890000224113464},{"id":"https://openalex.org/keywords/sense-of-coherence","display_name":"sense of coherence","score":0.9769999980926514},{"id":"https://openalex.org/keywords/quality-of-life","display_name":"quality of life","score":0.9760000109672546},{"id":"https://openalex.org/keywords/stress-hormones","display_name":"stress hormones","score":0.46299999952316284}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.846183180809021},{"id":"https://openalex.org/C46699223","wikidata":"https://www.wikidata.org/wiki/Q11078","display_name":"Endocrine system","level":3,"score":0.6628177762031555},{"id":"https://openalex.org/C2778024521","wikidata":"https://www.wikidata.org/wiki/Q55639806","display_name":"Basal (medicine)","level":3,"score":0.5993033051490784},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.5843858122825623},{"id":"https://openalex.org/C2777014857","wikidata":"https://www.wikidata.org/wiki/Q1383410","display_name":"Exacerbation","level":2,"score":0.579497754573822},{"id":"https://openalex.org/C71315377","wikidata":"https://www.wikidata.org/wiki/Q11364","display_name":"Hormone","level":2,"score":0.5786104798316956},{"id":"https://openalex.org/C8891405","wikidata":"https://www.wikidata.org/wiki/Q1059","display_name":"Immune system","level":2,"score":0.5699732303619385},{"id":"https://openalex.org/C164027704","wikidata":"https://www.wikidata.org/wiki/Q3491837","display_name":"Proinflammatory cytokine","level":3,"score":0.5200647711753845},{"id":"https://openalex.org/C134018914","wikidata":"https://www.wikidata.org/wiki/Q162606","display_name":"Endocrinology","level":1,"score":0.3752201199531555},{"id":"https://openalex.org/C203014093","wikidata":"https://www.wikidata.org/wiki/Q101929","display_name":"Immunology","level":1,"score":0.25635790824890137},{"id":"https://openalex.org/C555293320","wikidata":"https://www.wikidata.org/wiki/Q12206","display_name":"Diabetes mellitus","level":2,"score":0.24850621819496155},{"id":"https://openalex.org/C2776914184","wikidata":"https://www.wikidata.org/wiki/Q101991","display_name":"Inflammation","level":2,"score":0.20063719153404236}],"mesh":[{"descriptor_ui":"D000223","descriptor_name":"Adaptation, Psychological","qualifier_ui":"Q000502","qualifier_name":"physiology","is_major_topic":true},{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000369","descriptor_name":"Aged, 80 and over","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006728","descriptor_name":"Hormones","qualifier_ui":"Q000097","qualifier_name":"blood","is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006854","descriptor_name":"Hydrocortisone","qualifier_ui":"Q000097","qualifier_name":"blood","is_major_topic":false},{"descriptor_ui":"D007030","descriptor_name":"Hypothalamo-Hypophyseal System","qualifier_ui":"Q000503","qualifier_name":"physiopathology","is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D010913","descriptor_name":"Pituitary-Adrenal System","qualifier_ui":"Q000503","qualifier_name":"physiopathology","is_major_topic":false},{"descriptor_ui":"D011788","descriptor_name":"Quality of Life","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011795","descriptor_name":"Surveys and Questionnaires","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012595","descriptor_name":"Scleroderma, Systemic","qualifier_ui":"Q000097","qualifier_name":"blood","is_major_topic":false},{"descriptor_ui":"D012595","descriptor_name":"Scleroderma, Systemic","qualifier_ui":"Q000276","qualifier_name":"immunology","is_major_topic":false},{"descriptor_ui":"D012595","descriptor_name":"Scleroderma, Systemic","qualifier_ui":"Q000503","qualifier_name":"physiopathology","is_major_topic":true},{"descriptor_ui":"D013315","descriptor_name":"Stress, Psychological","qualifier_ui":"Q000097","qualifier_name":"blood","is_major_topic":false},{"descriptor_ui":"D013315","descriptor_name":"Stress, Psychological","qualifier_ui":"Q000276","qualifier_name":"immunology","is_major_topic":false},{"descriptor_ui":"D013315","descriptor_name":"Stress, Psychological","qualifier_ui":"Q000503","qualifier_name":"physiopathology","is_major_topic":true},{"descriptor_ui":"D015415","descriptor_name":"Biomarkers","qualifier_ui":"Q000097","qualifier_name":"blood","is_major_topic":false},{"descriptor_ui":"D016207","descriptor_name":"Cytokines","qualifier_ui":"Q000097","qualifier_name":"blood","is_major_topic":false}],"locations_count":3,"locations":[{"id":"doi:10.3109/s10165-010-0412-5","doi":"https://doi.org/10.3109/s10165-010-0412-5","is_oa":false,"landing_page_url":"https://doi.org/10.3109/s10165-010-0412-5","pdf_url":null,"source":{"id":"https://openalex.org/S30446230","display_name":"Modern Rheumatology","issn_l":"1439-7595","issn":["1439-7595","1439-7609"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-c","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-70","russia-white-list-2"],"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Modern Rheumatology","raw_type":"journal-article"},{"id":"doi:10.1007/s10165-010-0412-5","doi":"https://doi.org/10.1007/s10165-010-0412-5","is_oa":false,"landing_page_url":"https://doi.org/10.1007/s10165-010-0412-5","pdf_url":null,"source":{"id":"https://openalex.org/S30446230","display_name":"Modern Rheumatology","issn_l":"1439-7595","issn":["1439-7595","1439-7609"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-c","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-70","russia-white-list-2"],"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Modern Rheumatology","raw_type":"journal-article"},{"id":"pmid:21253801","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/21253801","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Modern rheumatology","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":1.0,"display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[{"id":"https://openalex.org/G4989983693","display_name":"The association between glycemic control and stress-adjustment system in type 2 diabetes patients and the intervention study of stress management program","funder_award_id":"21592758","funder_id":"https://openalex.org/F4320334764","funder_display_name":"Japan Society for the Promotion of Science"},{"id":"https://openalex.org/G8259540418","display_name":"Basic study as to stress maladjustment and effect of a self-management program in patients with systemic lupus erythematosus.","funder_award_id":"22792209","funder_id":"https://openalex.org/F4320334764","funder_display_name":"Japan Society for the Promotion of Science"}],"funders":[{"id":"https://openalex.org/F4320334764","display_name":"Japan Society for the Promotion of Science","ror":"https://ror.org/00hhkn466"}],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":57,"referenced_works":["https://openalex.org/W4431675","https://openalex.org/W65151803","https://openalex.org/W71555674","https://openalex.org/W130009726","https://openalex.org/W197714140","https://openalex.org/W202601872","https://openalex.org/W271233216","https://openalex.org/W1527396061","https://openalex.org/W1603215585","https://openalex.org/W1666901382","https://openalex.org/W1718876362","https://openalex.org/W1919458374","https://openalex.org/W1972566854","https://openalex.org/W1974161819","https://openalex.org/W1980283257","https://openalex.org/W1982176411","https://openalex.org/W1990121258","https://openalex.org/W1993923961","https://openalex.org/W1996299251","https://openalex.org/W1998623822","https://openalex.org/W2006724319","https://openalex.org/W2013667866","https://openalex.org/W2015611430","https://openalex.org/W2025789564","https://openalex.org/W2027759371","https://openalex.org/W2028921539","https://openalex.org/W2033148721","https://openalex.org/W2033763265","https://openalex.org/W2041549540","https://openalex.org/W2047559973","https://openalex.org/W2048664723","https://openalex.org/W2053120185","https://openalex.org/W2056763517","https://openalex.org/W2061780050","https://openalex.org/W2068089588","https://openalex.org/W2074630756","https://openalex.org/W2087437843","https://openalex.org/W2096349324","https://openalex.org/W2097006707","https://openalex.org/W2103734979","https://openalex.org/W2118222292","https://openalex.org/W2122865756","https://openalex.org/W2138280568","https://openalex.org/W2141593452","https://openalex.org/W2161292637","https://openalex.org/W2167811530","https://openalex.org/W2247567677","https://openalex.org/W2342686007","https://openalex.org/W2394625623","https://openalex.org/W2394654887","https://openalex.org/W2399315936","https://openalex.org/W2409914976","https://openalex.org/W2416230903","https://openalex.org/W2419157585","https://openalex.org/W2441871659","https://openalex.org/W4242740347","https://openalex.org/W4285719527"],"related_works":["https://openalex.org/W2292211089","https://openalex.org/W2624839847","https://openalex.org/W1982031440","https://openalex.org/W2371276922","https://openalex.org/W1543144377","https://openalex.org/W2020561958","https://openalex.org/W2766301739","https://openalex.org/W2333367854","https://openalex.org/W7097795970","https://openalex.org/W2341558834"],"abstract_inverted_index":{"There":[0],"have":[1],"been":[2],"several":[3],"reports":[4,24],"indicating":[5],"the":[6,13,16,45,89,163,172,183,198,218],"association":[7],"between":[8,133],"recent":[9,95,127],"stress":[10,53,73,96,128,175,203,222],"experiences":[11,129],"and":[12,63,68,75,98,109,130,135,145,153],"onset":[14],"or":[15],"exacerbation":[17],"of":[18,60,80,82,100,150,217],"rheumatic":[19],"diseases,":[20],"although":[21],"few":[22],"such":[23],"exist":[25],"in":[26,44,54,105,110,119,126,143,157,182,197,204,223],"patients":[27,108,134,144,184],"with":[28,93],"scleroderma":[29],"(SSc).":[30],"The":[31,207],"present":[32,208],"study":[33,79],"was":[34,103,117,180],"performed":[35,104],"to":[36,88,91,162,191],"elucidate":[37],"whether":[38],"there":[39,122,212],"were":[40,65,123,141,155,189],"any":[41],"functional":[42],"disturbances":[43],"neuro-endocrine-immune":[46,219],"system":[47,51,220],"as":[48],"a":[49,70,76,195],"homeostatic":[50],"upon":[52,202,221],"SSc":[55,107,158,205,224],"patients.":[56,159,206,225],"Various":[57],"serum":[58,138],"levels":[59,140,149,168,188],"stress-related":[61],"hormones":[62],"cytokines":[64],"examined":[66],"before":[67],"after":[69],"mental":[71,173],"calculation":[72,174],"test,":[74,176],"basal":[77],"questionnaire":[78],"sense":[81],"coherence":[83],"(SOC,":[84],"which":[85],"is":[86],"related":[87],"ability":[90],"cope":[92],"stress),":[94],"experiences,":[97],"quality":[99],"life":[101],"(QOL)":[102],"17":[106],"38":[111],"healthy":[112],"volunteers.":[113],"Physical":[114],"QOL":[115],"state":[116],"impaired":[118,215],"patients,":[120],"but":[121,147],"no":[124,177],"differences":[125],"SOC":[131],"scores":[132],"controls.":[136],"Basal":[137],"cortisol":[139,167,187,200],"similar":[142],"controls,":[146],"increased":[148,169],"proinflammatory":[151],"cytokine":[152],"noradrenalin":[154],"seen":[156],"Characteristically,":[160],"contrary":[161],"control":[164],"group,":[165],"whose":[166],"significantly":[170],"following":[171],"significant":[178],"increase":[179],"observed":[181],"when":[185],"post-test":[186],"compared":[190],"pre-test":[192],"levels,":[193],"suggesting":[194],"defect":[196],"normal":[199],"response":[201],"results":[209],"suggest":[210],"that":[211],"may":[213],"be":[214],"function":[216]},"counts_by_year":[{"year":2024,"cited_by_count":1},{"year":2023,"cited_by_count":2},{"year":2016,"cited_by_count":1},{"year":2014,"cited_by_count":1},{"year":2013,"cited_by_count":2},{"year":2012,"cited_by_count":1}],"updated_date":"2026-11-08T12:12:28.789561","created_date":"2016-06-24T00:00:00"}
