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Comparison of Self–Efficacy for Managing Chronic Disease between patients with systemic sclerosis (SSc) and other chronic conditions: a systematic review. Compared to patients with other diseases not enrolled in programs to improve self–efficacy, SSc patients report lower self–efficacy scores than most patient groups. PubMed, Rheumatol Int, 2017 Feb;37(2):281-292. (Also see Coping with Scleroderma) This item was posted in the ISN Newsroom. Please check the newsroom daily for updates on scleroderma and other related articles.