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The role of stress in the mosaic of autoimmunity. An overlooked association. Psychological therapy and cognitive behavioral therapy aimed to reduce stress levels was shown to be effective in influencing better outcomes in many autoimmune diseases. PubMed, Autoimmun Rev, 08/14/2018. (Also see Causes of Scleroderma: Stress) This item was posted in the ISN Newsroom. Please check the newsroom daily for updates on scleroderma and other related articles.