An investigation into the prevalence of sleep disturbances in primary Sjögren’s syndrome: a systematic review of the literature

Hackett, Katie; Gotts, Zoe M.; Ellis, Jason; Deary, Vincent; Rapley, Tim; Ng, Wan‐Fai; Newton, Julia L.; Deane, Katherine

doi:10.1093/rheumatology/kew443

Cited by 30 publications

(49 citation statements)

References 44 publications

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“…21 Furthermore, a systematic review from the UK found that 20% of pSS participants reported experiencing nocturnal sweating. 22 In agreement with these findings, our study also showed that dryness and the consequent necessity to frequently awake to sip water is another possible reason for sleep deprivation and daytime fatigue.…”

Section: Manysupporting

confidence: 91%

Prevalence, correlates, and impact of sleep disturbance in Chinese patients with primary Sjögren’s syndrome

Cui

et al. 2019

Int J of Rheum Dis

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Aim Sleep disturbances are common in primary Sjögren's syndrome (pSS) patients and may lead to disease aggravation and decreased health‐related quality of life (HRQoL). There are currently no known reported studies related to the prevalence, correlates, and impact of sleep disturbance in pSS patients from China. Therefore, this study aims to assess the sleep quality in Chinese pSS patients and evaluate its relationship with the disease activity, quality of life and mood disorders. Methods A self‐report survey was administered to 221 pSS patients and 198 healthy individuals using the Pittsburgh Sleep Quality Index (PSQI) for sleep quality. Disease activity and damage were evaluated with the European League Against Rheumatism Sjögren's syndrome disease activity index (ESSDAI). Independent samples t tests, Chi‐square analysis, logistic regression were used to analyze these data. Results Our results found that the prevalence of poor sleep (PSQI ≥ 6) was 57.5% and the mean global score of PSQI was 6.57 (SD 3.19) in patients, which were significantly higher than the controls (32.3% and 4.93 [SD 2.86], respectively). When trying to fall asleep, patients with pSS had some sleep disturbances, reduced sleep efficiency, increased number of awakenings than controls. There were significant correlations among dryness, ocular surface disease, HRQoL, pain, disease activity, anxiety/depression and sleep quality in pSS patients. Meanwhile, logistic regression models identified depression and Short Form‐36 mental composite score as predictors of poor sleep quality. Conclusions Sleep disturbances are commonly reported in pSS patients and sleep quality is lower in pSS patients than in healthy controls. The data suggested the need for holistic assessment and management of pSS patients.

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Section: Manysupporting

confidence: 91%

Prevalence, correlates, and impact of sleep disturbance in Chinese patients with primary Sjögren’s syndrome

Cui

et al. 2019

Int J of Rheum Dis

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“…Multidisciplinary education has been shown to empower rheumatoid arthritis patients to manage their condition and reduce disease activity in the longer term . We hypothesize that addressing these factors, for example through individualized interventions supporting patients to manage their oral and ocular dryness symptoms and with nonpharmacologic interventions such as exercise , pain management , and cognitive behavioral therapy for sleep disturbances , patients may feel more patient empowered. Modes of delivering these interventions need to be considered, and digital technologies, such as the use of mobile applications, can be used to empower patients to take charge of their own health and used as an adjunct to face‐to‐face care.…”

Section: Discussionmentioning

confidence: 99%

“…Primary Sjögren's syndrome (SS) is a systemic autoimmune disease characterized by sicca symptoms . Additionally, extraglandular symptoms are commonly experienced , including pain , sleep disturbances , fatigue , low mood, and anxiety . These symptoms impact significantly on quality of life , and many patients experience difficulty with participation (involvement in a life situation) and undertaking functional activities .…”

Section: Introductionmentioning

confidence: 99%

Mixed‐Methods Study Identifying Key Intervention Targets to Improve Participation in Daily Living Activities in Primary Sjögren's Syndrome Patients

Hackett

Deane

Newton

et al. 2018

Arthritis Care & Research

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ObjectiveFunctional ability and participation in life situations are compromised in many primary Sjögren's syndrome (SS) patients. This study aimed to identify the key barriers and priorities to participation in daily living activities, in order to develop potential future interventions.MethodsGroup concept mapping, a semiquantitative, mixed‐methods approach was used to identify and structure ideas from UK primary SS patients, adult household members living with a primary SS patient, and health care professionals. Brainstorming generated ideas, which were summarized into a final set of statements. Participants individually arranged these statements into themes and rated each statement for importance. Multidimensional scaling and hierarchical cluster analysis were applied to sorted and rated data to produce visual representations of the ideas (concept maps), enabling identification of agreed priority areas for interventions.ResultsA total of 121 patients, 43 adult household members, and 67 health care professionals took part. In sum, 463 ideas were distilled down to 94 statements. These statements were grouped into 7 clusters: Patient Empowerment, Symptoms, Wellbeing, Access and Coordination of Health Care, Knowledge and Support, Public Awareness and Support, and Friends and Family. Patient Empowerment and Symptoms were rated as priority conceptual themes. Important statements within priority clusters indicate patients should be taken seriously and supported to self‐manage symptoms of oral and ocular dryness, fatigue, pain, and poor sleep.ConclusionOur data highlighted the fact that in addition to managing primary SS symptoms, interventions aiming to improve patient empowerment, general wellbeing, access to health care, patient education, and social support are important to facilitate improved participation in daily living activities.

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“…Several reports describe the pSS-related psychiatric status as sleep disorders, depression, and anxiety. [91][92][93][94][95][96][97][98][99][100][101] Sleep disorders in pSS are characterized as a long sleep latency and severe sleep difficulty due to pain. Ocular complications, such as the presence of sicca, have been surveyed in a few studies, however, no study has referred to ocular findings.…”

Section: Sleep Disorders Are a Common Comorbidity Of Pssmentioning

confidence: 99%

“…Hackett et al 91 completed a systematic review of nine studies of sleep disturbances in pSS and concluded that a range of sleep disturbances are commonly reported in pSS patients; that is, prevalent night awakenings and increased obstructive sleep apnea in pSS compared to controls. In these studies, sleep disturbance was determined using sleep diaries, the Epworth Sleepiness Scale, the 15-item Dutch questionnaire on sleep quality, and polysomnography, and showed a longer sleep latency, short sleep duration, and low sleep efficacy in pSS.…”

Section: Sleep Disorders Are a Common Comorbidity Of Pssmentioning

confidence: 99%

Sleep Disorders are a Prevalent and Serious Comorbidity in Dry Eye

Ayaki

Ohta

Kawashima

et al. 2018

Invest. Ophthalmol. Vis. Sci.

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PURPOSE. Sleep is an essential life habit and closely associated with lifespan, diabetes, hypertension, and mental health. Sleep disorders are a prominent, but overlooked problem in patients with dry eye disease (DED), characterized by a poor sleep index, short sleep duration, long sleep latency, and poor subjective sleep. DED and sleep disorders are more prevalent in women than men. Moreover, sleep quality in DED is worse than in other eye diseases, including glaucoma, retinal diseases, cataract, and allergic and chronic conjunctivitis. METHODS. We reviewed the literature for studies investigating sleep and health, eyes and sleep, and DED and sleep, in terms of systemic and eye health, especially in women. RESULTS. Two studies reported that approximately half of patients with DED suffer from poor sleep. The severity of mood disorders, including anxiety and depression, is correlated strongly with sleep disorders in DED, and the symptoms and signs of DED, especially pain, also are correlated with sleep quality. Sleep disorders are documented in primary Sjögren's syndrome and an association with sleep apnea and depression is suggested. Primary Sjögren's syndrome includes arthritis and other rheumatic disease causing pain and fatigue; however, how sicca contributes to sleep disorders is not known. CONCLUSIONS. Possible explanations for sleep disorders in DED may be depression, pain, and eye exposure at night. Reciprocal effects may be expected and consultation-liaison psychiatry is recommended for the management of sleep disorders in DED. Topical medication and lid heating also may be advantageous for sleep quality in DED.

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An investigation into the prevalence of sleep disturbances in primary Sjögren’s syndrome: a systematic review of the literature

Cited by 30 publications

References 44 publications

Prevalence, correlates, and impact of sleep disturbance in Chinese patients with primary Sjögren’s syndrome

Prevalence, correlates, and impact of sleep disturbance in Chinese patients with primary Sjögren’s syndrome

Mixed‐Methods Study Identifying Key Intervention Targets to Improve Participation in Daily Living Activities in Primary Sjögren's Syndrome Patients

Sleep Disorders are a Prevalent and Serious Comorbidity in Dry Eye

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