Sleep Disturbances in Korean Patients with Ankylosing Spondylitis are Associated with Increased Disease Activity

Jeong, Hye-­Jin; Lee, Tae Han; Lee, Ji Min; Choi, Go; Son, Chang-Nam; Kim, Jimin; Cho, Yong Won; Kim, Sang-Hyon

doi:10.4078/jrd.2014.21.5.241

Cited by 7 publications

(5 citation statements)

References 19 publications

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“…However, there has been no international study that has used ASDAS as an evaluation index for disease activity. Similar to previous studies that reported that high disease activity was correlated with poor sleep quality [3,5,6,[21][22][23][24], our study also revealed that the group with low sleep quality (poor sleepers) demon-strated higher disease activity, pain, and depression indices.…”

Section: Discussionsupporting

confidence: 91%

“…It is well known that the quality of sleep is poor among Koreans with rheumatic diseases such as rheumatoid arthritis, AS, and Behçet’s disease [ 2 - 4 ]. Recent meta-analyses demonstrated that the quality of sleep in patients with AS is reduced by approximately 35%∼90% compared to that in healthy individuals [ 5 , 6 ] and that higher disease activity has more impact on the sleep quality.…”

Section: Introductionmentioning

confidence: 99%

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Bath Ankylosing Spondylitis Disease Activity Index is Associated With the Quality of Sleep in Ankylosing Spondylitis Patients

et al. 2021

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Objective. High disease activity of ankylosing spondylitis (AS) is associated with poor sleep quality. The purpose of this study was to identify which of the representative tools for evaluating the disease activity of AS best reflect the quality of sleep. Methods. A total of 107 AS patients were enrolled in the study and the sleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI). Age, sex, concomitant medication, erythrocyte sedimentation rate (ESR), serum C-reactive protein (CRP) level, Beck Depression Inventory second edition (BDI-II), Bath ankylosing spondylitis disease activity index (BASDAI), ankylosing spondylitis disease activity score (ASDAS)-ESR, ASDAS-CRP, pain visual analog scale, Insomnia Severity Index (ISI), and Epworth Sleepiness Scale (ESS) were analyzed as covariates. Results. Overall, 65% (70/107) of subjects reported poor sleep quality (PSQI＞5). There was a positive correlation between the sleep quality and disease activity as measured by the BASDAI, ASDAS-ESR, and ASDAS-CRP. In addition, the BASDAI demonstrated good correlations with ISI, ESS, and BDI-II, respectively. However, only BASDAI showed reliable correlation with PSQI among the disease activity parameters of AS (adjusted odd ratio 5.36, p=0.023). Conclusion. BASDAI is the most reliable parameter of disease activity associated with the sleep quality in patients with AS.

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Section: Discussionsupporting

confidence: 91%

Section: Introductionmentioning

confidence: 99%

Bath Ankylosing Spondylitis Disease Activity Index is Associated With the Quality of Sleep in Ankylosing Spondylitis Patients

et al. 2021

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“…2 ). A recent Korean study of 40 patients with AS supports a positive association between depression and poor sleep, finding that depression as assessed by the BDI, alongside duration of morning stiffness, remained as independent risk factors that affected poor sleep (total PSQI) [ 62 ]. Li et al [ 32 ] also report a large and statistically significant association between anxiety and total PSQI sleep score.…”

Section: Psychological Variables: Quality Of Life Depression and Anxmentioning

confidence: 91%

Prevalence and factors associated with disturbed sleep in patients with ankylosing spondylitis and non-radiographic axial spondyloarthritis: a systematic review

et al. 2016

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“…The frequency of patients with sleep disturbances in Korean population is known to be about 5% [ 12 ], and it has been reported that sleep disturbance is reported in various chronic disease patients, such as chronic renal failure [ 13 ] and restless legs syndrome [ 14 ]. Rheumatoid disease is one of chronic diseases; various studies done worldwide have reported that sleep disturbance is a common associate in RA [ 5 , 15 ] or ankylosing spondylitis patients [ 6 ]. The foreign researches also studied the relationship between Behcet disease and sleep disturbance.…”

Section: Disscusionmentioning

confidence: 99%

“…Previously, we compared and evaluated the sleep quality, quality of life, depression, and disease activity in rheumatoid arthritis (RA) patients [ 5 ] and ankylosing spondylitis patients [ 6 ]. A significant relationship between disease activity and sleep quality was observed.…”

Section: Introductionmentioning

confidence: 99%

Association of sleep quality in Behcet disease with disease activity, depression, and quality of life in Korean population

Lee¹,

Kim²,

Jeong³

et al. 2017

Korean J Intern Med

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Background/AimsSleep disturbance is prime concern in patients with Behcet disease. The purpose of this study was to find out the effects of sleep quality, in Korean patients suffering from Behcet disease. We further investigated the relationship between depression, quality of life and the clinical findings of Behcet disease.MethodsThe study was performed by the cross-sectional design. Sleep quality was assessed by the Korean version of Pittsburgh sleep quality index (PSQI). Disease activity of Behcet disease was evaluated by Behcet disease current activity form (BDCAF). Depression was assessed by the Korean version of Beck depression inventory second edition (BDI-2). Quality of life was assessed by the Korean version of the Leeds Behcet disease quality of life measure (BDQoL).ResultsAmong the 100 patients studied, 42% reported poor sleep quality (PSQI ≥ 9). These patients have a higher BDI-2, total BDCAF and pain visual analogue scale (VAS) score (p < 0.001, p = 0.022, and p = 0.005). Considering BDCAF, the frequency of genital ulcer was significantly higher (p = 0.01). Behcet was higher in females. The BDQoL was lower in poor sleeper group (p = 0.004 and p < 0.001). Among 7 PSQI components, daytime dysfunction was higher in patients with high disease activity (p = 0.03). Total PSQI score were strongly correlated with BDCAF, BDI-2, BDQoL, and pain VAS score (p = 0.02, p < 0.001, p < 0.001, and p < 0.001, respectively).ConclusionsLow sleep quality is directly associated with disease activity, depression, and quality of life in Korean patients with Behcet disease.

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Sleep Disturbances in Korean Patients with Ankylosing Spondylitis are Associated with Increased Disease Activity

Cited by 7 publications

References 19 publications

Bath Ankylosing Spondylitis Disease Activity Index is Associated With the Quality of Sleep in Ankylosing Spondylitis Patients

Bath Ankylosing Spondylitis Disease Activity Index is Associated With the Quality of Sleep in Ankylosing Spondylitis Patients

Prevalence and factors associated with disturbed sleep in patients with ankylosing spondylitis and non-radiographic axial spondyloarthritis: a systematic review

Association of sleep quality in Behcet disease with disease activity, depression, and quality of life in Korean population

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