Sleep quality in patients with psoriatic arthritis

Gezer, Orhan; Batmaz, İbrahim; Sarıyıldız, Mustafa Akif; Sula, Bilal; Uçmak, Derya; Bozkurt, Mehtap; Nas, Kemal

doi:10.1111/1756-185x.12505

Cited by 71 publications

(62 citation statements)

References 21 publications

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“…Our results show that poor sleep quality may be more common in psoriasis (76·3%) than in the general population (estimated 30–50%) . Indeed, sleep quality and sleep efficiency were worse than previously reported in cohorts with psoriasis or diabetes and are equivalent to those seen in psoriatic arthritis . Additionally, we observed a high probability of OSA in our sample (32·8%), again at a rate higher than the prevalence in the general population (3–7%), although somewhat lower than the rate of around 50% reported in other psoriasis samples …”

Section: Discussioncontrasting

confidence: 60%

A cross-sectional survey of the nature and correlates of sleep disturbance in people with psoriasis

et al. 2017

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Section: Discussioncontrasting

confidence: 60%

A cross-sectional survey of the nature and correlates of sleep disturbance in people with psoriasis

et al. 2017

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“…It is possible that negative effects of psoriatic arthritis on quality of life in patients with psoriasis may, in part, contribute to suicidal risk. For example, sleep quality is significantly diminished in these patients, and is associated with generalized pain and anxiety . Moreover, the Danish population is predominantly white, which may limit the extrapolation of our results to other ethnicities.…”

Section: Discussionmentioning

confidence: 81%

Risk of self-harm and nonfatal suicide attempts, and completed suicide in patients with psoriasis: a population-based cohort study

et al. 2016

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“…This study included only individuals with RA, but high levels of fatigue have been found in other rheumatic conditions as well, including osteoarthritis, systemic lupus erythematosus, psoriatic arthritis, and ankylosing spondylitis . Relatively high prevalence rates of obesity, depression, sleep disturbance, and/or inactivity have been reported in each of these conditions , so it is possible that these factors may play an important role in fatigue in other rheumatic conditions as well. In fibromyalgia, another condition with high levels of fatigue, sleep disturbance, depression, obesity, and inactivity are common .…”

Section: Discussionmentioning

confidence: 99%

Role of Sleep Disturbance, Depression, Obesity, and Physical Inactivity in Fatigue in Rheumatoid Arthritis

Katz

Margaretten

Trupin

et al. 2015

Arthritis Care & Research

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Background/Purpose: Fatigue is a major concern for individuals with rheumatoid arthritis (RA). However, in order to treat fatigue adequately, its sources need to be identified. Methods: Data were collected during a single home visit (n=158). All participants had physician-diagnosed RA. Assessments were made of self-reported sleep quality, depression, physical activity, RA disease activity, muscle strength, functional limitations, and body composition. Information was collected on demographics, medications, and smoking. The Fatigue Severity Index (FSI; average fatigue over the past 7 days) was used as the primary outcome. Analyses were first conducted to evaluate bivariate relationships with fatigue. Correlations among risk factors were examined. Multivariate analyses identified independent predictors of fatigue. Results: Mean age (±SD) was 59 (±11), mean disease duration was 21 (±13) years, and 85% were female. Mean FSI rating was 3.8 (±2.0; range 0–10). In multivariate analyses, self-reported disease activity, poor sleep, depression, and obesity were independently associated with fatigue. Physical inactivity was correlated with poor sleep, depression, and obesity. Mediation analyses indicated that physical activity had an indirect association with fatigue, mediated by poor sleep, depression, and obesity. Conclusion: This cross-sectional study suggests that fatigue may not be solely a result of RA disease activity, but may result from a constellation of factors, including RA disease activity or pain, but also inactivity, depression, obesity, and poor sleep. Results suggest new avenues for interventions to improve fatigue in individuals with RA, such as increasing physical activity or addressing depression or obesity.

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Sleep quality in patients with psoriatic arthritis

Abstract: Sleep quality is diminished in patients with PsA. Sleep disturbance is particularly associated with generalized pain, anxiety, enthesitis and levels of CRP and ESR in patients carrying the diagnosis of PsA.

Cited by 71 publications

References 21 publications

A cross-sectional survey of the nature and correlates of sleep disturbance in people with psoriasis

A cross-sectional survey of the nature and correlates of sleep disturbance in people with psoriasis

Risk of self-harm and nonfatal suicide attempts, and completed suicide in patients with psoriasis: a population-based cohort study

Role of Sleep Disturbance, Depression, Obesity, and Physical Inactivity in Fatigue in Rheumatoid Arthritis

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