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Rheumatoid arthritis and sleep quality.
Ana Claudia Janiszewski Goes1, Larissa Aparecida Busatto Reis1, Marilia Barreto G Silva1
1Hospital Universitário Evangélico de Curitiba, Unidade de Reumatologia, Curitiba, PR, Brazil.
Revista Brasileira De Reumatologia
|July 27, 2017
Summary
Most rheumatoid arthritis patients suffer from poor sleep quality. Depression and sleep apnea risk are independently linked to sleep problems in rheumatoid arthritis (RA).
Area of Science:
- Rheumatology
- Sleep Medicine
- Psychiatry
Background:
- Sleep disturbances are prevalent in rheumatoid arthritis (RA) patients.
- Poor sleep quality significantly diminishes the quality of life for individuals with RA.
Purpose of the Study:
- To investigate the relationship between sleep quality and pain, depression, and disease activity in RA patients.
- To identify key factors associated with impaired sleep in rheumatoid arthritis.
Main Methods:
- A cross-sectional observational study involving 112 RA patients.
- Utilized assessments including DAS-28, Epworth Sleepiness Scale, Pittsburgh Sleep Quality Index, Berlin Questionnaire for sleep apnea risk, and CES-D for depression.
- Collected epidemiological, clinical, serological, and treatment data.
Main Results:
- Only 18.5% of RA patients reported good sleep quality.
- Univariate analysis showed associations between poor sleep and prednisone dosage, DAS-28, CES-D, and a tendency with the Berlin questionnaire.
- Multivariate analysis confirmed independent associations between poor sleep, depression (p=0.008), and sleep apnea risk (p=0.004).
Conclusions:
- A majority of rheumatoid arthritis patients experience suboptimal sleep quality.
- Depression and the risk of sleep apnea are significant independent predictors of sleep impairment in RA.
Keywords:
Apneia do sonoArtrite reumatoideDepressionDepressãoDorPainRheumatoid arthritisSleepSleep apneaSonoMore Related Videos
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