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Psoriatic Insomnia: A Subjective and Objective Sleep Evaluation
Katerina Vlami1, Kleoniki Pantelidi2, Maria Dalamaga3
1Second Department of Respiratory Medicine, Medical School, National and Kapodistrian University of Athens, Attikon General University Hospital, 1 Rimini street, Haidari, GR-12462 Athens, Greece. kvlami1969@yahoo.gr.
Psoriasis significantly impacts sleep quality, with most patients experiencing poor sleep and insomnia. Systemic treatment improved psoriatic insomnia, suggesting it
Area of Science:
- Dermatology
- Sleep Medicine
- Psychiatry
Background:
- Psoriasis is a chronic inflammatory skin condition.
- Sleep disturbances are frequently reported in psoriasis patients.
- The relationship between psoriasis severity and sleep quality requires further investigation.
Purpose of the Study:
- To evaluate sleep patterns in patients with moderate to severe psoriasis.
- To assess the impact of systemic treatment on sleep in psoriasis patients.
- To explore the correlation between psoriasis, sleep disturbance, and quality of life.
Main Methods:
- Prospective case-control study comparing 46 psoriasis patients with 24 controls.
- Sleep assessment using validated questionnaires and actigraphy.
- Evaluation before and after 6 months of systemic psoriasis treatment.
Main Results:
- Psoriasis patients exhibited significantly higher rates of poor sleepers and insomnia symptoms compared to controls.
- Actigraphy revealed shorter Total Sleep Time and poorer Sleep Efficiency in psoriasis patients.
- While actigraphy sleep patterns didn't significantly change post-treatment, insomnia symptoms resolved, and correlations between sleep, quality of life, and pruritus diminished.
Conclusions:
- Psoriasis is strongly associated with significant sleep disturbances, including insomnia.
- Systemic treatment effectively improves psoriatic insomnia, though objective sleep measures may require longer observation.
- Actigraphy serves as a valuable objective tool for assessing sleep in psoriasis management.
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