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Sleep Hygiene and Symptom Burden in Multiple Sclerosis: A Cross-Sectional Study
Michalina Rzepka1, Aleksandra Buczek2, Tomasz Chmiela1,3
1Department of Neurology, Faculty of Medical Sciences in Katowice, Medical University of Silesia, 40-752 Katowice, Poland.
Clocks & Sleep
|May 27, 2026
Summary
Improving sleep hygiene in multiple sclerosis (MS) patients can reduce symptoms. Better adherence to sleep hygiene practices is linked to decreased fatigue, insomnia, sleepiness, anxiety, and depression in MS.
Area of Science:
- Neurology
- Sleep Medicine
- Psychiatry
Background:
- Sleep disturbances are prevalent in multiple sclerosis (MS), exacerbating overall symptom burden.
- Behavioral sleep hygiene practices are modifiable factors impacting sleep quality and related symptoms, but their specific role in MS requires further investigation.
Purpose of the Study:
- To investigate the association between adherence to behavioral sleep hygiene practices and the symptom burden in patients with multiple sclerosis.
Main Methods:
- A cross-sectional study involving 175 MS patients.
- Sleep hygiene was assessed using a behavioral checklist.
- Validated instruments measured fatigue (FSS, MFIS), insomnia (AIS), sleepiness (ESS), and anxiety/depression (HADS).
Main Results:
- Higher adherence to sleep hygiene was significantly associated with lower scores for daytime sleepiness (ESS), anxiety (HADS-A), and depression (HADS-D).
- Patients with higher sleep hygiene adherence reported significantly lower levels of fatigue impact (MFIS), insomnia (AIS), sleepiness (ESS), and depression (HADS-D).
- Multivariate regression confirmed sleep hygiene adherence as an independent predictor of reduced MFIS, ESS, HADS-A, and HADS-D scores.
Conclusions:
- Adherence to behavioral sleep hygiene practices is associated with a reduced symptom burden in multiple sclerosis patients.
- Implementing and improving sleep hygiene may be a valuable strategy for managing fatigue, insomnia, and psychological distress in MS.
- Further research into sleep hygiene interventions for MS populations is warranted.
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