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Psoriatic Insomnia: A Subjective and Objective Sleep Evaluation

Psoriasis may affect patients’ sleep. In order to examine this relationship, this study evaluated non-anxious and non-depressive patients with moderate to severe psoriasis before and after 6 months of systemic treatment. A prospective case-control study with 46 consecutive patients (mean age 51.1 ±...

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Autores principales: VLAMI, Katerina, PANTELIDI, Kleoniki, DALAMAGA, Maria, KARAGIANNI, Fani, THEODOROPOULOS, Konstantinos, PAPIRIS, Spyridon, PAPADAVID, Evangelia
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medical Journals Sweden, on behalf of the Society for Publication of Acta Dermato-Venereologica 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9940723/
https://www.ncbi.nlm.nih.gov/pubmed/36786739
http://dx.doi.org/10.2340/actadv.v103.4507
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author VLAMI, Katerina
PANTELIDI, Kleoniki
DALAMAGA, Maria
KARAGIANNI, Fani
THEODOROPOULOS, Konstantinos
PAPIRIS, Spyridon
PAPADAVID, Evangelia
author_facet VLAMI, Katerina
PANTELIDI, Kleoniki
DALAMAGA, Maria
KARAGIANNI, Fani
THEODOROPOULOS, Konstantinos
PAPIRIS, Spyridon
PAPADAVID, Evangelia
author_sort VLAMI, Katerina
collection PubMed
description Psoriasis may affect patients’ sleep. In order to examine this relationship, this study evaluated non-anxious and non-depressive patients with moderate to severe psoriasis before and after 6 months of systemic treatment. A prospective case-control study with 46 consecutive patients (mean age 51.1 ± 12.8 years, 18 women) and 24 age-, sex- and body mass index-matched controls (mean age 46.5 ± 15.4 years, 12 women) was conducted to assess sleep using both sleep questionnaires and actigraphy. Of psoriatic patients, 91.3% were poor sleepers, and 65.2% of the psoriatic patients presented insomnia symptoms, compared with 54.2% and 33.3% of the control group (p < 0.001, p = 0.02, respectively). Actigraphy showed that Total Sleep Time was shorter in patients, while 82.6% of the psoriatic patients had poor Sleep Efficiency, compared with controls (p = 0.004, p = 0.03, respectively). Patients’ quality of life was associated with sleep disturbance (p < 0.001), and pruritus was negatively correlated with sleep duration (p < 0.001). After 6 months of treatment, patients’ sleep pattern, according to actigraphy, had not changed significantly; however, they had insomnia for no longer than the control group (p = 0.65), whereas the above-mentioned correlations were non-significant after treatment. Psoriatic insomnia was improved after 6 months of systemic treatment. Actigraphy may be used as an objective tool to evaluate sleep in these patients.
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spelling pubmed-99407232023-02-21 Psoriatic Insomnia: A Subjective and Objective Sleep Evaluation VLAMI, Katerina PANTELIDI, Kleoniki DALAMAGA, Maria KARAGIANNI, Fani THEODOROPOULOS, Konstantinos PAPIRIS, Spyridon PAPADAVID, Evangelia Acta Derm Venereol Original Article Psoriasis may affect patients’ sleep. In order to examine this relationship, this study evaluated non-anxious and non-depressive patients with moderate to severe psoriasis before and after 6 months of systemic treatment. A prospective case-control study with 46 consecutive patients (mean age 51.1 ± 12.8 years, 18 women) and 24 age-, sex- and body mass index-matched controls (mean age 46.5 ± 15.4 years, 12 women) was conducted to assess sleep using both sleep questionnaires and actigraphy. Of psoriatic patients, 91.3% were poor sleepers, and 65.2% of the psoriatic patients presented insomnia symptoms, compared with 54.2% and 33.3% of the control group (p < 0.001, p = 0.02, respectively). Actigraphy showed that Total Sleep Time was shorter in patients, while 82.6% of the psoriatic patients had poor Sleep Efficiency, compared with controls (p = 0.004, p = 0.03, respectively). Patients’ quality of life was associated with sleep disturbance (p < 0.001), and pruritus was negatively correlated with sleep duration (p < 0.001). After 6 months of treatment, patients’ sleep pattern, according to actigraphy, had not changed significantly; however, they had insomnia for no longer than the control group (p = 0.65), whereas the above-mentioned correlations were non-significant after treatment. Psoriatic insomnia was improved after 6 months of systemic treatment. Actigraphy may be used as an objective tool to evaluate sleep in these patients. Medical Journals Sweden, on behalf of the Society for Publication of Acta Dermato-Venereologica 2023-02-14 /pmc/articles/PMC9940723/ /pubmed/36786739 http://dx.doi.org/10.2340/actadv.v103.4507 Text en © 2023 Acta Dermato-Venereologica https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License
spellingShingle Original Article
VLAMI, Katerina
PANTELIDI, Kleoniki
DALAMAGA, Maria
KARAGIANNI, Fani
THEODOROPOULOS, Konstantinos
PAPIRIS, Spyridon
PAPADAVID, Evangelia
Psoriatic Insomnia: A Subjective and Objective Sleep Evaluation
title Psoriatic Insomnia: A Subjective and Objective Sleep Evaluation
title_full Psoriatic Insomnia: A Subjective and Objective Sleep Evaluation
title_fullStr Psoriatic Insomnia: A Subjective and Objective Sleep Evaluation
title_full_unstemmed Psoriatic Insomnia: A Subjective and Objective Sleep Evaluation
title_short Psoriatic Insomnia: A Subjective and Objective Sleep Evaluation
title_sort psoriatic insomnia: a subjective and objective sleep evaluation
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9940723/
https://www.ncbi.nlm.nih.gov/pubmed/36786739
http://dx.doi.org/10.2340/actadv.v103.4507
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