Rheumatoid arthritis and sleep quality
| Autor: | Ana Claudia Janiszewski Goes, Larissa Aparecida Busatto Reis, Marilia Barreto Silva, Thelma L. Skare, Bárbara Stadler Kahlow |
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| Rok vydání: | 2015 |
| Předmět: |
Male
Sleep Wake Disorders medicine.medical_specialty lcsh:Diseases of the musculoskeletal system Pain Artrite reumatoide Apneia do sono Arthritis Rheumatoid 03 medical and health sciences 0302 clinical medicine Quality of life Risk Factors Internal medicine Surveys and Questionnaires medicine Humans Dor Rheumatoid arthritis Glucocorticoids Depression (differential diagnoses) General Environmental Science Aged 030203 arthritis & rheumatology Univariate analysis Sleep Apnea Obstructive business.industry Depression Sleep apnea Center for Epidemiologic Studies Depression Scale Middle Aged medicine.disease Sleep in non-human animals Physical therapy Quality of Life General Earth and Planetary Sciences Prednisone Female Depressão lcsh:RC925-935 business Sleep 030217 neurology & neurosurgery Sono |
| Zdroj: | Revista Brasileira de Reumatologia, Vol 57, Iss 4, Pp 294-298 Revista Brasileira de Reumatologia v.57 n.4 2017 Revista Brasileira de Reumatologia Sociedade Brasileira de Reumatologia (SBR) instacron:SBR |
| ISSN: | 2255-5021 |
| Popis: | Background Sleep disturbances are common in rheumatoid arthritis (RA) patients and contribute to loss of life quality. Objective To study associations of sleep quality with pain, depression and disease activity in RA. Methods This is a transversal observational study of 112 RA patients submitted to measurement of DAS-28, Epworth scale for daily sleepiness, index of sleep quality by Pittsburg index, risk of sleep apnea by the Berlin questionnaire and degree of depression by the CES-D (Center for Epidemiologic Studies Depression scale) questionnaire. We also collected epidemiological, clinical, serological and treatment data. Results Only 18.5% of RA patients had sleep of good quality. In univariate analysis a bad sleep measured by Pittsburg index was associated with daily doses of prednisone ( p = 0.03), DAS-28 ( p = 0.01), CES-D ( p = 0.0005) and showed a tendency to be associated with Berlin sleep apnea questionnaire ( p = 0.06). In multivariate analysis only depression ( p = 0.008) and Berlin sleep apnea questionnaire ( p = 0.004) kept this association. Conclusions Most of RA patients do not have a good sleep quality. Depression and risk of sleep apnea are independently associated with sleep impairment. |
| Databáze: | OpenAIRE |
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