The relationship between chronotype, sleep disturbance, severity of fibromyalgia, and quality of life in patients with fibromyalgia
| Autor: | Yavuz Selvi, Gözde Türkoğlu |
|---|---|
| Přispěvatelé: | Selçuk Üniversitesi, Tıp Fakültesi, Ruh Sağlığı ve Hastalıkları Bölümü, Selvi, Yavuz |
| Rok vydání: | 2019 |
| Předmět: |
Adult
Male Sleep Wake Disorders medicine.medical_specialty Fibromyalgia Physiology 030209 endocrinology & metabolism Hospital Anxiety and Depression Scale Pittsburgh Sleep Quality Index 03 medical and health sciences 0302 clinical medicine Quality of life Physiology (medical) Surveys and Questionnaires Medicine Humans evening type Sleep disorder business.industry Standard treatment Chronotype sleep disturbance medicine.disease humanities Circadian Rhythm Cross-Sectional Studies chronotype Physical therapy Quality of Life Anxiety Female medicine.symptom business Sleep 030217 neurology & neurosurgery |
| Zdroj: | Chronobiology international. 37(1) |
| ISSN: | 1525-6073 |
| Popis: | WOS: 000494508400001 PubMed: 31687843 Patients with fibromyalgia (FM) report high levels of sleep disturbance and chronic diffuse musculoskeletal pain. These patients experience diminished quality of life (QoL) due to pain and other comorbidities. Chronotype preferences have been suggested as a potential factor connecting increased severity of FM, sleep disturbances, and poor overall QoL. The present study is the first study examining the possible association between chronotype preferences, sleep disturbance, severity of FM, and QoL in patients with FM. One hundred drug-free patients diagnosed with FM participated in this cross-sectional study. Of them, 79 (79%) were females and 21 (21%) were males. The mean age was 41.65 +/- 9.17 years (range: 21-62 years). The severity of FM symptoms, chronotype preferences, and QoL was evaluated using the Fibromyalgia Impact Questionnaire (FIQ), Morningness-Eveningness Questionnaire (MEQ), and World Health Organization Questionnaire on Quality of Life: Short Form (WHOQOL-BREF). The participants' anxiety/depressive symptoms and sleep problems were assessed using the Hospital Anxiety and Depression Scale (HADS) and Pittsburgh Sleep Quality Index (PSQI). The participants were classified according to their MEQ scores as evening type (score: 16-41), neither type (score: 42-58), and morning type (score: 59-86). It was found that there were significant differences in the FIQ score between the three groups (p < .001). It was determined that the total PSQI score was significantly higher in the evening type than the other two types (p < .05). It was found that there were significant differences in the general health, physical health, psychological, and environmental domain scores of the WHOQOL-BREF between the three groups (p < .05). It was detected that there were significant correlations between MEQ scores, WHOQOL-BREF subscale scores, FIQ scores, HADS-A and HADS-D scores, and PSQI scores. According to hierarchical regression analysis, eveningness preference explained an additional 21.9% of the variation in FM severity, thereby causing a statistically significant change in R-squared. Our results indicated that eveningness preference was directly related to increased FM symptom severity and poorer QoL. Based on these findings, neglecting to take chronotype preference into account may not result in optimal response to standard treatment for some patients with FM. |
| Databáze: | OpenAIRE |
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