Sleep quality and correlates of poor sleep in patients with rheumatoid arthritis
The objective of this study is to examine sleep quality and correlates of poor sleep in patients with rheumatoid arthritis (RA). Five hundred patients with RA were recruited from a rheumatology outpatient clinic and included in this cross-sectional study. Sleep quality and disturbances were assessed...
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| Veröffentlicht in: | Clinical rheumatology 2015-12, Vol.34 (12), p.2029-2039 |
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| creator | Løppenthin, K. Esbensen, B. A. Jennum, P. Østergaard, M. Tolver, A. Thomsen, T. Midtgaard, J. |
| description | The objective of this study is to examine sleep quality and correlates of poor sleep in patients with rheumatoid arthritis (RA). Five hundred patients with RA were recruited from a rheumatology outpatient clinic and included in this cross-sectional study. Sleep quality and disturbances were assessed using the Pittsburgh Sleep Quality Index (PSQI). Other instruments included the Multidimensional Fatigue Inventory, the Epworth Sleepiness Scale, and the Health Assessment Questionnaire. Disease activity was assessed according to disease activity score DAS28-CRP-based. Complete scores on PSQI were obtained from 384 patients (77 %). In those, the prevalence of poor sleep (PSQI >5) was 61 %, and the mean global PSQI score was 7.54 (SD 4.17). A linear association was found between poor sleep and mental fatigue, reduced activity related to fatigue, physical fatigue, and general fatigue. Mental fatigue and general fatigue were independently associated with sleep quality, sleep latency, sleep duration, sleep efficiency, and daytime dysfunction. However, in the linear multivariate analysis, only general fatigue 1.06 (95 % CI 1.03–1.09) and mental fatigue 1.03 (95 % CI 1.01–1.05) were found to be significant correlates for reporting poor sleep. This study shows that a majority of patients with RA experience poor sleep and that general fatigue and mental fatigue are associated with poor sleep. |
| doi_str_mv | 10.1007/s10067-015-2875-4 |
| format | Article |
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A. ; Jennum, P. ; Østergaard, M. ; Tolver, A. ; Thomsen, T. ; Midtgaard, J.</creator><creatorcontrib>Løppenthin, K. ; Esbensen, B. A. ; Jennum, P. ; Østergaard, M. ; Tolver, A. ; Thomsen, T. ; Midtgaard, J.</creatorcontrib><description>The objective of this study is to examine sleep quality and correlates of poor sleep in patients with rheumatoid arthritis (RA). Five hundred patients with RA were recruited from a rheumatology outpatient clinic and included in this cross-sectional study. Sleep quality and disturbances were assessed using the Pittsburgh Sleep Quality Index (PSQI). Other instruments included the Multidimensional Fatigue Inventory, the Epworth Sleepiness Scale, and the Health Assessment Questionnaire. Disease activity was assessed according to disease activity score DAS28-CRP-based. Complete scores on PSQI were obtained from 384 patients (77 %). In those, the prevalence of poor sleep (PSQI >5) was 61 %, and the mean global PSQI score was 7.54 (SD 4.17). A linear association was found between poor sleep and mental fatigue, reduced activity related to fatigue, physical fatigue, and general fatigue. Mental fatigue and general fatigue were independently associated with sleep quality, sleep latency, sleep duration, sleep efficiency, and daytime dysfunction. However, in the linear multivariate analysis, only general fatigue 1.06 (95 % CI 1.03–1.09) and mental fatigue 1.03 (95 % CI 1.01–1.05) were found to be significant correlates for reporting poor sleep. This study shows that a majority of patients with RA experience poor sleep and that general fatigue and mental fatigue are associated with poor sleep.</description><identifier>ISSN: 0770-3198</identifier><identifier>EISSN: 1434-9949</identifier><identifier>DOI: 10.1007/s10067-015-2875-4</identifier><identifier>PMID: 25620673</identifier><language>eng</language><publisher>London: Springer London</publisher><subject>Activities of Daily Living ; Adult ; Aged ; Aged, 80 and over ; Arthritis, Rheumatoid - epidemiology ; Arthritis, Rheumatoid - physiopathology ; Cross-Sectional Studies ; Fatigue - epidemiology ; Female ; Humans ; Linear Models ; Male ; Medicine ; Medicine & Public Health ; Mental Fatigue - epidemiology ; Middle Aged ; Multivariate Analysis ; Original Article ; Rheumatology ; Risk Factors ; Severity of Illness Index ; Sleep ; Sleep Wake Disorders - epidemiology ; Sleep Wake Disorders - physiopathology ; Surveys and Questionnaires ; Time Factors ; Young Adult</subject><ispartof>Clinical rheumatology, 2015-12, Vol.34 (12), p.2029-2039</ispartof><rights>International League of Associations for Rheumatology (ILAR) 2015</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c442t-e25030cb215e701e5e5f77cdce49bd8f7825b0be3d9c19a6f04f267b54c584d93</citedby><cites>FETCH-LOGICAL-c442t-e25030cb215e701e5e5f77cdce49bd8f7825b0be3d9c19a6f04f267b54c584d93</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10067-015-2875-4$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10067-015-2875-4$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25620673$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Løppenthin, K.</creatorcontrib><creatorcontrib>Esbensen, B. A.</creatorcontrib><creatorcontrib>Jennum, P.</creatorcontrib><creatorcontrib>Østergaard, M.</creatorcontrib><creatorcontrib>Tolver, A.</creatorcontrib><creatorcontrib>Thomsen, T.</creatorcontrib><creatorcontrib>Midtgaard, J.</creatorcontrib><title>Sleep quality and correlates of poor sleep in patients with rheumatoid arthritis</title><title>Clinical rheumatology</title><addtitle>Clin Rheumatol</addtitle><addtitle>Clin Rheumatol</addtitle><description>The objective of this study is to examine sleep quality and correlates of poor sleep in patients with rheumatoid arthritis (RA). Five hundred patients with RA were recruited from a rheumatology outpatient clinic and included in this cross-sectional study. Sleep quality and disturbances were assessed using the Pittsburgh Sleep Quality Index (PSQI). Other instruments included the Multidimensional Fatigue Inventory, the Epworth Sleepiness Scale, and the Health Assessment Questionnaire. Disease activity was assessed according to disease activity score DAS28-CRP-based. Complete scores on PSQI were obtained from 384 patients (77 %). In those, the prevalence of poor sleep (PSQI >5) was 61 %, and the mean global PSQI score was 7.54 (SD 4.17). A linear association was found between poor sleep and mental fatigue, reduced activity related to fatigue, physical fatigue, and general fatigue. Mental fatigue and general fatigue were independently associated with sleep quality, sleep latency, sleep duration, sleep efficiency, and daytime dysfunction. However, in the linear multivariate analysis, only general fatigue 1.06 (95 % CI 1.03–1.09) and mental fatigue 1.03 (95 % CI 1.01–1.05) were found to be significant correlates for reporting poor sleep. This study shows that a majority of patients with RA experience poor sleep and that general fatigue and mental fatigue are associated with poor sleep.</description><subject>Activities of Daily Living</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Arthritis, Rheumatoid - epidemiology</subject><subject>Arthritis, Rheumatoid - physiopathology</subject><subject>Cross-Sectional Studies</subject><subject>Fatigue - epidemiology</subject><subject>Female</subject><subject>Humans</subject><subject>Linear Models</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Mental Fatigue - epidemiology</subject><subject>Middle Aged</subject><subject>Multivariate Analysis</subject><subject>Original Article</subject><subject>Rheumatology</subject><subject>Risk Factors</subject><subject>Severity of Illness Index</subject><subject>Sleep</subject><subject>Sleep Wake Disorders - epidemiology</subject><subject>Sleep Wake Disorders - physiopathology</subject><subject>Surveys and Questionnaires</subject><subject>Time Factors</subject><subject>Young Adult</subject><issn>0770-3198</issn><issn>1434-9949</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp1kM1qGzEURkVJqR23D5BNEGTTzbT6tUbLENI2YGggyVpoNHdqmfFoLGkofvvIsRtCIRvdhc733ctB6IKSb5QQ9T2Vd6kqQmXFaiUr8QHNqeCi0lroMzQnSpGKU13P0HlKG0IIqzX9hGZMLllJ8jm6f-gBRrybbO_zHtuhxS7ECL3NkHDo8BhCxOkF8gMebfYw5IT_-rzGcQ3T1ubgW2xjXkefffqMPna2T_DlNBfo6cft482vavX7593N9apyQrBcAZOEE9cwKkERChJkp5RrHQjdtHWnaiYb0gBvtaPaLjsiOrZUjRRO1qLVfIG-HnvHGHYTpGy2PjnoeztAmJKhikvOiZCsoFf_oZswxaFcd6B4LSiTdaHokXIxpBShM2P0Wxv3hhJz0G2Ouk3RbQ66jSiZy1Pz1GyhfU3881sAdgRS-Rr-QHyz-t3WZ4wAilY</recordid><startdate>20151201</startdate><enddate>20151201</enddate><creator>Løppenthin, K.</creator><creator>Esbensen, B. A.</creator><creator>Jennum, P.</creator><creator>Østergaard, M.</creator><creator>Tolver, A.</creator><creator>Thomsen, T.</creator><creator>Midtgaard, J.</creator><general>Springer London</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7T5</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope></search><sort><creationdate>20151201</creationdate><title>Sleep quality and correlates of poor sleep in patients with rheumatoid arthritis</title><author>Løppenthin, K. ; Esbensen, B. A. ; Jennum, P. ; Østergaard, M. ; Tolver, A. ; Thomsen, T. ; Midtgaard, J.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c442t-e25030cb215e701e5e5f77cdce49bd8f7825b0be3d9c19a6f04f267b54c584d93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Activities of Daily Living</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Arthritis, Rheumatoid - epidemiology</topic><topic>Arthritis, Rheumatoid - physiopathology</topic><topic>Cross-Sectional Studies</topic><topic>Fatigue - epidemiology</topic><topic>Female</topic><topic>Humans</topic><topic>Linear Models</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Mental Fatigue - epidemiology</topic><topic>Middle Aged</topic><topic>Multivariate Analysis</topic><topic>Original Article</topic><topic>Rheumatology</topic><topic>Risk Factors</topic><topic>Severity of Illness Index</topic><topic>Sleep</topic><topic>Sleep Wake Disorders - epidemiology</topic><topic>Sleep Wake Disorders - physiopathology</topic><topic>Surveys and Questionnaires</topic><topic>Time Factors</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Løppenthin, K.</creatorcontrib><creatorcontrib>Esbensen, B. A.</creatorcontrib><creatorcontrib>Jennum, P.</creatorcontrib><creatorcontrib>Østergaard, M.</creatorcontrib><creatorcontrib>Tolver, A.</creatorcontrib><creatorcontrib>Thomsen, T.</creatorcontrib><creatorcontrib>Midtgaard, J.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Immunology Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><jtitle>Clinical rheumatology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Løppenthin, K.</au><au>Esbensen, B. A.</au><au>Jennum, P.</au><au>Østergaard, M.</au><au>Tolver, A.</au><au>Thomsen, T.</au><au>Midtgaard, J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Sleep quality and correlates of poor sleep in patients with rheumatoid arthritis</atitle><jtitle>Clinical rheumatology</jtitle><stitle>Clin Rheumatol</stitle><addtitle>Clin Rheumatol</addtitle><date>2015-12-01</date><risdate>2015</risdate><volume>34</volume><issue>12</issue><spage>2029</spage><epage>2039</epage><pages>2029-2039</pages><issn>0770-3198</issn><eissn>1434-9949</eissn><abstract>The objective of this study is to examine sleep quality and correlates of poor sleep in patients with rheumatoid arthritis (RA). Five hundred patients with RA were recruited from a rheumatology outpatient clinic and included in this cross-sectional study. Sleep quality and disturbances were assessed using the Pittsburgh Sleep Quality Index (PSQI). Other instruments included the Multidimensional Fatigue Inventory, the Epworth Sleepiness Scale, and the Health Assessment Questionnaire. Disease activity was assessed according to disease activity score DAS28-CRP-based. Complete scores on PSQI were obtained from 384 patients (77 %). In those, the prevalence of poor sleep (PSQI >5) was 61 %, and the mean global PSQI score was 7.54 (SD 4.17). A linear association was found between poor sleep and mental fatigue, reduced activity related to fatigue, physical fatigue, and general fatigue. Mental fatigue and general fatigue were independently associated with sleep quality, sleep latency, sleep duration, sleep efficiency, and daytime dysfunction. However, in the linear multivariate analysis, only general fatigue 1.06 (95 % CI 1.03–1.09) and mental fatigue 1.03 (95 % CI 1.01–1.05) were found to be significant correlates for reporting poor sleep. This study shows that a majority of patients with RA experience poor sleep and that general fatigue and mental fatigue are associated with poor sleep.</abstract><cop>London</cop><pub>Springer London</pub><pmid>25620673</pmid><doi>10.1007/s10067-015-2875-4</doi><tpages>11</tpages></addata></record> |
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| subjects | Activities of Daily Living Adult Aged Aged, 80 and over Arthritis, Rheumatoid - epidemiology Arthritis, Rheumatoid - physiopathology Cross-Sectional Studies Fatigue - epidemiology Female Humans Linear Models Male Medicine Medicine & Public Health Mental Fatigue - epidemiology Middle Aged Multivariate Analysis Original Article Rheumatology Risk Factors Severity of Illness Index Sleep Sleep Wake Disorders - epidemiology Sleep Wake Disorders - physiopathology Surveys and Questionnaires Time Factors Young Adult |
| title | Sleep quality and correlates of poor sleep in patients with rheumatoid arthritis |
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