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- Title
Psoriatic Insomnia: A Subjective and Objective Sleep Evaluation.
- Authors
VLAMI, Katerina; PANTELIDI, Kleoniki; DALAMAGA, Maria; KARAGIANNI, Fani; THEODOROPOULOS, Konstantinos; PAPIRIS, Spyridon; PAPADAVID, Evangelia
- Abstract
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 indexmatched 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.
- Subjects
SLEEP duration; SLEEP interruptions; SLEEP; INSOMNIA; ACTIGRAPHY; ITCHING
- Publication
Acta Dermato-Venereologica, 2023, Vol 103, p1
- ISSN
0001-5555
- Publication type
Article
- DOI
10.2340/actadv.v103.4507