Sleep quality and its associations with disease activity and quality of life in older patients with rheumatoid arthritis

Deniz, Olgun; Çavuşoğlu, Çağatay; Satis, H; Salman, R B; Varan, O; Ataş, Nuh; Çöteli, Süheyla; Doğrul, Rana Tuna; Babaoglu, H; Öncül, Ali; Varan, Hacer Doğan; Tufan, A; Göker, Berna

doi:10.1007/s41999-022-00739-w

Cited by 5 publications

(4 citation statements)

References 24 publications

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“…The age range of participants was relatively narrow, focusing on a younger cohort, which might limit the generalizability of the findings to older populations typically more affected by osteoarthritis. Additionally, the cross-sectional nature of the study prevents the establishment of causality between sleep quality and pain levels (17)(18)(19). Future research should consider longitudinal designs to track changes in sleep and pain over time to better understand the causal relationships and potential for intervention.…”

Section: Discussionmentioning

confidence: 99%

Association between Sleep Quality and Musculoskeletal Pain in Patients with Osteoarthritis

Saleem,

Shabir,

Haris

et al. 2024

JHRR

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Background: Osteoarthritis (OA) is a prevalent degenerative joint disease that significantly impacts quality of life, primarily through pain and disability. Existing research indicates a strong correlation between sleep quality and pain management in OA patients, suggesting that sleep may play a crucial role in modulating perceived pain and overall well-being. Objective: The objective of this study was to investigate the association between sleep quality and musculoskeletal pain in patients diagnosed with osteoarthritis, aiming to identify potential therapeutic targets for improving patient outcomes. Methods: This cross-sectional study was conducted at the University of Lahore teaching hospital, Jinnah Hospital. After obtaining approval from the hospital's ethics committee and informed consent from participants, data was collected using the Numeric Pain Rating Scale (NPRS) and Pittsburgh Sleep Quality Index (PSQI) from 170 diagnosed osteoarthritis patients of varying ages (18-40 years). The data were statistically analyzed using SPSS version 25, employing descriptive statistics for demographic data, and chi-square tests to explore the association between sleep quality and pain levels. Results: The mean age of the study participants was 28.74 (SD = 7.001). Among the participants, 15.3% reported no pain, 10.6% mild pain, 41.2% moderate pain, and 32.9% severe pain. Regarding sleep quality, 35.3% of patients reported good sleep, whereas 64.7% experienced poor sleep. The chi-square analysis indicated a significant association between pain levels and sleep quality (p < 0.05). Conclusion: The study demonstrated a significant relationship between sleep quality and the severity of musculoskeletal pain among osteoarthritis patients. These findings suggest that interventions aimed at improving sleep may enhance pain management and thus the overall health status of OA patients.

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Section: Discussionmentioning

confidence: 99%

Association between Sleep Quality and Musculoskeletal Pain in Patients with Osteoarthritis

Saleem,

Shabir,

Haris

et al. 2024

JHRR

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“…The prevalence of depression in individuals with rheumatoid arthritis ranges between 14% and 48%. It is known that these patients have poorer long-term outcomes including increased pain, more comorbidities, and increased mortality levels [ 15 , 16 ]. In addition, pain, fatigue, and disability in those with RA cause mood changes related to anxiety and depression.…”

Section: Introductionmentioning

confidence: 99%

Prevalence of Poor Sleep Quality and Associated Factors in Individuals with Rheumatoid Arthritis: A Cross-Sectional Study

Juárez-Rojop,

Fresán,

Genis-Mendoza

et al. 2023

Medicina

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Background and Objectives: Poor sleep quality has been frequently observed in individuals with rheumatoid arthritis. In the present study, we analyzed the presence of poor sleep quality in a sample of Mexican individuals with rheumatoid arthritis; then, we compared sociodemographic and clinical characteristics among patients to determine risk factors for poor sleep quality. Materials and Methods: In this cross-sectional study, we included 102 individuals with rheumatoid arthritis from a hospital in Mexico. We evaluated disease activity (DAS28), quality of sleep using the Pittsburgh Sleep Quality Index, and the presence of depression and anxiety with the Hospital Anxiety and Depression Scale. We performed a Chi-square test and a t-test. Then, we performed a logistic regressions model of the associated features in a univariable analysis. Results: Poor sleep quality was observed in 41.75% of the individuals with rheumatoid arthritis. Being married was a proactive factor (OR 0.04, 95% CI 0.1–0.9, p = 0.04), whereas having one’s hips affected or presenting with anxiety and depression was associated with poor sleep quality (OR 4.6, 95% CI 1.2–17.69, p = 0.02). After a multivariate analysis, having anxiety (OR 5.0, 95% CI 1.4–17.7, p < 0.01) and depression (OR 9.2, 95% CI 1.0–8.1, p < 0.01) remained associated with a higher risk of having poor sleep quality. Other clinical characteristics among patients were not significantly different. Conclusions: Our results showed that individuals with rheumatoid arthritis who also presented with depression or anxiety had a higher risk of suffering from poor sleep quality. However, more studies with larger samples are necessary to replicate these results in the Mexican population.

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“…These abnormalities can have many adverse effects on health, including increased pain, depression, cognitive impairment, systemic inflammation, and compromise of physical function [10][11][12]. Similarly, some studies suggest that elderly RA patients have poorer sleep quality than age-and sexmatched controls [13]. Furthermore, poor sleep quality, insomnia, and depression are also common in patients with all-cause ILD and independently associated with symptoms of depression and somnolence [14]; therefore, co-occurrence of RA and ILD can be expected to aggravate these problems.…”

Section: Introductionmentioning

confidence: 99%

Interstitial Lung Disease Is Associated with Sleep Disorders in Rheumatoid Arthritis Patients

Mena-Vázquez,

Redondo-Rodriguez,

Cabezudo-García

et al. 2023

Clocks & Sleep

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Objective: To evaluate sleep disorders and associated factors in patients with rheumatoid-arthritis-associated interstitial lung disease (RA-ILD). Methods: We performed an observational study of 35 patients with RA-ILD (cases) and 35 age- and sex-matched RA patients without ILD (controls). We evaluated sleep disorders (Oviedo Sleep Questionnaire), positive psychological factors (resilience using the Wagnild and Young Resilience Scale, emotional intelligence using the 24-item Trait Meta-Mood Scale), anxiety and depression (Hospital Anxiety and Depression Scale), quality of life (36-item short-form survey), and fatigue (Functional Assessment of Chronic Illness Therapy Questionnaire). Other variables studied included the Charlson Comorbidity Index (CCI) and RA activity according to the DAS28-ESR. Results: Compared to the controls, the cases were characterized by poorer sleep quality with a higher prevalence of insomnia (42% vs. 20%; p = 0.039), greater severity of insomnia (p = 0.001), and lower sleep satisfaction (p = 0.033). They also had poorer resilience and emotional recovery and more severe anxiety and depression. A diagnosis of ILD was the only factor independently associated with the three dimensions of sleep quality. The predictors of poorer sleep satisfaction in patients with RA-ILD were age (β = −0.379), DAS28-ESR (β = −0.331), and usual interstitial pneumonia pattern (β = −0.438). The predictors of insomnia were DAS28-ESR (β = 0.294), resilience (β = −0.352), and CCI (β = 0.377). Conclusions: RA-ILD is associated with significant sleep disorders. RA-ILD seems to be an independent risk factor for sleep alterations, with a greater impact on insomnia. Age, disease activity, and comorbidity also play a role in sleep disorders in patients with RA-ILD.

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Sleep quality and its associations with disease activity and quality of life in older patients with rheumatoid arthritis

Cited by 5 publications

References 24 publications

Association between Sleep Quality and Musculoskeletal Pain in Patients with Osteoarthritis

Association between Sleep Quality and Musculoskeletal Pain in Patients with Osteoarthritis

Prevalence of Poor Sleep Quality and Associated Factors in Individuals with Rheumatoid Arthritis: A Cross-Sectional Study

Interstitial Lung Disease Is Associated with Sleep Disorders in Rheumatoid Arthritis Patients

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