Pediatric rheumatology

Impact of psychosocial status on sleep quality in adolescents with childhood-onset systemic lupus erythematosus

Pediatr Rheumatol Online JPublished Cross-sectional study

Main finding · Poor sleep quality (PSQI ≥ 5)Result — go to the resultRisk of poor sleep (times higher) 2.10 95% CI 1.24–3.55

Authors' conclusion

Poor sleep quality is common among adolescents with cSLE and is significantly associated with psychosocial distress, particularly reflected in daytime dysfunction.

Study context

Population
Indonesian adolescents aged 10–18 years with childhood-onset SLE (cSLE), tertiary hospital in Bandung, Indonesia
Participants
60 adolescents
Exposure
Psychosocial distress vs no psychosocial distress for poor sleep quality
Outcome
Prevalence of poor sleep quality (PSQI ≥ 5) and its association with psychosocial distress
Methodological detailssingle-centre (tertiary hospital)
  • Single-centre (tertiary hospital)

Main finding

Poor sleep quality (PSQI ≥ 5)

Risk of poor sleep (times higher)

2.10

95% CI 1.24–3.55

P = 0.039

As reported in the abstract

Prevalence of poor sleep quality
41.7%

Observational data: associations, not effects.

Further findings

Psychosocial distress prevalence

Psychosocial distress
18.3%
Internalizing domain
16.7%

Worse sleep, inpatients vs outpatients

Inpatient status significantly associated with worse sleep vs outpatients (p = 0.030)

Correlation of PSC-17 scores with Pittsburgh Sleep Quality Index (PSQI)

Total PSQI score, r (p = 0.019)
0.301
Daytime dysfunction dimension, r (p = 0.004)
0.365
  • Spearman correlations

Original publication

Impact of psychosocial status on sleep quality in adolescents with childhood-onset systemic lupus erythematosus. Pediatr Rheumatol Online J. Published 13 May 2026. doi:10.1186/s12969-026-01216-5

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