Spondyloarthritis & psoriatic arthritis

Sleep behaviour differs in women and men with psoriatic arthritis and axial spondyloarthritis with impact on quality of life and depressive symptoms

RMD OpenPublished Cross-sectional study

Authors' conclusion

Despite treatment, many patients with SpA demonstrate abnormal sleep behaviour with symptoms of insomnia and a reduced quality of life with significant differences between male and female patients.

Study context

Population
Treated patients with spondyloarthritides (SpA) (psoriatic arthritis (PsA) and axial spondyloarthritis (axSpA)), monocentric cohort
Participants
330 patients
Exposure
Women vs men with SpA; patients with unrestful sleep vs others
  • PsAn = 168
  • axSpAn = 162
Outcome
Sleep quality (Regensburg Insomnia Scale) and quality of life (WHO Quality of Life questionnaire) and associated factors
Methodological detailsquestionnaire-based, retrospective medical chart analysis, monocentric
  • Questionnaire-based
  • Retrospective medical chart analysis
  • Monocentric

Main finding

As reported in the abstract

Abnormal sleep behaviour in patients with SpA

Patients with SpA with abnormal sleep behaviour

46.6%

Observational data: associations, not effects.

Further findings

Unrestful sleep vs restful sleep: health-related quality of life, depressive symptoms, satisfaction with health

Significantly reduced health-related quality of life with unrestful sleep
P < 0.001
Significantly more depressive symptoms with unrestful sleep
P < 0.001
Satisfaction with health rated significantly lower with unrestful sleep
P < 0.001

Women vs men: sleep quality, quality of life and depressive symptoms

Women: prolonged sleep latency
P = 0.009
Women: increased sleep disturbances
P = 0.014
Women: unrestful sleep
P < 0.001
Women: reduced physical and mental health-related quality of life
P = 0.015, p<0.001
Women: more depressive symptoms
P = 0.015

Original publication

Sleep behaviour differs in women and men with psoriatic arthritis and axial spondyloarthritis with impact on quality of life and depressive symptoms. RMD Open. Published 19 May 2023. doi:10.1136/rmdopen-2022-002912

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