Spondyloarthritis & psoriatic arthritis

Sleep Problems in Patients With Psoriatic Arthritis: A Systematic Literature Review and Metaanalysis

J RheumatolPublished Systematic review and meta-analysis

Authors' conclusion

Poor sleep quality is prevalent in patients with PsA.

Study context

Population
Patients with psoriatic arthritis (PsA)36 studies
Comparison
PsA vs healthy controls vs psoriasis
Outcome
Sleep problems in PsA
Methodological detailsPubMed and Embase, 26 cross-sectional, 7 cohort, and 3 interventional studies
  • PubMed and Embase
  • 26 cross-sectional, 7 cohort, and 3 interventional studies

Pooled result

As reported in the abstract

Prevalence of poor sleep quality (Pittsburgh Sleep Quality Index; meta-analysis of 6 studies)

Prevalence of poor sleep quality (Pittsburgh Sleep Quality Index; meta-analysis of 6 studies) PsA 72.9% (95% CI 63–81.8) · Healthy controls 26.9% (95% CI 11.7–45.4) · Psoriasis 59.8% (95% CI 46.9–72.1)

I2

Further pooled results

Prevalence of self-reported sleep problems in PsA

Range
30% to 85%

Other findings

Sleep disturbance ranked in top 4 HRQoL domains affected by PsA
One study suggested a bidirectional relationship between PsA and obstructive sleep apnea
Predictors: anxiety, pain, ESR, depression, fatigue, physical function, tender or swollen joint count
TNFi, guselkumab and filgotinib (JAKi) associated with improved sleep outcomes

Original publication

Sleep Problems in Patients With Psoriatic Arthritis: A Systematic Literature Review and Metaanalysis. J Rheumatol. Published 1 May 2023. doi:10.3899/jrheum.2022-1169

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