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Quality of sleep in individuals with systemic sclerosis and its correlation with functional disability and quality of life: a cross-sectional study.
Santos, Gabriela da Silva; Barros, Marcella Ferreira; Matta, Daniel Neri da; Tenório, Angélica da Silva; Gonçalves, Rafaela Silva Guimarães; Duarte, Angela Luzia Branco Pinto; Dantas, Andréa Tavares.
Affiliation
  • Santos GDS; Universidade Federal de Pernambuco, Department of Physiotherapy - Recife (PE), Brazil.
  • Barros MF; Universidade Federal de Pernambuco, Department of Clinical Medicine - Recife (PE), Brazil.
  • Matta DND; Universidade Federal de Pernambuco, Department of Clinical Medicine - Recife (PE), Brazil.
  • Tenório ADS; Universidade Federal de Pernambuco, Department of Physiotherapy - Recife (PE), Brazil.
  • Gonçalves RSG; Universidade Federal de Pernambuco, Department of Clinical Medicine - Recife (PE), Brazil.
  • Duarte ALBP; Universidade Federal de Pernambuco, Department of Clinical Medicine - Recife (PE), Brazil.
  • Dantas AT; Universidade Federal de Pernambuco, Department of Clinical Medicine - Recife (PE), Brazil.
Rev Assoc Med Bras (1992) ; 70(4): e20231254, 2024.
Article in En | MEDLINE | ID: mdl-38716943
ABSTRACT

OBJECTIVE:

This study aimed to evaluate the quality of sleep in individuals with systemic sclerosis and its correlation with the quality of life and disability.

METHODS:

This is a cross-sectional study, carried out in a tertiary service of a university hospital. Inclusion criteria were diagnosis of systemic sclerosis according to the criteria of the American College of Rheumatology/European League Against Rheumatism 2013 or the preliminary criteria of the American College of Rheumatology 1980, age ≥ 18 years; regularly monitored at the outpatient clinic of rheumatology. Clinical and demographic data of the patients were obtained through a structured interview and evaluation of the medical records. Sleep quality was assessed using the Pittsburgh Sleep Quality Index questionnaire, daytime sleepiness using the Epworth Sleepiness Scale, quality of life using 12-item short-form health survey, and disability using the scleroderma health assessment questionnaire.

RESULTS:

A total of 50 patients with systemic sclerosis were included, with 92% female, mean age 48.9 years, mean disease duration 8.9 years, and 60% limited cutaneous form. Most systemic sclerosis patients (84%) have poor sleep quality and 20% have excessive daytime sleepiness. There was a significant negative correlation between Pittsburgh Sleep Quality Index and the physical and mental components of the 12-item short-form health survey (r=-0.42, p=0.003 and r=-0.43, p=0.002, respectively) and a positive correlation with the scleroderma health assessment questionnaire (r=0.52, p=<0.001).

CONCLUSION:

This study showed that poor sleep quality is a very common finding among systemic sclerosis patients, and it negatively affects both the quality of life and the degree of disability. Sleep quality is an unmet need in patients with systemic sclerosis Poor sleep quality is very common in patients with systemic sclerosis Poor sleep quality correlated with worse quality of life and greater disability.
Subject(s)

Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Quality of Life / Scleroderma, Systemic / Disability Evaluation / Sleep Quality Limits: Adult / Aged / Female / Humans / Male / Middle aged Language: En Journal: Rev Assoc Med Bras (1992) Year: 2024 Document type: Article Affiliation country:

Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Quality of Life / Scleroderma, Systemic / Disability Evaluation / Sleep Quality Limits: Adult / Aged / Female / Humans / Male / Middle aged Language: En Journal: Rev Assoc Med Bras (1992) Year: 2024 Document type: Article Affiliation country: