Poor sleep is common in psoriasis patients

[Fred]

This study looked at sleep quality in psoriasis patients.

Quote:

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Background:
Research suggests that sleep disturbance is common in psoriasis. While several sleep investigations have been conducted in psoriasis populations, many have methodological shortcomings, and no study has examined multiple dimensions of sleep–wake functioning. Moreover, research has yet to be performed comprehensively examining the range of physical and psychological factors that may affect sleep in people with psoriasis.

Objectives:
To characterize sleep disturbance using validated measures and to identify physical and psychological predictors of sleep quality in people with psoriasis.

Methods:
An online survey was conducted (186 respondents; mean age 39·2 years) comprising validated measures assessing sleep [Pittsburgh Sleep; Quality Index (PSQI), Berlin Questionnaire, Pre-Sleep Arousal Scale]; chronotype (Morningness–Eveningness Questionnaire); mood (Hospital Anxiety and Depression Scale); itch (5-D Itch Scale); and psoriasis severity (Simplified Psoriasis Index). Group comparisons and regression analyses were used to examine predictors of poor sleep.

Results:
The mean PSQI score was 9·2 ± 4·3, with 76·3% scoring above the threshold for poor sleep (≥ 6 on the PSQI) and 32·5% scoring ‘positive’ for probable obstructive sleep apnoea (OSA). Poor sleep and high likelihood of OSA were associated with more severe psoriasis (P < 0·05; η = 0·07; η2 = 0·005). Cognitive arousal (β = 0·26, P = 0·001), itch (β = 0·26, P < 0·001) and depression (β = 0·24, P = 0·001) were the most robust predictors of poor sleep quality, which, together with somatic arousal (β = 0·17, P = 0·022), accounted for 43% of variance in PSQI scores.

Conclusions:
Poor sleep is common in psoriasis and associated with psychological and physical factors. Rates of probable OSA are also high. Given the importance of restorative sleep for health, sleep complaints should receive greater clinical attention in the management of psoriasis.

Source: onlinelibrary.wiley.com

*Funding: Psoriasis Association of Great Britain and Ireland

[jiml]

That's very interesting .....I am a terrible sleeper and need little sleep to function I have always been the same, but have never linked it to my psoriasis ....

[Fred]

That's very interesting .....I am a terrible sleeper and need little sleep to function I have always been the same, but have never linked it to my psoriasis ....

I think the only time psoriasis has kept me a wake is with the itching with a bad flare-up. But most of all the psoriatic arthritis has been the biggest culprit for me, but that is only because I would wake up in pain.

I find psoriasis make more tired rather than keeping me awake.

[Caroline]

I don’t have problems with sleeping.
This is an example of my sleeping pattern.



It mostly resembles this. I am a bit too short on sleep in weekdays, but that’s because I am mostly up early, but in the weekends I sleep a little longer.

I can very well imagine that when you are in pain, that it takes longer to fall asleep and you may wake up early.

[D Foster]

Don't sleep well at all but I think that for me it's the PsA that is the culprit though I think that all the disturbed nights with Clare has not helped as I think that your body gets into a routine over time.

[Turnedlight]

I always seem to sleep fine apart from in a flare up when it's sore and itchy.

[Maryam]

I actually have medication for days when my skin is to sore to sleep. It is a sedating anti histamine.

[glenda grant]

I myself have lots of sleepless night I toss and turn so much.I have pain all over my body,hips,knees,back,shoulders.My Arthritis Dr gave me a script for Tramadol 50 mg I take two at bedtime.I have psoriatic Arthritis,Osteoarthritis,Gastropereses.The Tramadol has been helping me.I also take. Neurontin 300mg three times.Even if I sleep some during the night I wake up so tired.Thanks for letting us know Psorisis can be the reason for my sleep pattern.I learn so much from all of you!

[artemie]

It takes at least an hour before I sleep, brain in overdrive, while mr ArteMie is gone in 2 minutes...

[Turnedlight]

I read most nights, if I don't read I end up having funny dreams. However I like certain books more than others and don't finish them if I can't get into them. I have read the same set of books through about 5 times now!