Original Research

IJMDC. 2018; 2(1): 33-37

Contributing factors and effects on health-related quality of life in patients with systemic lupus erythromatosus complaining of sleep disturbances

Authors: Shaimaa Mohamed Refaat Okasha, Maii Abdel-rahim Abdel-latif, Marwa Orabi.

ABSTRACT

Background: Systemic lupus erythematosus (SLE) is a chronic autoimmune disease that can affect multiple organs and systems. Studies with subjective sleep measures have shown that SLE patients have poor sleep quality. This study evaluates sleep quality and its contributors in women with SLE. Methodology: Sleep quality was assessed in 50 women with SLE using the Pittsburgh Sleep Quality Index (PSQI). Disease activity and cumulative disease damage were assessed with standard indices. Patients answered the hospital anxiety and depression scale and lupus quality of life (QoL). Univariate and multivariate analyses were performed to find contributors of poor sleep quality and association of sleep quality with HRQoL by electrolyte imbalance analysis and brain MRI. Results: Sleep quality was poor in 90% of our SLE patients. Compared with the general population, patients had higher frequency of poor sleep quality than the general population and also higher scores in most of the PSQI components, except sleep latency and daytime dysfunction due to sleepiness. Conclusion: Sleep quality disturbances are common in women with SLE and significantly impair their QoL. Age, disease activity, and anxiety/depression were significant determinants of sleep quality in our study. Psychological factors are major contributors to poor sleep quality in SLE patients, which highlights the need for having a bio psychosocial approach toward the management of sleep problems in these patients. Studies with objective sleep measures, prospective studies, as well as interventional studies, are warranted in this regard.

Keywords:
sleep quality, SLE Pittsburgh Sleep Quality Index


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Contributing factors and effects on health-related quality of life in patients with systemic lupus erythromatosus complaining of sleep disturbances


Authors
Shaimaa Mohamed Refaat Okasha
Department of Physical Medicine, Rheumatology and Rehabilitation, Faculty of Medicine, Suez Canal University Hospital, Ismaillia, Egypt
PubMed articlesGoogle scholar articles

Maii Abdel-rahim Abdel-latif
Department of Physical Medicine, Rheumatology and Rehabilitation, Faculty of Medicine, Suez Canal University Hospital, Ismaillia, Egypt
PubMed articlesGoogle scholar articles

Marwa Orabi
Department of Neurology, Faculty of Medicine, Suez Canal University Hospital, Ismaillia, Egypt
PubMed articlesGoogle scholar articles


Correspondence to:
shaimaa mohamed refaat okasha. shaimaa mohamed refaat okasha, faculty of medicine suez canal university hospital physical medicine,rheumatology and rehabilitation department,ismaillia,egypt.; shaymaa_ramdan@med.suez.edu.eg

Publication history
Received 29 Oct 2017
Accepted 15 Feb 2018
Published in print 17 Mar 2018

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Pubmed Style

Shaimaa Mohamed Refaat Okasha, Maii Abdel-rahim Abdel-latif, Marwa Orabi. Contributing factors and effects on health-related quality of life in patients with systemic lupus erythromatosus complaining of sleep disturbances. IJMDC. 2018; 2(1): 33-37. doi:10.24911/IJMDC.1.3.6


Web Style

Shaimaa Mohamed Refaat Okasha, Maii Abdel-rahim Abdel-latif, Marwa Orabi. Contributing factors and effects on health-related quality of life in patients with systemic lupus erythromatosus complaining of sleep disturbances. http://www.ijmdc.com/?mno=282132 [Access: December 19, 2018]. doi:10.24911/IJMDC.1.3.6


AMA (American Medical Association) Style

Shaimaa Mohamed Refaat Okasha, Maii Abdel-rahim Abdel-latif, Marwa Orabi. Contributing factors and effects on health-related quality of life in patients with systemic lupus erythromatosus complaining of sleep disturbances. IJMDC. 2018; 2(1): 33-37. doi:10.24911/IJMDC.1.3.6


Vancouver/ICMJE Style

Shaimaa Mohamed Refaat Okasha, Maii Abdel-rahim Abdel-latif, Marwa Orabi. Contributing factors and effects on health-related quality of life in patients with systemic lupus erythromatosus complaining of sleep disturbances. IJMDC. (2018), [cited December 19, 2018]; 2(1): 33-37. doi:10.24911/IJMDC.1.3.6


Harvard Style

Shaimaa Mohamed Refaat Okasha, Maii Abdel-rahim Abdel-latif, Marwa Orabi (2018) Contributing factors and effects on health-related quality of life in patients with systemic lupus erythromatosus complaining of sleep disturbances. IJMDC, 2 (1), 33-37. doi:10.24911/IJMDC.1.3.6


Turabian Style

Shaimaa Mohamed Refaat Okasha, Maii Abdel-rahim Abdel-latif, Marwa Orabi. 2018. Contributing factors and effects on health-related quality of life in patients with systemic lupus erythromatosus complaining of sleep disturbances. International Journal of Medicine in Developing Countries, 2 (1), 33-37. doi:10.24911/IJMDC.1.3.6


Chicago Style

Shaimaa Mohamed Refaat Okasha, Maii Abdel-rahim Abdel-latif, Marwa Orabi. "Contributing factors and effects on health-related quality of life in patients with systemic lupus erythromatosus complaining of sleep disturbances." International Journal of Medicine in Developing Countries 2 (2018), 33-37. doi:10.24911/IJMDC.1.3.6


MLA (The Modern Language Association) Style

Shaimaa Mohamed Refaat Okasha, Maii Abdel-rahim Abdel-latif, Marwa Orabi. "Contributing factors and effects on health-related quality of life in patients with systemic lupus erythromatosus complaining of sleep disturbances." International Journal of Medicine in Developing Countries 2.1 (2018), 33-37. Print. doi:10.24911/IJMDC.1.3.6


APA (American Psychological Association) Style

Shaimaa Mohamed Refaat Okasha, Maii Abdel-rahim Abdel-latif, Marwa Orabi (2018) Contributing factors and effects on health-related quality of life in patients with systemic lupus erythromatosus complaining of sleep disturbances. International Journal of Medicine in Developing Countries, 2 (1), 33-37. doi:10.24911/IJMDC.1.3.6


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