Diagnostic study of sleep quality in patients with skin diseases

Postgraduate Thesis uoadl:2878971 261 Read counter

Unit:
Κατεύθυνση Σύγχρονη Διαγνωστική στη Δερματολογία-Αφροδισιολογία και Αλλεργιολογία
Library of the School of Health Sciences
Deposit date:
2019-07-16
Year:
2019
Author:
Pantelidi Kleoniki
Supervisors info:
Ευαγγελία Παπαδαυίδ, Αναπληρώτρια Καθηγήτρια, Ιατρική Σχολή, ΕΚΠΑ, Επιβλέπουσα
Μαριάννα Νταλαμάγκα, Αναπληρώτρια Καθηγήτρια, Ιατρική Σχολή, ΕΚΠΑ
Δημήτριος Ρηγόπουλος, Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ
Original Title:
Διαγνωστική μελέτη της ποιότητας του ύπνου σε ασθενείς με δερματικά νοσήματα
Languages:
Greek
Translated title:
Diagnostic study of sleep quality in patients with skin diseases
Summary:
Sleep disturbances in psoriasis patients: a pilot study using wrist actigraphy Introduction: Psoriasis is a chronic, immune mediated and systemic inflammatory disease, affecting approximately 1-3% of the world’s overall population. However, very few studies have focused on sleep disturbances in psoriasis. No study has used wrist actigraphy to determine sleep quality. Patients with psoriasis frequently report compromised quality of life because of disturbed sleep.
Objective: The aim of our study is to contrast subjective and objective measures of sleep quality in patients with psoriasis.
Materials and Methods: A total of twenty one patients with moderate/severe psoriasis under no treatment were included in this investigation. Dermatological evaluation was performed using Psoriasis Area Severity Index (PASI) and Dermatology Life Quality Index (DLQI) scores. Sleep was measured by Actigraphy which is an objective tool of sleep parameters. Additionally, the quality of sleep was assessed by self-reported sleep questionnaires such as Epworth Sleepiness Scale (ESS), Pittsburgh Sleep Quality Index (PSQI) and Athens Insomnia Scale (AIS). All patients were informed and have signed a written consent.
Results: All study participants were white. The mean age was 52.1 ± 16.1 years and 71.4% were males. PASI and DLQI scores were 14.21 ± 7.19 and 12.81 ± 8.32 respectively. Total Sleep Time (TST) was 347.64 ± 74.25 min and Sleep Efficiency (SE) was 76.19 ± 9.92 %. PASI and DLQI did not present any significant correlations with TST and SE (p<0.05). Furthermore, PASI and DLQI did not present any significant association with self-reported sleep quality as shown by questionnaires (p<0.05). TST correlated significantly with SE (r=0.84, p<0.001).
Conclusions: Patients with psoriasis present poor sleep quality because of decreased sleep duration as estimated by actigraphy. However, quality of sleep and sleep duration do not correlate with psoriasis severity as assessed by PASI and DLQI scores.
Main subject category:
Health Sciences
Keywords:
Psoriasis, Sleep disturbances, Actigraphy
Index:
No
Number of index pages:
0
Contains images:
Yes
Number of references:
78
Number of pages:
111
File:
File access is restricted only to the intranet of UoA.

vivliothiki iatrikis.pdf
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File access is restricted only to the intranet of UoA.