Stuifbergen Alexa K, Phillips Lorraine, Carter Pat, Morrison Janet, Todd Ana
School of Nursing, The University of Texas at Austin, Austin, Texas 78701, USA.
J Am Acad Nurse Pract. 2010 Oct;22(10):548-56. doi: 10.1111/j.1745-7599.2010.00547.x. Epub 2010 Sep 3.
To explore differences in demographic and illness-related variables among women with fibromyalgia syndrome (FMS) with documented sleep problems and those without.
As part of the baseline assessments for a larger intervention study, 104 women with FMS wore an actigraph and completed a sleep log for 72 hours. Participants also completed a baseline questionnaire and a physical exam to quantify the Tender Point Index.
Although almost half (44%) of the women rated their sleep as bad or fairly bad, only 22 of the 104 women (21%) had objective sleep deficits (less than 6 hours sleep duration). The women with objective sleep deficits had significantly higher pain scores on the tender point index, perceived their sleep as significantly worse, and reported significantly more depressive symptoms and more negative impact of FMS on functioning than those without deficits. Descriptive statements in the sleep logs revealed frequent problems with energy, fatigue, and functioning for women in the sleep deficits group.
Sleep problems are a major concern among women with FMS. Those with concurrent depressive symptoms, high pain, and limited functioning may be candidates for in-depth sleep assessment and behavioral programs to improve sleep.
探讨有记录睡眠问题的纤维肌痛综合征（FMS）女性与无睡眠问题的FMS女性在人口统计学和疾病相关变量上的差异。
作为一项更大规模干预研究基线评估的一部分，104名FMS女性佩戴了活动记录仪，并完成了72小时的睡眠日志。参与者还完成了一份基线问卷和体格检查，以量化压痛点指数。
尽管几乎一半（44%）的女性将她们的睡眠评为差或相当差，但104名女性中只有22名（21%）存在客观睡眠不足（睡眠时间少于6小时）。与无睡眠不足的女性相比，有客观睡眠不足的女性在压痛点指数上的疼痛评分显著更高，认为自己的睡眠明显更差，并且报告的抑郁症状明显更多，FMS对功能的负面影响也更大。睡眠日志中的描述性陈述显示，睡眠不足组女性经常出现精力、疲劳和功能方面的问题。
睡眠问题是FMS女性的主要担忧。同时伴有抑郁症状、疼痛程度高且功能受限的女性可能是进行深入睡眠评估和改善睡眠行为项目的合适人选。
