Gokcen Neslihan, Komac Andac, Tuncer Kuru Fatma, Ozdemir Isik Ozlem, Temiz Karadag Duygu, Yazici Ayten, Cefle Ayse
Faculty of Medicine, Department of Internal Medicine, Division of Rheumatology, Kocaeli University, Kocaeli, Turkey.
Rheumatol Int. 2025 Jan 31;45(2):40. doi: 10.1007/s00296-025-05794-7.
This study aims to investigate the relationship between sleep hygiene and sleep quality in patients with systemic sclerosis (SSc) and to compare the sleep hygiene and sleep quality outcomes across three distinct groups: SSc patients, rheumatoid arthritis (RA) patients, and healthy controls (HC). This study employed an observational, cross-sectional, and parallel group design. SSc-related and RA-related variables, depression and anxiety were assessed. Physical function and quality of life, pain and fatigue of SSc patients were also evaluated. Sleep quality using the Pittsburg Sleep Quality Index (PSQI) and sleep hygiene using the Sleep Hygiene Index (SHI) were evaluated for all participants. Linear regression analysis was performed to show the relationship between the SHI scores and the other variables. Total PSQI and SHI scores were found to be significantly higher in SSc patients than in RA patients and HC. Fatigue, smoking, all SF-36 domains, depression and anxiety scores were associated with SHI scores in SSc patients. In the univariate logistic regression analysis, SSc patients exhibited 4.50 times higher odds (95% CI 2.165-9.353, p < 0.001) of experiencing poor sleep than RA patients and HC. In SSc patients, for every incremental increase in SHI score, the odds of poor sleep quality were 1.15 times higher (95% CI 1.093-1.220, p < 0.001). Sleep hygiene and sleep quality exhibit a more pronounced deterioration in SSc patients. Inadequate sleep hygiene is associated with compromised sleep quality in SSc. Therefore, improving sleep hygiene practices may be a key strategy to enhance the overall sleep quality in this population.
本研究旨在调查系统性硬化症（SSc）患者的睡眠卫生与睡眠质量之间的关系，并比较三组不同人群的睡眠卫生和睡眠质量结果：SSc患者、类风湿关节炎（RA）患者和健康对照者（HC）。本研究采用观察性、横断面和平行组设计。评估了与SSc和RA相关的变量、抑郁和焦虑情况。还评估了SSc患者的身体功能和生活质量、疼痛和疲劳程度。使用匹兹堡睡眠质量指数（PSQI）评估所有参与者的睡眠质量，使用睡眠卫生指数（SHI）评估睡眠卫生情况。进行线性回归分析以显示SHI评分与其他变量之间的关系。发现SSc患者的PSQI总分和SHI总分显著高于RA患者和HC。疲劳、吸烟、所有SF-36领域、抑郁和焦虑评分与SSc患者的SHI评分相关。在单因素逻辑回归分析中，SSc患者出现睡眠不佳的几率比RA患者和HC高4.50倍（95%置信区间2.165-9.353，p<0.001）。在SSc患者中，SHI评分每增加一分，睡眠质量差的几率就高1.15倍（95%置信区间1.093-1.220，p<0.001）。SSc患者的睡眠卫生和睡眠质量恶化更为明显。睡眠卫生不足与SSc患者睡眠质量受损有关。因此，改善睡眠卫生习惯可能是提高该人群整体睡眠质量的关键策略。
