Loading…

Prevalence of Poor Sleep Quality and Associated Factors in Individuals with Rheumatoid Arthritis: A Cross-Sectional Study

Background and Objectives: Poor sleep quality has been frequently observed in individuals with rheumatoid arthritis. In the present study, we analyzed the presence of poor sleep quality in a sample of Mexican individuals with rheumatoid arthritis; then, we compared sociodemographic and clinical char...

Full description

Saved in:
Bibliographic Details
Published in:Medicina (Kaunas, Lithuania) Lithuania), 2023-09, Vol.59 (9), p.1633
Main Authors: Juárez-Rojop, Isela Esther, Fresán, Ana, Genis-Mendoza, Alma Delia, Cerino-Palomino, Carolina, Nolasco-Rosales, German Alberto, González-Castro, Thelma Beatriz, López-Narváez, María Lilia, Olan, Francisco, Villar-Soto, Mario, Tovilla-Zárate, Carlos Alfonso, Nicolini, Humberto
Format: Article
Language:English
Subjects:
Citations: Items that this one cites
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
cited_by
cites cdi_FETCH-LOGICAL-c488t-4d852a6cd7f7310143e58848d3c6bb3f1692292aed2ce1d4062903658935f7d33
container_end_page
container_issue 9
container_start_page 1633
container_title Medicina (Kaunas, Lithuania)
container_volume 59
creator Juárez-Rojop, Isela Esther
Fresán, Ana
Genis-Mendoza, Alma Delia
Cerino-Palomino, Carolina
Nolasco-Rosales, German Alberto
González-Castro, Thelma Beatriz
López-Narváez, María Lilia
Olan, Francisco
Villar-Soto, Mario
Tovilla-Zárate, Carlos Alfonso
Nicolini, Humberto
description Background and Objectives: Poor sleep quality has been frequently observed in individuals with rheumatoid arthritis. In the present study, we analyzed the presence of poor sleep quality in a sample of Mexican individuals with rheumatoid arthritis; then, we compared sociodemographic and clinical characteristics among patients to determine risk factors for poor sleep quality. Materials and Methods: In this cross-sectional study, we included 102 individuals with rheumatoid arthritis from a hospital in Mexico. We evaluated disease activity (DAS28), quality of sleep using the Pittsburgh Sleep Quality Index, and the presence of depression and anxiety with the Hospital Anxiety and Depression Scale. We performed a Chi-square test and a t-test. Then, we performed a logistic regressions model of the associated features in a univariable analysis. Results: Poor sleep quality was observed in 41.75% of the individuals with rheumatoid arthritis. Being married was a proactive factor (OR 0.04, 95% CI 0.1–0.9, p = 0.04), whereas having one’s hips affected or presenting with anxiety and depression was associated with poor sleep quality (OR 4.6, 95% CI 1.2–17.69, p = 0.02). After a multivariate analysis, having anxiety (OR 5.0, 95% CI 1.4–17.7, p < 0.01) and depression (OR 9.2, 95% CI 1.0–8.1, p < 0.01) remained associated with a higher risk of having poor sleep quality. Other clinical characteristics among patients were not significantly different. Conclusions: Our results showed that individuals with rheumatoid arthritis who also presented with depression or anxiety had a higher risk of suffering from poor sleep quality. However, more studies with larger samples are necessary to replicate these results in the Mexican population.
doi_str_mv 10.3390/medicina59091633
format article
fullrecord <record><control><sourceid>gale_doaj_</sourceid><recordid>TN_cdi_doaj_primary_oai_doaj_org_article_21a81f60deb9472db35f86858f7a838a</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A771808018</galeid><doaj_id>oai_doaj_org_article_21a81f60deb9472db35f86858f7a838a</doaj_id><sourcerecordid>A771808018</sourcerecordid><originalsourceid>FETCH-LOGICAL-c488t-4d852a6cd7f7310143e58848d3c6bb3f1692292aed2ce1d4062903658935f7d33</originalsourceid><addsrcrecordid>eNptkktvEzEUhUcIREthz9ISGzYpfsz4wQZFUQuRKlEIrC3HvpM4mtjB9gTl3-OQCjUV8sLW9Tnf1X00zVuCrxlT-MMWnLc-mE5hRThjz5pLwls5UaRtnz96XzSvct5gzGgn6MvmggnBmejoZXO4T7A3AwQLKPboPsaEFgPADn0bzeDLAZng0DTnaL0p4NCtsSWmjHxA8-D83ruqy-i3L2v0fQ3j1pToqyOVdfLF549oimYp5jxZgC0-BjOgRRnd4XXzoq9OePNwXzU_b29-zL5M7r5-ns-mdxPbSlkmrZMdNdw60QtGMGkZdFK20jHLl0vWE64oVdSAoxaIazGnCjPeScW6XjjGrpr5ieui2ehd8luTDjoar_8GYlppk4q3A2hKjCQ9xw6WqhXULStCctnJXhjJpKmsTyfWblzW3lsIJZnhDHr-E_xar-JeE9wxjhWthPcPhBR_jZCL3vpsYRhMgDhmTaWoNWLSqSp990S6iWOq_TuquGoJJ_KRalWnqH3oY01sj1A9FYJILDGRVXX9H1U9DrbexgC9r_EzAz4Z7HF2Cfp_RRKsj7unn-4e-wMrtctg</addsrcrecordid><sourcetype>Open Website</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2869416189</pqid></control><display><type>article</type><title>Prevalence of Poor Sleep Quality and Associated Factors in Individuals with Rheumatoid Arthritis: A Cross-Sectional Study</title><source>PubMed (Medline)</source><source>Publicly Available Content Database</source><source>Coronavirus Research Database</source><creator>Juárez-Rojop, Isela Esther ; Fresán, Ana ; Genis-Mendoza, Alma Delia ; Cerino-Palomino, Carolina ; Nolasco-Rosales, German Alberto ; González-Castro, Thelma Beatriz ; López-Narváez, María Lilia ; Olan, Francisco ; Villar-Soto, Mario ; Tovilla-Zárate, Carlos Alfonso ; Nicolini, Humberto</creator><creatorcontrib>Juárez-Rojop, Isela Esther ; Fresán, Ana ; Genis-Mendoza, Alma Delia ; Cerino-Palomino, Carolina ; Nolasco-Rosales, German Alberto ; González-Castro, Thelma Beatriz ; López-Narváez, María Lilia ; Olan, Francisco ; Villar-Soto, Mario ; Tovilla-Zárate, Carlos Alfonso ; Nicolini, Humberto</creatorcontrib><description>Background and Objectives: Poor sleep quality has been frequently observed in individuals with rheumatoid arthritis. In the present study, we analyzed the presence of poor sleep quality in a sample of Mexican individuals with rheumatoid arthritis; then, we compared sociodemographic and clinical characteristics among patients to determine risk factors for poor sleep quality. Materials and Methods: In this cross-sectional study, we included 102 individuals with rheumatoid arthritis from a hospital in Mexico. We evaluated disease activity (DAS28), quality of sleep using the Pittsburgh Sleep Quality Index, and the presence of depression and anxiety with the Hospital Anxiety and Depression Scale. We performed a Chi-square test and a t-test. Then, we performed a logistic regressions model of the associated features in a univariable analysis. Results: Poor sleep quality was observed in 41.75% of the individuals with rheumatoid arthritis. Being married was a proactive factor (OR 0.04, 95% CI 0.1–0.9, p = 0.04), whereas having one’s hips affected or presenting with anxiety and depression was associated with poor sleep quality (OR 4.6, 95% CI 1.2–17.69, p = 0.02). After a multivariate analysis, having anxiety (OR 5.0, 95% CI 1.4–17.7, p &lt; 0.01) and depression (OR 9.2, 95% CI 1.0–8.1, p &lt; 0.01) remained associated with a higher risk of having poor sleep quality. Other clinical characteristics among patients were not significantly different. Conclusions: Our results showed that individuals with rheumatoid arthritis who also presented with depression or anxiety had a higher risk of suffering from poor sleep quality. However, more studies with larger samples are necessary to replicate these results in the Mexican population.</description><identifier>ISSN: 1648-9144</identifier><identifier>ISSN: 1010-660X</identifier><identifier>EISSN: 1648-9144</identifier><identifier>DOI: 10.3390/medicina59091633</identifier><identifier>PMID: 37763752</identifier><language>eng</language><publisher>Basel: MDPI AG</publisher><subject>Anxiety ; Arthritis ; Cross-sectional studies ; depression ; Development and progression ; Ethics ; Fatigue ; Illnesses ; Medical care ; Mental depression ; Mexican population ; Pain ; Quality management ; Quality of life ; Remission (Medicine) ; Rheumatoid arthritis ; Rheumatoid factor ; Rheumatology ; Sleep</subject><ispartof>Medicina (Kaunas, Lithuania), 2023-09, Vol.59 (9), p.1633</ispartof><rights>COPYRIGHT 2023 MDPI AG</rights><rights>2023 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2023 by the authors. 2023</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c488t-4d852a6cd7f7310143e58848d3c6bb3f1692292aed2ce1d4062903658935f7d33</cites><orcidid>0000-0001-9160-6988 ; 0000-0001-8046-6908 ; 0000-0001-5536-3173 ; 0000-0003-2494-0067 ; 0000-0002-7342-5988 ; 0000-0001-8170-8171</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/2869416189?pq-origsite=primo$$EPDF$$P50$$Gproquest$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2869416189?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,25753,27924,27925,37012,37013,38516,43895,44590,53791,53793,74412,75126</link.rule.ids></links><search><creatorcontrib>Juárez-Rojop, Isela Esther</creatorcontrib><creatorcontrib>Fresán, Ana</creatorcontrib><creatorcontrib>Genis-Mendoza, Alma Delia</creatorcontrib><creatorcontrib>Cerino-Palomino, Carolina</creatorcontrib><creatorcontrib>Nolasco-Rosales, German Alberto</creatorcontrib><creatorcontrib>González-Castro, Thelma Beatriz</creatorcontrib><creatorcontrib>López-Narváez, María Lilia</creatorcontrib><creatorcontrib>Olan, Francisco</creatorcontrib><creatorcontrib>Villar-Soto, Mario</creatorcontrib><creatorcontrib>Tovilla-Zárate, Carlos Alfonso</creatorcontrib><creatorcontrib>Nicolini, Humberto</creatorcontrib><title>Prevalence of Poor Sleep Quality and Associated Factors in Individuals with Rheumatoid Arthritis: A Cross-Sectional Study</title><title>Medicina (Kaunas, Lithuania)</title><description>Background and Objectives: Poor sleep quality has been frequently observed in individuals with rheumatoid arthritis. In the present study, we analyzed the presence of poor sleep quality in a sample of Mexican individuals with rheumatoid arthritis; then, we compared sociodemographic and clinical characteristics among patients to determine risk factors for poor sleep quality. Materials and Methods: In this cross-sectional study, we included 102 individuals with rheumatoid arthritis from a hospital in Mexico. We evaluated disease activity (DAS28), quality of sleep using the Pittsburgh Sleep Quality Index, and the presence of depression and anxiety with the Hospital Anxiety and Depression Scale. We performed a Chi-square test and a t-test. Then, we performed a logistic regressions model of the associated features in a univariable analysis. Results: Poor sleep quality was observed in 41.75% of the individuals with rheumatoid arthritis. Being married was a proactive factor (OR 0.04, 95% CI 0.1–0.9, p = 0.04), whereas having one’s hips affected or presenting with anxiety and depression was associated with poor sleep quality (OR 4.6, 95% CI 1.2–17.69, p = 0.02). After a multivariate analysis, having anxiety (OR 5.0, 95% CI 1.4–17.7, p &lt; 0.01) and depression (OR 9.2, 95% CI 1.0–8.1, p &lt; 0.01) remained associated with a higher risk of having poor sleep quality. Other clinical characteristics among patients were not significantly different. Conclusions: Our results showed that individuals with rheumatoid arthritis who also presented with depression or anxiety had a higher risk of suffering from poor sleep quality. However, more studies with larger samples are necessary to replicate these results in the Mexican population.</description><subject>Anxiety</subject><subject>Arthritis</subject><subject>Cross-sectional studies</subject><subject>depression</subject><subject>Development and progression</subject><subject>Ethics</subject><subject>Fatigue</subject><subject>Illnesses</subject><subject>Medical care</subject><subject>Mental depression</subject><subject>Mexican population</subject><subject>Pain</subject><subject>Quality management</subject><subject>Quality of life</subject><subject>Remission (Medicine)</subject><subject>Rheumatoid arthritis</subject><subject>Rheumatoid factor</subject><subject>Rheumatology</subject><subject>Sleep</subject><issn>1648-9144</issn><issn>1010-660X</issn><issn>1648-9144</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>COVID</sourceid><sourceid>PIMPY</sourceid><sourceid>DOA</sourceid><recordid>eNptkktvEzEUhUcIREthz9ISGzYpfsz4wQZFUQuRKlEIrC3HvpM4mtjB9gTl3-OQCjUV8sLW9Tnf1X00zVuCrxlT-MMWnLc-mE5hRThjz5pLwls5UaRtnz96XzSvct5gzGgn6MvmggnBmejoZXO4T7A3AwQLKPboPsaEFgPADn0bzeDLAZng0DTnaL0p4NCtsSWmjHxA8-D83ruqy-i3L2v0fQ3j1pToqyOVdfLF549oimYp5jxZgC0-BjOgRRnd4XXzoq9OePNwXzU_b29-zL5M7r5-ns-mdxPbSlkmrZMdNdw60QtGMGkZdFK20jHLl0vWE64oVdSAoxaIazGnCjPeScW6XjjGrpr5ieui2ehd8luTDjoar_8GYlppk4q3A2hKjCQ9xw6WqhXULStCctnJXhjJpKmsTyfWblzW3lsIJZnhDHr-E_xar-JeE9wxjhWthPcPhBR_jZCL3vpsYRhMgDhmTaWoNWLSqSp990S6iWOq_TuquGoJJ_KRalWnqH3oY01sj1A9FYJILDGRVXX9H1U9DrbexgC9r_EzAz4Z7HF2Cfp_RRKsj7unn-4e-wMrtctg</recordid><startdate>20230901</startdate><enddate>20230901</enddate><creator>Juárez-Rojop, Isela Esther</creator><creator>Fresán, Ana</creator><creator>Genis-Mendoza, Alma Delia</creator><creator>Cerino-Palomino, Carolina</creator><creator>Nolasco-Rosales, German Alberto</creator><creator>González-Castro, Thelma Beatriz</creator><creator>López-Narváez, María Lilia</creator><creator>Olan, Francisco</creator><creator>Villar-Soto, Mario</creator><creator>Tovilla-Zárate, Carlos Alfonso</creator><creator>Nicolini, Humberto</creator><general>MDPI AG</general><general>MDPI</general><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>COVID</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0001-9160-6988</orcidid><orcidid>https://orcid.org/0000-0001-8046-6908</orcidid><orcidid>https://orcid.org/0000-0001-5536-3173</orcidid><orcidid>https://orcid.org/0000-0003-2494-0067</orcidid><orcidid>https://orcid.org/0000-0002-7342-5988</orcidid><orcidid>https://orcid.org/0000-0001-8170-8171</orcidid></search><sort><creationdate>20230901</creationdate><title>Prevalence of Poor Sleep Quality and Associated Factors in Individuals with Rheumatoid Arthritis: A Cross-Sectional Study</title><author>Juárez-Rojop, Isela Esther ; Fresán, Ana ; Genis-Mendoza, Alma Delia ; Cerino-Palomino, Carolina ; Nolasco-Rosales, German Alberto ; González-Castro, Thelma Beatriz ; López-Narváez, María Lilia ; Olan, Francisco ; Villar-Soto, Mario ; Tovilla-Zárate, Carlos Alfonso ; Nicolini, Humberto</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c488t-4d852a6cd7f7310143e58848d3c6bb3f1692292aed2ce1d4062903658935f7d33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Anxiety</topic><topic>Arthritis</topic><topic>Cross-sectional studies</topic><topic>depression</topic><topic>Development and progression</topic><topic>Ethics</topic><topic>Fatigue</topic><topic>Illnesses</topic><topic>Medical care</topic><topic>Mental depression</topic><topic>Mexican population</topic><topic>Pain</topic><topic>Quality management</topic><topic>Quality of life</topic><topic>Remission (Medicine)</topic><topic>Rheumatoid arthritis</topic><topic>Rheumatoid factor</topic><topic>Rheumatology</topic><topic>Sleep</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Juárez-Rojop, Isela Esther</creatorcontrib><creatorcontrib>Fresán, Ana</creatorcontrib><creatorcontrib>Genis-Mendoza, Alma Delia</creatorcontrib><creatorcontrib>Cerino-Palomino, Carolina</creatorcontrib><creatorcontrib>Nolasco-Rosales, German Alberto</creatorcontrib><creatorcontrib>González-Castro, Thelma Beatriz</creatorcontrib><creatorcontrib>López-Narváez, María Lilia</creatorcontrib><creatorcontrib>Olan, Francisco</creatorcontrib><creatorcontrib>Villar-Soto, Mario</creatorcontrib><creatorcontrib>Tovilla-Zárate, Carlos Alfonso</creatorcontrib><creatorcontrib>Nicolini, Humberto</creatorcontrib><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health &amp; Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Coronavirus Research Database</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>Directory of Open Access Journals</collection><jtitle>Medicina (Kaunas, Lithuania)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Juárez-Rojop, Isela Esther</au><au>Fresán, Ana</au><au>Genis-Mendoza, Alma Delia</au><au>Cerino-Palomino, Carolina</au><au>Nolasco-Rosales, German Alberto</au><au>González-Castro, Thelma Beatriz</au><au>López-Narváez, María Lilia</au><au>Olan, Francisco</au><au>Villar-Soto, Mario</au><au>Tovilla-Zárate, Carlos Alfonso</au><au>Nicolini, Humberto</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Prevalence of Poor Sleep Quality and Associated Factors in Individuals with Rheumatoid Arthritis: A Cross-Sectional Study</atitle><jtitle>Medicina (Kaunas, Lithuania)</jtitle><date>2023-09-01</date><risdate>2023</risdate><volume>59</volume><issue>9</issue><spage>1633</spage><pages>1633-</pages><issn>1648-9144</issn><issn>1010-660X</issn><eissn>1648-9144</eissn><abstract>Background and Objectives: Poor sleep quality has been frequently observed in individuals with rheumatoid arthritis. In the present study, we analyzed the presence of poor sleep quality in a sample of Mexican individuals with rheumatoid arthritis; then, we compared sociodemographic and clinical characteristics among patients to determine risk factors for poor sleep quality. Materials and Methods: In this cross-sectional study, we included 102 individuals with rheumatoid arthritis from a hospital in Mexico. We evaluated disease activity (DAS28), quality of sleep using the Pittsburgh Sleep Quality Index, and the presence of depression and anxiety with the Hospital Anxiety and Depression Scale. We performed a Chi-square test and a t-test. Then, we performed a logistic regressions model of the associated features in a univariable analysis. Results: Poor sleep quality was observed in 41.75% of the individuals with rheumatoid arthritis. Being married was a proactive factor (OR 0.04, 95% CI 0.1–0.9, p = 0.04), whereas having one’s hips affected or presenting with anxiety and depression was associated with poor sleep quality (OR 4.6, 95% CI 1.2–17.69, p = 0.02). After a multivariate analysis, having anxiety (OR 5.0, 95% CI 1.4–17.7, p &lt; 0.01) and depression (OR 9.2, 95% CI 1.0–8.1, p &lt; 0.01) remained associated with a higher risk of having poor sleep quality. Other clinical characteristics among patients were not significantly different. Conclusions: Our results showed that individuals with rheumatoid arthritis who also presented with depression or anxiety had a higher risk of suffering from poor sleep quality. However, more studies with larger samples are necessary to replicate these results in the Mexican population.</abstract><cop>Basel</cop><pub>MDPI AG</pub><pmid>37763752</pmid><doi>10.3390/medicina59091633</doi><orcidid>https://orcid.org/0000-0001-9160-6988</orcidid><orcidid>https://orcid.org/0000-0001-8046-6908</orcidid><orcidid>https://orcid.org/0000-0001-5536-3173</orcidid><orcidid>https://orcid.org/0000-0003-2494-0067</orcidid><orcidid>https://orcid.org/0000-0002-7342-5988</orcidid><orcidid>https://orcid.org/0000-0001-8170-8171</orcidid><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 1648-9144
ispartof Medicina (Kaunas, Lithuania), 2023-09, Vol.59 (9), p.1633
issn 1648-9144
1010-660X
1648-9144
language eng
recordid cdi_doaj_primary_oai_doaj_org_article_21a81f60deb9472db35f86858f7a838a
source PubMed (Medline); Publicly Available Content Database; Coronavirus Research Database
subjects Anxiety
Arthritis
Cross-sectional studies
depression
Development and progression
Ethics
Fatigue
Illnesses
Medical care
Mental depression
Mexican population
Pain
Quality management
Quality of life
Remission (Medicine)
Rheumatoid arthritis
Rheumatoid factor
Rheumatology
Sleep
title Prevalence of Poor Sleep Quality and Associated Factors in Individuals with Rheumatoid Arthritis: A Cross-Sectional Study
url http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-25T17%3A49%3A53IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_doaj_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Prevalence%20of%20Poor%20Sleep%20Quality%20and%20Associated%20Factors%20in%20Individuals%20with%20Rheumatoid%20Arthritis:%20A%20Cross-Sectional%20Study&rft.jtitle=Medicina%20(Kaunas,%20Lithuania)&rft.au=Ju%C3%A1rez-Rojop,%20Isela%20Esther&rft.date=2023-09-01&rft.volume=59&rft.issue=9&rft.spage=1633&rft.pages=1633-&rft.issn=1648-9144&rft.eissn=1648-9144&rft_id=info:doi/10.3390/medicina59091633&rft_dat=%3Cgale_doaj_%3EA771808018%3C/gale_doaj_%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c488t-4d852a6cd7f7310143e58848d3c6bb3f1692292aed2ce1d4062903658935f7d33%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=2869416189&rft_id=info:pmid/37763752&rft_galeid=A771808018&rfr_iscdi=true