Factors affecting sleep quality in patients with psoriasis

Poor sleep quality adversely affects quality of life in patients with psoriasis. However, the factors impairing sleep in these patients have not been well described. We reviewed the available literature linking sleep quality and psoriasis to elucidate factors that interfere with sleep. Pruritus, dep...

Full description

Saved in:
Bibliographic Details
Published in:Journal of the American Academy of Dermatology 2010-07, Vol.63 (1), p.114-123
Main Authors: Gowda, Smitha, MD, Goldblum, Orin M., MD, McCall, W. Vaughn, MD, MS, Feldman, Steven R., MD, PhD
Format: Article
Language:English
Subjects:
Biological and medical sciences
Depression - etiology
Dermatology
Fatigue - etiology
Humans
itch
Medical sciences
Pain - etiology
Pruritus - etiology
psoriasis
Psoriasis - complications
Psoriasis - physiopathology
Psoriasis. Parapsoriasis. Lichen
Quality of Life
sleep
Sleep - physiology
Sleep Apnea, Obstructive - etiology
Sleep Wake Disorders - etiology
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Poor sleep quality adversely affects quality of life in patients with psoriasis. However, the factors impairing sleep in these patients have not been well described. We reviewed the available literature linking sleep quality and psoriasis to elucidate factors that interfere with sleep. Pruritus, depression, pain, and obstructive sleep apnea may be likely sources of sleep impairment in patients with psoriasis. Fatigue resulting from sleep interference may also be implicated in this relationship. Pruritus, depression, and pain interfere with sleep quality by increasing nocturnal awakenings and sleep fragmentation. Obstructive sleep apnea may occur in a greater percentage of patients with psoriasis than control populations. Factors associated with psoriasis appear to have similarities in their cytokine and neuropeptide profiles. Moreover, these variables are complex and interconnected. Further study and awareness of potential factors impacting sleep in patients with psoriasis may provide new avenues for treatment of recalcitrant disease.
ISSN:0190-9622
1097-6787
DOI:10.1016/j.jaad.2009.07.003