Prevalence of Poor Sleep Quality and Associated Factors in Individuals with Rheumatoid Arthritis: A Cross-Sectional Study
<i>Background and Objectives</i>: 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 sociodemographi...
| Main Authors: | , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-09-01
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| Series: | Medicina |
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| Online Access: | https://www.mdpi.com/1648-9144/59/9/1633 |
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| author | Isela Esther Juárez-Rojop Ana Fresán Alma Delia Genis-Mendoza Carolina Cerino-Palomino German Alberto Nolasco-Rosales Thelma Beatriz González-Castro María Lilia López-Narváez Francisco Olan Mario Villar-Soto Carlos Alfonso Tovilla-Zárate Humberto Nicolini |
| author_facet | Isela Esther Juárez-Rojop Ana Fresán Alma Delia Genis-Mendoza Carolina Cerino-Palomino German Alberto Nolasco-Rosales Thelma Beatriz González-Castro María Lilia López-Narváez Francisco Olan Mario Villar-Soto Carlos Alfonso Tovilla-Zárate Humberto Nicolini |
| author_sort | Isela Esther Juárez-Rojop |
| collection | DOAJ |
| description | <i>Background and Objectives</i>: 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. <i>Materials and Methods</i>: 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 <i>t</i>-test. Then, we performed a logistic regressions model of the associated features in a univariable analysis. <i>Results</i>: 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, <i>p</i> = 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, <i>p</i> = 0.02). After a multivariate analysis, having anxiety (OR 5.0, 95% CI 1.4–17.7, <i>p</i> < 0.01) and depression (OR 9.2, 95% CI 1.0–8.1, <i>p</i> < 0.01) remained associated with a higher risk of having poor sleep quality. Other clinical characteristics among patients were not significantly different. <i>Conclusions</i>: 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. |
| first_indexed | 2024-03-10T22:28:44Z |
| format | Article |
| id | doaj.art-21a81f60deb9472db35f86858f7a838a |
| institution | Directory Open Access Journal |
| issn | 1010-660X 1648-9144 |
| language | English |
| last_indexed | 2024-03-10T22:28:44Z |
| publishDate | 2023-09-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Medicina |
| spelling | doaj.art-21a81f60deb9472db35f86858f7a838a2023-11-19T11:52:42ZengMDPI AGMedicina1010-660X1648-91442023-09-01599163310.3390/medicina59091633Prevalence of Poor Sleep Quality and Associated Factors in Individuals with Rheumatoid Arthritis: A Cross-Sectional StudyIsela Esther Juárez-Rojop0Ana Fresán1Alma Delia Genis-Mendoza2Carolina Cerino-Palomino3German Alberto Nolasco-Rosales4Thelma Beatriz González-Castro5María Lilia López-Narváez6Francisco Olan7Mario Villar-Soto8Carlos Alfonso Tovilla-Zárate9Humberto Nicolini10División Académica de Ciencias de la Salud, Universidad Juárez Autónoma de Tabasco, Villahermosa 86100, MexicoSubdirección de Investigaciones Clínicas, Instituto Nacional de Psiquiatría Ramón de la Fuente Muñiz, Ciudad de México 14370, MexicoServicio de Atención Psiquiátrica, Hospital Psiquiátrico Infantil Dr. Juan n. Navarro, Ciudad de México 14080, MexicoDivisión Académica de Ciencias de la Salud, Universidad Juárez Autónoma de Tabasco, Villahermosa 86100, MexicoDivisión Académica de Ciencias de la Salud, Universidad Juárez Autónoma de Tabasco, Villahermosa 86100, MexicoDivisión Académica Multidisciplinaria de Jalpa de Méndez, Universidad Juárez Autónoma de Tabasco, Jalpa de Méndez 86205, MexicoDivisión Académica Multidisciplinaria de Comalcalco, Universidad Juárez Autónoma de Tabasco, Comalcalco 86650, MexicoHospital de alta Especialidad “Gustavo A. Rovirosa Pérez”, Secretaría de Salud, Villahermosa 86280, MexicoHospital de alta Especialidad “Gustavo A. Rovirosa Pérez”, Secretaría de Salud, Villahermosa 86280, MexicoDivisión Académica Multidisciplinaria de Comalcalco, Universidad Juárez Autónoma de Tabasco, Comalcalco 86650, MexicoLaboratorio de Genómica de Enfermedades Psiquiátricas y Neurodegenerativas, Instituto Nacional de Medicina Genómica, Ciudad de México 14610, Mexico<i>Background and Objectives</i>: 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. <i>Materials and Methods</i>: 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 <i>t</i>-test. Then, we performed a logistic regressions model of the associated features in a univariable analysis. <i>Results</i>: 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, <i>p</i> = 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, <i>p</i> = 0.02). After a multivariate analysis, having anxiety (OR 5.0, 95% CI 1.4–17.7, <i>p</i> < 0.01) and depression (OR 9.2, 95% CI 1.0–8.1, <i>p</i> < 0.01) remained associated with a higher risk of having poor sleep quality. Other clinical characteristics among patients were not significantly different. <i>Conclusions</i>: 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.https://www.mdpi.com/1648-9144/59/9/1633rheumatoid arthritisdepressionanxietyMexican population |
| spellingShingle | Isela Esther Juárez-Rojop Ana Fresán Alma Delia Genis-Mendoza Carolina Cerino-Palomino German Alberto Nolasco-Rosales Thelma Beatriz González-Castro María Lilia López-Narváez Francisco Olan Mario Villar-Soto Carlos Alfonso Tovilla-Zárate Humberto Nicolini Prevalence of Poor Sleep Quality and Associated Factors in Individuals with Rheumatoid Arthritis: A Cross-Sectional Study Medicina rheumatoid arthritis depression anxiety Mexican population |
| title | Prevalence of Poor Sleep Quality and Associated Factors in Individuals with Rheumatoid Arthritis: A Cross-Sectional Study |
| title_full | Prevalence of Poor Sleep Quality and Associated Factors in Individuals with Rheumatoid Arthritis: A Cross-Sectional Study |
| title_fullStr | Prevalence of Poor Sleep Quality and Associated Factors in Individuals with Rheumatoid Arthritis: A Cross-Sectional Study |
| title_full_unstemmed | Prevalence of Poor Sleep Quality and Associated Factors in Individuals with Rheumatoid Arthritis: A Cross-Sectional Study |
| title_short | Prevalence of Poor Sleep Quality and Associated Factors in Individuals with Rheumatoid Arthritis: A Cross-Sectional Study |
| title_sort | prevalence of poor sleep quality and associated factors in individuals with rheumatoid arthritis a cross sectional study |
| topic | rheumatoid arthritis depression anxiety Mexican population |
| url | https://www.mdpi.com/1648-9144/59/9/1633 |
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