Evaluation of sleep quality and pruritus severity in psoriatic patients and their impact on quality of life: a cross section correlational study

Abstract Psoriasis is a chronic inflammatory condition associated with genetic and immunological susceptibility. The objective of the study was to evaluate pruritus and sleep quality in correlation (r) to psoriasis severity and to detect their impact on quality of life. Two hundred (200) patients wi...

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Main Authors: Mohamed S. Zaky, Emad Eldin A. Elgamal, Ayman A. Abd Al Maksoud, Dina H. Mohamed, Mohamed L. Elsaie
Format: Article
Language:English
Published: Nature Portfolio 2023-10-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-023-44757-5
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author Mohamed S. Zaky
Emad Eldin A. Elgamal
Ayman A. Abd Al Maksoud
Dina H. Mohamed
Mohamed L. Elsaie
author_facet Mohamed S. Zaky
Emad Eldin A. Elgamal
Ayman A. Abd Al Maksoud
Dina H. Mohamed
Mohamed L. Elsaie
author_sort Mohamed S. Zaky
collection DOAJ
description Abstract Psoriasis is a chronic inflammatory condition associated with genetic and immunological susceptibility. The objective of the study was to evaluate pruritus and sleep quality in correlation (r) to psoriasis severity and to detect their impact on quality of life. Two hundred (200) patients with psoriasis were included. Psoriasis severity was determined using the psoriasis area severity index (PASI), the quality of life (QoL) was assessed by the psoriasis disability index (PDI) questionnaire, and the sleep quality was evaluated by the Pittsburgh sleep quality index (PSQI). Finally, the severity of itching was evaluated using a 12-item pruritus severity scale (PSS). Poor sleep quality was found in 16.0% of patients in this study. Poor sleep was detected among 50.0% of cases with severe psoriasis. PASI scores correlated significantly with sleep quality, duration and sleep disturbances (p < 0.001). The global PSQI and PASI were also significantly correlated (p = 0.004). In conclusion patients complaining of psoriasis exacerbated by pruritus and sleep problems demonstrated lower quality of life in all domains. Sleep disturbances and depressive symptoms impairing quality of life should be taken into consideration when screening patients suffering from psoriasis.
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spelling doaj.art-768ed31037344c9696ac73fcfefb8f632023-11-26T13:17:11ZengNature PortfolioScientific Reports2045-23222023-10-0113111310.1038/s41598-023-44757-5Evaluation of sleep quality and pruritus severity in psoriatic patients and their impact on quality of life: a cross section correlational studyMohamed S. Zaky0Emad Eldin A. Elgamal1Ayman A. Abd Al Maksoud2Dina H. Mohamed3Mohamed L. Elsaie4Department of Dermatology, Venereology and Andrology, Damietta Faculty of Medicine, Al-Azhar UniversityDepartment of Dermatology, Venereology and Andrology, Damietta Faculty of Medicine, Al-Azhar UniversityDepartment of Psychiatry, Damietta Faculty of Medicine, Al-Azhar UniversityDepartment of Dermatology, Venereology and Andrology, Damietta Faculty of Medicine, Al-Azhar UniversityDepartment of Dermatology, Venereology and Andrology, Medical Research and Clinical Studies Institute, National Research CentreAbstract Psoriasis is a chronic inflammatory condition associated with genetic and immunological susceptibility. The objective of the study was to evaluate pruritus and sleep quality in correlation (r) to psoriasis severity and to detect their impact on quality of life. Two hundred (200) patients with psoriasis were included. Psoriasis severity was determined using the psoriasis area severity index (PASI), the quality of life (QoL) was assessed by the psoriasis disability index (PDI) questionnaire, and the sleep quality was evaluated by the Pittsburgh sleep quality index (PSQI). Finally, the severity of itching was evaluated using a 12-item pruritus severity scale (PSS). Poor sleep quality was found in 16.0% of patients in this study. Poor sleep was detected among 50.0% of cases with severe psoriasis. PASI scores correlated significantly with sleep quality, duration and sleep disturbances (p < 0.001). The global PSQI and PASI were also significantly correlated (p = 0.004). In conclusion patients complaining of psoriasis exacerbated by pruritus and sleep problems demonstrated lower quality of life in all domains. Sleep disturbances and depressive symptoms impairing quality of life should be taken into consideration when screening patients suffering from psoriasis.https://doi.org/10.1038/s41598-023-44757-5
spellingShingle Mohamed S. Zaky
Emad Eldin A. Elgamal
Ayman A. Abd Al Maksoud
Dina H. Mohamed
Mohamed L. Elsaie
Evaluation of sleep quality and pruritus severity in psoriatic patients and their impact on quality of life: a cross section correlational study
Scientific Reports
title Evaluation of sleep quality and pruritus severity in psoriatic patients and their impact on quality of life: a cross section correlational study
title_full Evaluation of sleep quality and pruritus severity in psoriatic patients and their impact on quality of life: a cross section correlational study
title_fullStr Evaluation of sleep quality and pruritus severity in psoriatic patients and their impact on quality of life: a cross section correlational study
title_full_unstemmed Evaluation of sleep quality and pruritus severity in psoriatic patients and their impact on quality of life: a cross section correlational study
title_short Evaluation of sleep quality and pruritus severity in psoriatic patients and their impact on quality of life: a cross section correlational study
title_sort evaluation of sleep quality and pruritus severity in psoriatic patients and their impact on quality of life a cross section correlational study
url https://doi.org/10.1038/s41598-023-44757-5
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