Reviewgold2016

Measurement, Classification and Evaluation of Sleep Disturbance in Psoriasis: A Systematic Review

Alasdair L. Henry · Simon David Kyle · Sahil Bhandari · Anna Chisholm · Christopher E.M. Griffiths · Christine Bundy

60 citations0/0 files storedPLoS ONE

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Abstract

BACKGROUND: Psoriasis is a long-term immune-mediated inflammatory disorder mainly, but not only, affecting skin, and is associated with significant medical and psychological morbidity. Evidence suggests that sleep is disrupted in psoriasis, however high quality empirical evidence is lacking. Given the importance of sleep for health, characterisation of sleep disruption in psoriasis is an important goal. We therefore conducted a systematic review of the sleep-psoriasis literature. METHODS: Searches were conducted in Pubmed, SCOPUS and Web of Science from inception to May 2016. Studies were compared against inclusion/exclusion criteria and underwent a quality evaluation. Given the heterogeneity of studies, we conducted a narrative synthesis of the findings. RESULTS: Searches revealed 32 studies which met our predetermined inclusion/exclusion criteria. Whilst 93.7% of studies reported sleep disruption in this population, ranging from 0.05% to 85.4%, many had important methodological shortcomings. Over half of all quantitative studies (54.8%; 17/31) relied on non-validated measures, contributing to heterogeneity in study findings. In those that employed valid measures, assessing sleep was often not the primary objective. We frequently found the absence of adequate sample size calculations and poor statistical reporting. CONCLUSION: This review showed that in psoriasis, reported sleep rates of sleep disturbance varied substantially. Most studies lacked a hypothesis driven research question and/or failed to use validated measures of sleep. We were unable to draw firm conclusions about the precise prevalence and nature of sleep disturbance within the psoriasis population. We offer suggestions to help advance understanding of sleep disturbance in psoriasis.

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References

2009The PRISMA Statement for Reporting Systematic Reviews and Meta-Analyses of Studies That Evaluate Health Care Interventions: Explanation and Elaboration 2009The PRISMA Statement for Reporting Systematic Reviews and Meta-Analyses of Studies That Evaluate Health Care Interventions: Explanation and Elaboration 2011The Insomnia Severity Index: Psychometric Indicators to Detect Insomnia Cases and Evaluate Treatment Response 2011Insomnia as a predictor of depression: A meta-analytic evaluation of longitudinal epidemiological studies 1989Epidemiologic study of sleep disturbances and psychiatric disorders. An opportunity for prevention?1989Epidemiologic Study of Sleep Disturbances and Psychiatric Disorders 2009Neurocognitive Consequences of Sleep Deprivation 2011Sleep duration predicts cardiovascular outcomes: a systematic review and meta-analysis of prospective studies

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2019Sleep quality among adult patients with chronic dermatoses 2019Sleep disorders in patients with psoriasis: a cross-sectional study using non-polysomnographical methods

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