SAT0630-HPR Variables Predictive of The Sleep Disorders in Patients with Psoriatic Arthritis and Spondylarthritis

2016 
Background Since insomnia is a chronic problem in patients with chronic diseases, factors that are associated with it are varied. Objectives To study the variables associated with the severity of insomnia according to the questionnaire of Oviedo9s dream (QOD) in patients with spondylarthritis (AE) and psoriatic arthritis (PsA), including the activity of the disease as measured by restriction, BASDAI and DAS28. Methods Design. Descriptive cross-sectional study. Patients: Were selected by sampling consecutive patients with AE or PsA in follow-up by our unit of biologic therapy. Inclusion criteria: adults (≥16 years old) with AE (ASAS criteria) or PsA (CASPAR criteria) capable of understanding and willing to make the questionnaires. Exclusion criteria: other rheumatic diseases, age Results 120 patients participated: 60 patients with ad (36.7% women, 45, 1±10, 6 years) and 60 patients with APs (58.6% women, 49, 9±9, 2 years). The most common comorbidities were: anxiety, depression, and disc disease. Women had more multimorbidity (p=0, 047) and osteoporosis (p Conclusions The insomnia and hypersomnia are 2 health problems strongly linked to pain and fatigue in patients with AE ans PsA but not with the activity of the disease. It would be necessary to work in nursing consultation the improvement in the management of sleep in these patients in a structured way to decrease the impact of insomnia and hypersomnia. Disclosure of Interest None declared
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