{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,27]],"date-time":"2026-10-27T07:24:13Z","timestamp":1793085853735,"version":"4.5.0"},"reference-count":27,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2014,11,1]],"date-time":"2014-11-01T00:00:00Z","timestamp":1414800000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J of Rheum Dis"],"published-print":{"date-parts":[[2017,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>The purpose of this study was to determine the effects of psoriatic arthritis (<jats:styled-content style=\"fixed-case\">P<\/jats:styled-content>s<jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>) on sleep quality and investigate the association between sleep quality and clinical parameters of <jats:styled-content style=\"fixed-case\">P<\/jats:styled-content>s<jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>, quality of life and psychological state in patients with <jats:styled-content style=\"fixed-case\">P<\/jats:styled-content>s<jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Forty\u2010one patients with <jats:styled-content style=\"fixed-case\">P<\/jats:styled-content>s<jats:styled-content style=\"fixed-case\">A<\/jats:styled-content> and 38 healthy volunteers were included in this study. In both patients and healthy controls, sleep quality was assessed by means of the <jats:styled-content style=\"fixed-case\">P<\/jats:styled-content>ittsburgh <jats:styled-content style=\"fixed-case\">S<\/jats:styled-content>leep <jats:styled-content style=\"fixed-case\">Q<\/jats:styled-content>uality <jats:styled-content style=\"fixed-case\">I<\/jats:styled-content>ndex (<jats:styled-content style=\"fixed-case\">PSQI<\/jats:styled-content>) and anxiety and depression were assessed by means of the <jats:styled-content style=\"fixed-case\">H<\/jats:styled-content>ospital <jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>nxiety and <jats:styled-content style=\"fixed-case\">D<\/jats:styled-content>epression <jats:styled-content style=\"fixed-case\">S<\/jats:styled-content>cale (<jats:styled-content style=\"fixed-case\">HADS<\/jats:styled-content>). In addition, <jats:styled-content style=\"fixed-case\">P<\/jats:styled-content>s<jats:styled-content style=\"fixed-case\">A Q<\/jats:styled-content>uality of <jats:styled-content style=\"fixed-case\">L<\/jats:styled-content>ife (<jats:styled-content style=\"fixed-case\">P<\/jats:styled-content>s<jats:styled-content style=\"fixed-case\">AQ<\/jats:styled-content>o<jats:styled-content style=\"fixed-case\">L<\/jats:styled-content>) <jats:styled-content style=\"fixed-case\">I<\/jats:styled-content>ndex and <jats:styled-content style=\"fixed-case\">P<\/jats:styled-content>soriasis <jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>rea and <jats:styled-content style=\"fixed-case\">S<\/jats:styled-content>everity <jats:styled-content style=\"fixed-case\">I<\/jats:styled-content>ndex (<jats:styled-content style=\"fixed-case\">PASI<\/jats:styled-content>) were used on patients. Generalized pain was assessed by means of a visual analogue scale (<jats:styled-content style=\"fixed-case\">VAS<\/jats:styled-content>).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Subjective sleep quality, sleep latency, sleep duration, habitual sleep efficiency, sleep disturbance, daytime dysfunction and total <jats:styled-content style=\"fixed-case\">PSQI<\/jats:styled-content> scores were significantly higher in patients with <jats:styled-content style=\"fixed-case\">P<\/jats:styled-content>s<jats:styled-content style=\"fixed-case\">A<\/jats:styled-content> compared to healthy controls. Total <jats:styled-content style=\"fixed-case\">PSQI<\/jats:styled-content> scores significantly correlated with anxiety, generalized pain, <jats:styled-content style=\"fixed-case\">P<\/jats:styled-content>s<jats:styled-content style=\"fixed-case\">AQ<\/jats:styled-content>o<jats:styled-content style=\"fixed-case\">L<\/jats:styled-content> scores, enthesitis and levels of <jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>\u2010reactive protein (<jats:styled-content style=\"fixed-case\">CPR<\/jats:styled-content>) and erythrocyte sedimentation rate (<jats:styled-content style=\"fixed-case\">ESR<\/jats:styled-content>) (<jats:italic>P<\/jats:italic>\u00a0&lt;\u00a00.05). Also, multiple regression analysis indicated that <jats:styled-content style=\"fixed-case\">ESR<\/jats:styled-content> level was independently associated with total <jats:styled-content style=\"fixed-case\">PSQI<\/jats:styled-content> score (<jats:italic>P\u00a0<\/jats:italic>&lt;<jats:italic>\u00a0<\/jats:italic>0.05, <jats:italic>R<\/jats:italic><jats:sup>2<\/jats:sup>\u00a0=\u00a00.325).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Sleep quality is diminished in patients with <jats:styled-content style=\"fixed-case\">P<\/jats:styled-content>s<jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>. Sleep disturbance is particularly associated with generalized pain, anxiety, enthesitis and levels of <jats:styled-content style=\"fixed-case\">CRP<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">ESR<\/jats:styled-content> in patients carrying the diagnosis of <jats:styled-content style=\"fixed-case\">P<\/jats:styled-content>s<jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1756-185x.12505","type":"journal-article","created":{"date-parts":[[2014,11,1]],"date-time":"2014-11-01T11:53:38Z","timestamp":1414842818000},"page":"1212-1218","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":68,"title":["Sleep quality in patients with psoriatic arthritis"],"prefix":"10.1111","volume":"20","author":[{"given":"Orhan","family":"Gezer","sequence":"first","affiliation":[{"name":"Department of Physical Medicine and Rehabilitation Faculty of Medicine Dicle University 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