{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,17]],"date-time":"2026-10-17T17:49:50Z","timestamp":1792259390732,"version":"4.4.0"},"reference-count":29,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T00:00:00Z","timestamp":1792022400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Phlebology"],"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study aimed to comparatively evaluate sleep quality in individuals with lipedema and healthy controls. In addition, the relationships between sleep quality and depression, anxiety, fatigue, and clinical parameters were investigated.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This cross-sectional study included 30 women with lipedema and 30 healthy female controls aged 18\u201375 years. Pain severity in individuals with lipedema was assessed using the Visual Analog Scale (VAS). Lipedema stage, comorbidities, and symptom duration were also recorded. Sleep quality was evaluated using the Pittsburgh Sleep Quality Index (PSQI), depressive and anxiety-related symptoms were assessed using the Beck Depression Inventory (BDI) and Beck Anxiety Inventory (BAI), and fatigue severity was evaluated using the Fatigue Severity Scale (FSS).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Individuals with lipedema had significantly higher BDI, BAI, and FSS scores than controls (all\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; 0.001 except BDI,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = 0.001). Sleep quality was significantly poorer in the lipedema group (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; 0.001). Among PSQI subcomponents, subjective sleep quality, sleep latency, sleep duration, habitual sleep efficiency, sleep disturbances, and daytime dysfunction were significantly worse in individuals with lipedema, while sleep medication use was similar between groups (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &gt; 0.05). In the lipedema group, PSQI scores were positively correlated with depressive (r = 0.489,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = 0.006) and anxiety symptoms (r = 0.386,\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = 0.035). No significant associations were found between sleep quality and age, anthropometric measurements, education duration, pain severity, lipedema stage, symptom duration, or fatigue severity.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This study demonstrated poorer sleep quality in individuals with lipedema compared to healthy controls. Sleep quality was also associated with depressive and anxiety-related symptoms, highlighting an association between psychological symptoms and sleep problems in individuals with lipedema.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/02683555261499144","type":"journal-article","created":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T23:05:43Z","timestamp":1792105543000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["The relationship between sleep quality and pain, fatigue, and mood in individuals with lipedema"],"prefix":"10.1177","author":[{"given":"Nur","family":"Kesikta\u015f","sequence":"first","affiliation":[{"name":"Istanbul Physical Medicine and Rehabilitation Education and Research Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sedef","family":"Ersoy","sequence":"additional","affiliation":[{"name":"Istanbul Physical Medicine and Rehabilitation Education and Research Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8519-1747","authenticated-orcid":false,"given":"B\u00fc\u015fra","family":"\u015eirin Ah\u0131sha","sequence":"additional","affiliation":[{"name":"Istanbul Physical Medicine and Rehabilitation Education and Research Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,10,15]]},"reference":[{"key":"e_1_3_8_2_2","doi-asserted-by":"publisher","DOI":"10.1097\/GOX.0000000000001043"},{"key":"e_1_3_8_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0025-6196(25)37697-4"},{"key":"e_1_3_8_4_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12905-022-02022-3"},{"key":"e_1_3_8_5_2","doi-asserted-by":"publisher","DOI":"10.1111\/dth.14364"},{"key":"e_1_3_8_6_2","doi-asserted-by":"publisher","DOI":"10.1089\/lrb.2023.0038"},{"key":"e_1_3_8_7_2","doi-asserted-by":"publisher","DOI":"10.1590\/1806-9282.20250274"},{"key":"e_1_3_8_8_2","doi-asserted-by":"publisher","DOI":"10.1177\/15578585251387100"},{"key":"e_1_3_8_9_2","doi-asserted-by":"publisher","DOI":"10.1111\/ddg.15513"},{"key":"e_1_3_8_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/0165-1781(89)90047-4"},{"key":"e_1_3_8_11_2","first-page":"3","article-title":"A reliability and validity study of beck depression inventory in a university student sample","volume":"7","author":"Hisli N","year":"1989","unstructured":"Hisli N. A reliability and validity study of beck depression inventory in a university student sample. Psikoloji Dergisi 1989; 7: 3\u201313.","journal-title":"Psikoloji Dergisi"},{"key":"e_1_3_8_12_2","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.1961.01710120031004"},{"key":"e_1_3_8_13_2","doi-asserted-by":"publisher","DOI":"10.1037\/0022-006X.56.6.893"},{"key":"e_1_3_8_14_2","first-page":"163","article-title":"Turkish version of the beck anxiety inventory: psychometric properties","author":"Ulusoy M","year":"1998","unstructured":"Ulusoy M, SN and EH. Turkish version of the beck anxiety inventory: psychometric properties. J Cognit Psychother 1998: 163\u2013172.","journal-title":"J Cognit Psychother"},{"key":"e_1_3_8_15_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00296-010-1558-3"},{"key":"e_1_3_8_16_2","doi-asserted-by":"publisher","DOI":"10.1001\/archneur.1989.00520460115022"},{"key":"e_1_3_8_17_2","doi-asserted-by":"publisher","DOI":"10.1007\/s40629-016-0006-7"},{"key":"e_1_3_8_18_2","doi-asserted-by":"publisher","DOI":"10.3390\/bs13100861"},{"issue":"2","key":"e_1_3_8_19_2","first-page":"82","article-title":"Effect of depression, anxiety, and rumination on sleep quality in healthcare workers","volume":"31","author":"Y\u0131ld\u0131z M","year":"2024","unstructured":"Y\u0131ld\u0131z M. Effect of depression, anxiety, and rumination on sleep quality in healthcare workers. Med J 2024; 31(2): 82\u201388. https:\/\/doi.org\/10.5505\/vmj.2024.14633","journal-title":"Med J"},{"key":"e_1_3_8_20_2","doi-asserted-by":"publisher","DOI":"10.1590\/s0004-2803.201700000-08"},{"key":"e_1_3_8_21_2","doi-asserted-by":"publisher","DOI":"10.1155\/2024\/7102081"},{"key":"e_1_3_8_22_2","doi-asserted-by":"publisher","DOI":"10.1177\/1359105317751615"},{"key":"e_1_3_8_23_2","doi-asserted-by":"publisher","DOI":"10.3389\/fgwh.2025.1629077"},{"key":"e_1_3_8_24_2","doi-asserted-by":"publisher","DOI":"10.17219\/acem\/181146"},{"key":"e_1_3_8_25_2","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph192013679"},{"key":"e_1_3_8_26_2","doi-asserted-by":"crossref","first-page":"e20210198","DOI":"10.1590\/1677-5449.202101981","article-title":"Preval\u00eancia e fatores de risco para lipedema no Brasil","volume":"21","author":"Amato ACM","year":"2022","unstructured":"Amato ACM, Amato FCM, Amato JLS, et al. Preval\u00eancia e fatores de risco para lipedema no Brasil. J Vasc Bras 2022; 21: e20210198. https:\/\/doi.org\/10.1590\/1677-5449.202101981","journal-title":"J Vasc Bras"},{"key":"e_1_3_8_27_2","doi-asserted-by":"publisher","DOI":"10.3390\/life14030295"},{"key":"e_1_3_8_28_2","doi-asserted-by":"publisher","DOI":"10.1177\/02683555251410009"},{"key":"e_1_3_8_29_2","doi-asserted-by":"publisher","DOI":"10.1111\/ijd.70227"},{"key":"e_1_3_8_30_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41467-025-68232-z"}],"container-title":["Phlebology: The Journal of Venous Disease"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/02683555261499144","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/02683555261499144","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/02683555261499144","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,17]],"date-time":"2026-10-17T17:20:40Z","timestamp":1792257640000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/02683555261499144"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10,15]]},"references-count":29,"alternative-id":["10.1177\/02683555261499144"],"URL":"https:\/\/doi.org\/10.1177\/02683555261499144","relation":{},"ISSN":["0268-3555","1758-1125"],"issn-type":[{"value":"0268-3555","type":"print"},{"value":"1758-1125","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10,15]]},"article-number":"02683555261499144"}}