본문 바로가기
KERD
논문KCI 등재

Evaluation of Sleep Patterns and Chronotypes in Spanish Women With Fibromyalgia Syndrome: A Descriptive Cross-Sectional Study

1

조회

0

다운로드

0

인용

0

참고문헌

키워드

초록

Objectives: This study aimed to investigate sleep patterns and chronotypes in Spanish women diagnosed with fibromyalgia syndrome (FMS).Methods: A descriptive, cross-sectional observational study following the Strengthening the Reporting of Observational Studies in Epidemiology guidelines was conducted from March 1, 2024, to June 10, 2024, at the Fibromyalgia and Chronic Fatigue Syndrome Association of Tenerife (San Cristóbal de La Laguna, Spain).Results: A total of 73 women, with a mean age of 56.15±6.47 years, diagnosed with FMS were enrolled. Bedtime habits and wake-up times showed significant variability, reflecting individual differences in sleep chronotype preferences among the participants. The Pittsburgh Sleep Quality Index revealed a mean score of 11.62±0.92, indicating substantial challenges in sleep quality among participants with FMS. Sleep efficiency was low, averaging 14.86%±0.34%, and there was a significant discrepancy in sleep duration between workdays and free days, with an average difference of 2.0±0.5 h. The participants reported compensatory sleep through an average of two naps per day, each lasting 40 min.Conclusions: Participants with FMS experienced poor sleep quality, characterized by variability in sleep patterns between workdays and free days, along with significant social jet lag. Low sleep efficiency suggests a prevalent sleep debt, which the participants attempted to mitigate through frequent and extended napping.

Abstract

Objectives: This study aimed to investigate sleep patterns and chronotypes in Spanish women diagnosed with fibromyalgia syndrome (FMS).Methods: A descriptive, cross-sectional observational study following the Strengthening the Reporting of Observational Studies in Epidemiology guidelines was conducted from March 1, 2024, to June 10, 2024, at the Fibromyalgia and Chronic Fatigue Syndrome Association of Tenerife (San Cristóbal de La Laguna, Spain).Results: A total of 73 women, with a mean age of 56.15±6.47 years, diagnosed with FMS were enrolled. Bedtime habits and wake-up times showed significant variability, reflecting individual differences in sleep chronotype preferences among the participants. The Pittsburgh Sleep Quality Index revealed a mean score of 11.62±0.92, indicating substantial challenges in sleep quality among participants with FMS. Sleep efficiency was low, averaging 14.86%±0.34%, and there was a significant discrepancy in sleep duration between workdays and free days, with an average difference of 2.0±0.5 h. The participants reported compensatory sleep through an average of two naps per day, each lasting 40 min.Conclusions: Participants with FMS experienced poor sleep quality, characterized by variability in sleep patterns between workdays and free days, along with significant social jet lag. Low sleep efficiency suggests a prevalent sleep debt, which the participants attempted to mitigate through frequent and extended napping.

참고문헌 (62)

  1. Siracusa R, "Fibromyalgia : pathogenesis, mechanisms, diagnosis and treatment options update", Int J Mol Sci, 22, pp.3891~ (2021)[DOI]
  2. Sarzi-Puttini P, "Fibromyalgia : an update on clinical characteristics, aetiopathogenesis and treatment", Nat Rev Rheumatol, 16, pp.645~660 (2020)[DOI]
  3. Spaeth M, "Epidemiology, costs, and the economic burden of fibromyalgia", Arthritis Res Ther, 11, pp.117~ (2009)[DOI]
  4. Cabo-Meseguer A, "Fibromyalgia:prevalence, epidemiologic profiles and economic costs", Med Clin(Barc), 149, pp.441~448 (2017)[DOI]
  5. Winkelmann A, "Impact of fibromyalgia severity on health economic costs : results from a European cross-sectional study", Appl Health Econ Health Policy, 9, pp.125~136 (2011)[DOI]
  6. Latremoliere A, "Central sensitization : a generator of pain hypersensitivity by central neural plasticity", J Pain, 10, pp.895~926 (2009)[DOI]
  7. Harte SE, "The neurobiology of central sensitization", J Appl Behav Res, 23, pp.e12137~ (2018)[DOI]
  8. Latremoliere A, "Synaptic plasticity and central ssensitization : author reply", J Pain, 11, pp.801~803 (2010)[DOI]
  9. Ji RR, "Neuroinflammation and central sensitization in chronic and widespread pain", Anesthesiology, 129, pp.343~366 (2018)[DOI]
  10. Galvez-Sánchez CM, "Psychological impact of fibromyalgia : current perspectives", Psychol Res Behav Manag, 12, pp.117~127 (2019)[DOI]
  11. Vanhaudenhuyse A, "Psychological interventions influence patients’ attitudes and beliefs about their chronic pain", J Tradit Complement Med, 8, pp.296~302 (2017)[DOI]
  12. Martín Pérez SE, "Social support in low-income women with fibromyalgia syndrome from a sub-urban and peri-urban areas of Tenerife(Canary Islands, Spain) : a mixed method study", J Patient Rep Outcomes, 7, pp.135~ (2023)[DOI]
  13. Dinges DF, "Cumulative sleepiness, mood disturbance, and psychomotor vigilance performance decrements during a week of sleep restricted to 4–5 hours per night", Sleep, 20, pp.267~277 (1997)[DOI]
  14. Lautenbacher S, "Sleep deprivation and pain perception", Sleep Med Rev, 10, pp.357~369 (2006)[DOI]
  15. Singh R, "Impact of fibromyalgia severity on patients mood, sleep quality, and quality of life", J Neurosci Rural Pract, 15, pp.320~326 (2024)[DOI]
  16. Nijs J, "Sleep disturbances in chronic pain : neurobiology, assessment, and treatment in physical therapist practice", Phys Ther, 98, pp.325~335 (2018)[DOI]
  17. Diaz-Piedra C, "Sleep disturbances in fibromyalgia syndrome : the role of clinical and polysomnographic variables explaining poor sleep quality in patients", Sleep Med, 16, pp.917~925 (2015)[DOI]
  18. Nicassio PM, "The contribution of pain, reported sleep quality, and depressive symptoms to fatigue in fibromyalgia", Pain, 100, pp.271~279 (2002)[DOI]
  19. Bigatti SM, "Sleep disturbances in fibromyalgia syndrome : relationship to pain and depression", Arthritis Rheum, 59, pp.961~967 (2008)[DOI]
  20. Leon-Llamas JL, "Relationship between pineal gland, sleep and melatonin in fibromyalgia women : a magnetic resonance imaging study", Acta Neuropsychiatr, 34, pp.77~85 (2022)[DOI]
  21. Riemann D, "Chronic insomnia and MRI-measured hippocampal volumes : a pilot study", Sleep, 30, pp.955~958 (2007)[DOI]
  22. Chang JR, "The differential effects of sleep deprivation on pain perception in individuals with or without chronic pain : a systematic review and meta-analysis", Sleep Med Rev, 66, pp.101695~ (2022)[DOI]
  23. Zhu M, "The underlying mechanisms of sleep deprivation exacerbating neuropathic pain", Nat Sci Sleep, 15, pp.579~591 (2023)[DOI]
  24. Smith MT, "The effects of sleep deprivation on pain inhibition and spontaneous pain in women", Sleep, 30, pp.494~505 (2007)[DOI]
  25. Yang Y, "Hippocampal atrophy in neurofunctional subfields in insomnia individuals", Front Neurol, 13, pp.1014244~ (2022)[DOI]
  26. D’Agnelli S, "Fibromyalgia : genetics and epigenetics insights may provide the basis for the development of diagnostic biomarkers", Mol Pain, 15, pp.1744806918819944~ (2019)[DOI]
  27. Roenneberg T, "The circadian clock and human health", Curr Biol, 26, pp.R432~R443 (2016)[DOI]
  28. Kantermann T, "The human circadian clock’s seasonal adjustment is disrupted by daylight saving time", Curr Biol, 17, pp.1996~2000 (2007)[DOI]
  29. Vandenbroucke JP, "Strengthening the reporting of observational studies in epidemiology (STROBE): explanation and elaboration", Curr Pediatr, 21, pp.173~208 (2022)[DOI]
  30. Häuser W, "Modified 2016 American College of Rheumatology fibromyalgia criteria, the analgesic, anesthetic, and addiction clinical trial translations innovations opportunities and networks–American Pain Society pain taxonomy, and the prevalence of fibromyalgia", Arthritis Care Res(Hoboken), 73, pp.617~625 (2021)[DOI]
  31. Cheatham SW, "Concurrent validity of pain scales in individuals with myofascial pain and fibromyalgia", J Bodyw Mov Ther, 22, pp.355~360 (2018)[DOI]
  32. Rivera J, "The fibromyalgia impact questionnaire : a validated Spanish version to assess the health status in women with fibromyalgia", Clin Exp Rheumatol, 22, pp.554~560 (2004)
  33. Hita-Contreras F, "Reliability and validity of the Spanish version of the Pittsburgh sleep quality index(PSQI)in patients with fibromyalgia", Rheumatol Int, 34, pp.929~936 (2014)[DOI]
  34. Roenneberg T, "Life between clocks : daily temporal patterns of human chronotypes", J Biol Rhythms, 18, pp.80~90 (2003)[DOI]
  35. Kleinman L, "Assessment of sleep in patients with fibromyalgia : qualitative development of the fibromyalgia sleep diary", Health Qual Life Outcomes, 12, pp.111~ (2014)[DOI]
  36. Faul F, "G*Power 3 : a flexible statistical power analysis program for the social, behavioral, and biomedical sciences", Behav Res Methods, 39, pp.175~191 (2007)[DOI]
  37. Seoane-Mato D, "Prevalence of rheumatic diseases in adult population in Spain(EPISER 2016 study) : aims and methodology", Reumatol Clin(Engl Ed), 15, pp.90~96 (2019)[DOI]
  38. Wu YL, "Sleep disturbances in fibromyalgia : a meta-analysis of case-control studies", J Psychosom Res, 96, pp.89~97 (2017)[DOI]
  39. Osorio CD, "Sleep quality in patients with fibromyalgia using the Pittsburgh sleep quality index", J Rheumatol, 33, pp.1863~1865 (2006)
  40. Miró E, "When is pain related to emotional distress and daily functioning in fibromyalgia syndrome? The mediating roles of self-efficacy and sleep quality", Br J Health Psychol, 16, pp.799~814 (2011)[DOI]
  41. Andrade A, "The relationship between sleep quality and fibromyalgia symptoms", J Health Psychol, 25, pp.1176~1186 (2020)[DOI]
  42. Lee YC, "The role of sleep problems in central pain processing in rheumatoid arthritis", Arthritis Rheum, 65, pp.59~68 (2013)[DOI]
  43. Wolfe F, "Sleep disturbance in patients with rheumatoid arthritis : evaluation by medical outcomes study and visual analog sleep scales", J Rheumatol, 33, pp.1942~1951 (2006)
  44. Theadom A, "Daytime napping associated with increased symptom severity in fibromyalgia syndrome", BMC Musculoskelet Disord, 16, pp.13~ (2015)[DOI]
  45. Ohayon MM, "Prevalence of insomnia and sleep characteristics in the general population of Spain", Sleep Med, 11, pp.1010~1018 (2010)[DOI]
  46. Wittmann M, "Social jetlag : misalignment of biological and social time", Chronobiol Int, 23, pp.497~509 (2006)[DOI]
  47. Tan C, "The relationship between social jetlag and subjective sleep quality : differences in young and middle-aged workers", Sleep Biol Rhythms, 21, pp.7~12 (2022)[DOI]
  48. Koopman ADM, "The association between social jetlag, the metabolic syndrome, and type 2 diabetes mellitus in the general population : the new Hoorn study", J Biol Rhythms, 32, pp.359~368 (2017)[DOI]
  49. Mota MC, "Association between social jetlag food consumption and meal times in patients with obesity-related chronic diseases", PLoS One, 14, pp.e0212126~ (2019)[DOI]
  50. Minabe K, "Association between social jetlag and weight and fat reduction in dieting", Sleep Biol Rhythms (2024)[DOI]
  51. Çakit O, "Coexistence of fibromyalgia and metabolic syndrome in females : the effects on fatigue, clinical features, pain sensitivity, urinary cortisol and norepinephrine levels : a cross-sectional study", Arch Rheumatol, 36, pp.26~37 (2020)[DOI]
  52. Loevinger BL, "Metabolic syndrome in women with chronic pain", Metabolism, 56, pp.87~93 (2007)[DOI]
  53. Kantermann T, "Fibromyalgia syndrome and chronotype : late chronotypes are more affected", J Biol Rhythms, 27, pp.176~179 (2012)[DOI]
  54. Zerbini G, "Relationship between chronotype and pain threshold in a sample of young healthy adults", Pain Rep, 8, pp.e1085~ (2023)[DOI]
  55. Barclay NL, "Associations between diurnal preference, sleep quality and externalizing behaviours a behavioural genetic analysis", Psychol Med, 41, pp.1029~1040 (2011)[DOI]
  56. Conlin A, "The association between chronotype and wages at mid-age", Econ Hum Biol, 50, pp.101266~ (2023)[DOI]
  57. Roenneberg T, "Social jetlag and obesity", Curr Biol, 22, pp.939~943 (2012)[DOI]
  58. Bouman EJ, "Social jet lag and(changes in)glycemic and metabolic control in people with type 2 diabetes", Obesity(Silver Spring), 31, pp.945~954 (2023)[DOI]
  59. Dinges DF, "Why we nap", pp.118~134 (1992), Birkhäuser
  60. Dijk DJ, "Circadian and sleep", wake dependent aspects of subjective alertness and cognitive performance, 1992, pp.1, 112~117
  61. Ohayon MM, "Meta-analysis of quantitative sleep parameters from childhood to old age in healthy individuals : developing normative sleep values across the human lifespan", Sleep, 27, pp.1255~1273 (2004)[DOI]
  62. Watson NF, "Recommended amount of sleep for a healthy adult : a joint consensus statement of the American Academy of Sleep Medicine and Sleep Research Society", Sleep, 38, pp.843~844 (2015)[DOI]

관련 논문AI추천

이 간행물의 다른 논문 (8건)