Jennifer E Lansford, Kenneth A Dodge, Gregory S Pettit, John E Bates
A Public Health Perspective on School Dropout and Adult Outcomes: A Prospective Study of Risk and Protective Factors From Age 5 to 27 Years
The Journal of adolescent health : official publication of the Society for Adolescent Medicine
study whether poor sleep comorbidities associated high symptom levels patient reported outcomes pros pain patient global assessment fatigue patients rheumatoid arthritis ra psoriatic arthritis psa nationwide crosssectional setting clinical data extracted finnish rheumatology quality register 12021 92022 selfreported sleep categorized good littleno difficulties poor great difficultiescant sleep data concerning comorbidities collected national registers descriptive statistics used regression analyses applied analyze independent associations sleep status comorbidities disease activity pain ra psa adjusting age sex among 13512 patients ra 6052 mean sd age 6213 71 female sleep status reported psa 18613636 age 5513 48 female ra 507284 reported good 98016 poor sleep corresponding numbers psa 146078 40122 median values objective disease activity low similar patients poor sleep good sleep diseases among patients swollen joints median values pros approximately 3 times higher patients poor sleep vs good sleep diagnoses p0001 regression analyses poor sleep independently associated higher symptoms pain b95ci 20 1822 ra 23 19 26 psa followed comorbid fibromyalgia well depression ra sleep apnea psa poor sleep quality comorbidities independently associated pain patients sleep status important know especially patients severe symptoms without objective disease activity