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Surveying sleep quality and fatigue in multiple sclerosis patients

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  • Surveying sleep quality and fatigue in multiple sclerosis patients

    Neurobiology of Sleep and Circadian Rhythms
    Volume 8, May 2020, 100050

    Surveying sleep quality and fatigue in multiple sclerosis patients at a multiple sclerosis center in Kermanshah, Iran, in 2017

    Saba Karimi, Milad Jalilian, et al


    Multiple sclerosis (MS) is an autoimmune disease of the nervous system which appears with de-myelination of the central nervous system. Sleep disorder and fatigue are very common in MS patients and are part of the main debilitating factors in patients. The present study was conducted to survey sleep quality and fatigue in MS patients.

    A descriptive-analytical study was conducted on 87 MS patients, who were referred to the Kermanshah MS Center in 2017. Data collection tools include a demographics form, fatigue severity scale, and Pittsburg sleep quality inventory. The questionnaires were self-reporting. The collected data was analyzed in SPSS23.

    The mean age of the participants was 35.509.25 years and the majority of the participants were married (54; 62.1%). Quality of sleep was related to family history of MS and history of using medications (antidepressants like tricyclics, MAOIs, SSRIs, and SNRIs and anxiety drugs such as diazepam, oxazepam, and alprazolam (p < 0.05). Moreover, there was a significant relationship between length of sleep and history of using medicines (p < 0.05). Finally, the results showed that there was a strong statistical relationship between performance during the day and fatigue (p < 0.05).

    The results recommend holding relaxation and exercise courses by nurses to ease fatigue in MS patients. Clinics can also play a more effective role by being more supportive and holding more efficient training programs. The program is taught by the researchers.

    Trial registration
    This study was carried out following the permission from Ethics Committee, Department of Research and Technology, Kermanshah University of Medical Sciences (approval number: KUMS.REC.1395.680).

    Dave Bexfield

  • #2
    Interesting article Dave. I wasnt surprised by finding that sleep disorders are associated with fatigue. I didnt see if sleep disorders common to People with MS have been defined in order to treat???. I was, however, surprised that it found there is no significant relationship between quality of sleep and fatigue. And that married people with MS were more likely to be fatigued than single people with MS! Not sure what to do that particular piece of info.