Objective and Subjective Sleep Disturbances in Patients with Rheumatoid Arthritis

Hirsch, Marco; Carlander, Bertrand; Vergé, Monick; Tafti, Mehdi; Anaya, Juan‐Manuel; Billiard, Michel; Sany, Jacques

doi:10.1002/art.1780370107

Cited by 129Sleep and related disordersRheumatoid Arthritis Research and TherapiesObstructive Sleep Apnea Research

Objective and Subjective Sleep Disturbances in Patients with Rheumatoid Arthritis

Hirsch, Marco, Carlander, Bertrand, Vergé, Monick, Tafti, Mehdi, Anaya, Juan‐Manuel, Billiard, Michel, Sany, Jacques·1994·Arthritis & Rheumatism

DOI 10.1002/art.1780370107

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Abstract

Objective. To assess objective and subjective evidence of sleep disturbances in patients with rheumatoid arthritis (RA) and to examine correlations between parameters of inflammatory activity and sleep pathology. Methods. Nineteen RA patients and 19 age‐matched healthy control subjects underwent all‐night polysomnography on 2 consecutive nights. RA patients were also evaluated for daytime sleepiness by mean sleep latency test and responded to a self‐report questionnaire on their first night. Results. Whereas normal sleep architecture is conserved in RA, we confirmed former findings of severe sleep fragmentation and an enhanced presence of primary sleep disorders. No correlation exists between RA activity and the sleep disorders. Subjective assessment was not consistent with the objective evidence of sleep disruption, unlike the findings in patients with fibrositis. Conclusion. Sleep is severly disturbed in patients with RA, regardless of the inflammatory disease activity. the specificity of the sleep disorders assessed needs confirmation, as does specific sleep therapy for these patients.

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Authors: Hirsch, M., Carlander, B., Vergé, M., Tafti, M., Anaya, J., Billiard, M., & Sany, J.
Affiliations: Université de Montpellier (FR)
Corresponding author: Sany, Jacques
ORCID: Hirsch, Marco
Tafti, Mehdi
Anaya, Juan‐Manuel
Venue: Arthritis & Rheumatism
Publisher: Wiley
Published: 1994-01
Volume: 37
Issue: 1
Pages: 41-49
ISSN: 0004-3591 (ISSN-L)
1529-0131
DOI: 10.1002/art.1780370107
OpenAlex: W1994020405
Cited by: 129
References: 70
Citations by year: 2026: 2 · 2025: 1 · 2024: 3 · 2023: 5 · 2022: 4 · 2021: 5 · 2020: 4 · 2019: 4 · 2018: 4 · 2017: 2 · 2016: 3 · 2015: 5 · 2014: 2 · 2013: 3 · 2012: 11
FWCI: 4.45
Type: journal article
Language: en
Open access: closed
Licence: onlinelibrary.wiley.com/termsAndConditions#vor (vor, 4360 d)
Locations: Arthritis & Rheumatism (publishedVersion)
PubMed (publishedVersion)
Digital Access to Libraries (submittedVersion)
Topics: Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
Health Sciences › Medicine › Rheumatology › Rheumatoid Arthritis Research and Therapies
Health Sciences › Medicine › Physiology › Obstructive Sleep Apnea Research
Keywords: rheumatoid arthritis, sleep disorders, sleep fragmentation, primary sleep disorders, sleep architecture, daytime sleepiness, inflammatory disease activity, polysomnography, sleep therapy
MeSH terms: Adult, Aged, Arthritis, Rheumatoid, Electroencephalography, Female, Humans, Male, Middle Aged, Prospective Studies, Surveys and Questionnaires, Sleep Wake Disorders, Sleep Stages, Sleep, REM, Somnambulism

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Objective and Subjective Sleep Disturbances in Patients with Rheumatoid Arthritis

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