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Sleep Impairment Common in Persons with AD

Dermatitis; ePub 2018 Aug 31; Li, Fishbein, et al

Sleep disturbances (SD) and sleep-related impairment (SRI) are common in adults with atopic dermatitis (AD), particularly those with severe diseases, according to a recent study. Therefore, SD and SRI should be considered when assessing burden of AD and therapeutic decisions. Researchers conducted a prospective online questionnaire-based study of 287 adults with AD, including assessment of AD severity by Patient-Oriented Eczema Measure (POEM), self-reported global AD severity, Self-Assessed Eczema Area and Severity Index and visual analog scale-itch, POEM Information System SD and SRI individual items, and T scores. They found:

  • Adults with AD commonly endorsed all SD and SRI symptoms examined; only 58 (21.8%) reported having good or very good sleep quality in the past week.
  • However, only a minority of adults with AD endorsed a more profound impact from these individual aspects of SD and SRI in the past week or POEM Information System T scores >55.
  • In particular, SD and SRI were associated with severe or very severe AD.
  • Sleep-related impairment was also associated with comorbid hay fever and/or anxiety.

Li J, Fishbein A, Singam V, et al. Sleep disturbance and sleep-related impairment in adults with atopic dermatitis: A cross-sectional. [Published online ahead of print August 31, 2018]. Dermatitis. doi:10.1097/DER.0000000000000401.