Sleep quality and the dermatology life quality index in chronic inflammatory skin diseases
CUKUROVA MEDICAL JOURNAL, cilt.51, sa.3, ss.691-701, 2026 (ESCI, TRDizin)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 51 Sayı: 3
- Basım Tarihi: 2026
- Doi Numarası: 10.17826/cumj.1919626
- Dergi Adı: CUKUROVA MEDICAL JOURNAL
- Derginin Tarandığı İndeksler: Emerging Sources Citation Index (ESCI), Directory of Open Access Journals, TR DİZİN (ULAKBİM), Academic Search Ultimate (EBSCO)
- Sayfa Sayıları: ss.691-701
- Açık Arşiv Koleksiyonu: AVESİS Açık Erişim Koleksiyonu
- Hatay Mustafa Kemal Üniversitesi Adresli: Evet
Özet
Purpose: This study evaluated sleep quality in patients with Chronic inflammatory skin diseases (CISD) and examined its association with dermatology-related quality of life, pruritus severity, clinical characteristics, lifestyle factors, and comorbidities. Materials and Methods: This single-center crosssectional study included 200 adult patients with atopic dermatitis, chronic spontaneous urticaria, lichen planus, psoriasis. Participants completed the Pittsburgh Sleep Quality Index (PSQI), Dermatology Life Quality Index (DLQI), and a visual analogue scale for pruritus. Results: After exclusion of five patients with incomplete data, 195 participants were included in the final analysis. Poor sleep quality (PSQI>5) was present in 100 patients (51.3%), and the mean PSQI and DLQI scores were 5.8 +/- 3.5 and 6.5 +/- 6.1, respectively. Poor sleep quality was observed in 63.4% of patients with atopic dermatitis, 58.0% with psoriasis, 45.8% with chronic spontaneous urticaria, and 40.0% with lichen planus. Higher DLQI scores (OR 1.11, 95% CI 1.05-1.18), psychiatric comorbidity (OR 29.59, 95% CI 3.82-228.93), and occasional alcohol consumption (OR 3.29, 95% CI 1.06-10.20) were independent predictors of poor sleep quality. Patients reporting a strong perceived impact of skin disease on sleep had a markedly higher frequency of DLQI scores above the median than those reporting no sleep impact (83.9% vs 30.0%). Conclusions: Sleep quality is markedly impaired patients with CISDs and is strongly associated with dermatology-related quality of life, psychiatric comorbidity, and alcohol use. These findings highlight the importance of a multidisciplinary approach aimed improving sleep and overall well-being in patients with CISD.