Volume 6 Supplement 1

15thPaediatric Rheumatology European Society (PreS) Congress

Open Access

Sleep, fatigue and quality of life in juvenile idiopathic arthritis (JIA) and Juvenile Dermatomyositis (JDM)

  • Y Butbul Avie1,
  • R Stremler1,
  • J Stinson1,
  • R Schneider1,
  • RM Laxer1,
  • L Spiegel1,
  • B Cameron1,
  • ED Silverman1 and
  • BM Feldman1
Pediatric Rheumatology20086(Suppl 1):P51

DOI: 10.1186/1546-0096-6-S1-P51

Published: 15 September 2008

Objective

To determine the prevalence of abnormal sleep in JIA and JDM and its relationship to pain, dysfunction, disease activity and medications.

Materials and methods

155 patients (115 – JIA, 40 – JDM) were randomly sampled and were mailed questionnaires. Sleep was assessed by Sleep Self – Report (SSR) and Children's Sleep Habits Questionnaires (CSHQ). Fatigue, pain and function was assessed by PedsQL. Disease activity was assessed by VAS Joint counts were self reported.

Results

81% responded. 44% reported abnormal sleep (CSHQ > 41); there were no differences between disease groups.

Sleep self report was highly correlated with PedsQL fatigue (R2 = 0.31, p < 0.0001).

Fatigue was highly correlated with quality of life (R2 = 0.6, p < 0.0001).

The worse pain intensity in the last week was correlated to sleep disturbance (R2 = 0.1, p = 0.0005).

Fatigue was related to prednisone and methotrexate use as reported by patients and parents.

Conclusion

Sleep disturbance and fatigue are prevalent among children with different rheumatic diseases. Sleep disturbance and fatigue are strongly related to increases in pain and decreases in quality of life. Strategies aimed at improving sleep should be studied as possible ways of improving quality of life for children with rheumatic illness.

Authors’ Affiliations

(1)
Division of Rheumatology, The Hospital for Sick Children, Departments of Pediatrics, Medicine, HPME and PHS, University of Toronto

Copyright

© Avie et al; licensee BioMed Central Ltd. 2008

This article is published under license to BioMed Central Ltd.

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