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Understanding the experience of sleep disturbance in psoriasis:a qualitative exploration using the Common-Sense Model of Self-Regulation

Henry, A. L., Bundy, C., Kyle, S. D., Griffiths, C. E. M. and Chisholm, A. 2019. Understanding the experience of sleep disturbance in psoriasis:a qualitative exploration using the Common-Sense Model of Self-Regulation. British Journal of Dermatology 180 (6) , pp. 1397-1404. 10.1111/bjd.17685

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Abstract

Background Psoriasis is associated with significant morbidity, which negatively impacts upon quality of life. Sleep disturbance is reported to be common in patients with psoriasis and is associated with physical and psychological variables, although there is little published work in this area. Understanding sleep and the factors involved in its disturbance in psoriasis is a potentially important clinical area given the role of sleep in health and disease processes. Objectives To explore the experience of sleep and sleep disturbance in psoriasis using the Common‐Sense Model of Self‐Regulation (CS‐SRM). Methods Semistructured interviews were conducted with adults diagnosed with psoriasis. Interview questions were informed by the CS‐SRM and previous research. Framework analysis was applied, including coding data into the CS‐SRM dimensions and allowing additional inductive themes to emerge. Results Seventeen people with psoriasis (nine women, eight men; aged 19–86 years) were interviewed about sleep and sleep disturbance. Seven themes emerged, with six accounted for by the CS‐SRM: characteristics of sleep disturbance, change in sleep patterns, thoughts about and symptoms of disease disturbing sleep, impact of poor sleep on daily life, attempts to improve sleep, a daily battle for control and a seventh relating to metacognitive processes. A reciprocal relationship between sleep and psoriasis was evident across themes with interactions between key sleep‐related thoughts, emotions and behaviours. Conclusions This study showed that sleep disturbance is a persistent concern for people with psoriasis; it has a 24‐h impact, and interacts with the psychological and physical aspects of psoriasis. The distress and frustration felt when managing sleep disturbance perpetuated problematic sleep. Addressing this with currently available sleep treatments may therefore confer sleep and psoriasis‐related benefits for people living with this condition.

Item Type: Article
Date Type: Publication
Status: Published
Schools: Healthcare Sciences
Publisher: Wiley
ISSN: 0007-0963
Date of First Compliant Deposit: 3 April 2020
Date of Acceptance: 20 January 2019
Last Modified: 06 Apr 2020 22:00
URI: http://orca.cardiff.ac.uk/id/eprint/130773

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