Investigating sleep disturbances in adults with rheumatoid arthritis.
Rheumatoid arthritis (RA) is an autoimmune disease characterized by inflammation and joint involvement. Most adults with RA experience sleep disturbances, including longer times before falling asleep, numerous awakenings during the night, and early morning wakening, resulting in excessive daytime sleepiness and fatigue. This article will review what is known about sleep disturbances and the biologic basis in adults with RA, the influence of ovarian hormone levels in women with RA, how medications may influence sleep in RA, and complementary and alternative therapies that may be useful in reducing sleep disturbances.
Bourguignon
Cheryl
C
Center for the Study of Complementary & Alternative Therapies, School of Nursing, University of Virginia, Charlottesville, Va 22908, USA. cb2n@virginia.edu
Labyak
Susan E
SE
Taibi
Diana
D
D000203:Activities of Daily Living; D000328:Adult; D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000494:pharmacology; D001172:Arthritis, Rheumatoid / Q000097:blood / Q000150:complications* / Q000188:drug therapy / Q000451:nursing*; D004967:Estrogens / Q000097:blood; D005260:Female; D006694:Holistic Health; D018939:Holistic Nursing / Q000592:standards*; D006801:Humans; D006993:Hypnotics and Sedatives / Q000627:therapeutic use; D008297:Male; D008597:Menstrual Cycle / Q000097:blood; D017286:Polysomnography; D011374:Progesterone / Q000097:blood; D012890:Sleep / Q000187:drug effects; D012893:Sleep Wake Disorders / Q000097:blood / Q000209:etiology* / Q000451:nursing*
D000894:Anti-Inflammatory Agents, Non-Steroidal; D004967:Estrogens; D006993:Hypnotics and Sedatives; D011374:Progesterone