Impact of social-functioning and sleep on quality of life in chronic inflammatory demyelinating polyneuropathy

Copyright © 2023 The Authors. Published by Elsevier B.V. All rights reserved..

INTRODUCTION/AIMS: The impact of impairment of social functioning and sleep on health-related quality of life (HR-QoL), is unknown in chronic inflammatory demyelinating polyneuropathy (CIDP). The value of the Chronic Acquired Polyneuropathy Patient-Reported Index (CAP-PRI) to identify potential social functioning and sleep issues is equally unknown.

METHODS: We performed a cross-sectional evaluation of social functioning and sleep using the "Scales for Outcomes in Parkinson's Disease" (SCOPA) in 40 subjects with clinically-stable CIDP through a structured questionnaire. We assessed HR-QoL through the CAP-PRI. Disability was evaluated through the Overall Neuropathy Limitation Score (ONLS).

RESULTS: SCOPA social functioning scores were impaired at least "a little" per averaged item in > 50 % of subjects, and at least "quite a bit" per averaged item in > 20 %. Most affected items were (i) difficulty with work/household/other chores (ii) difficulties with hobbies/sport/leisure activities. SCOPA sleep sub-scores indicated at least "a little concern" for night-time sleep in nearly 50 % of subjects. Abnormal sleep timing was rare. Associations were found between both SCOPA social-functioning and SCOPA sleep scores and the CAP-PRI. Linear regression demonstrated the SCOPA social-functioning score was independently associated with the CAP-PRI. The CAP-PRI showed high association with disability scores, good internal consistency, absence of ceiling effect, absence of significant floor-effect, and good criteria-related as well as construct-related validity.

DISCUSSION: Social functioning and night-time sleep are frequently affected in CIDP and impact on HR-QoL. In contrast to traditional disability scales, the CAP-PRI additionally allows adequately capturing these impairments and may represent an adequate holistic outcome measure.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:234

Enthalten in:

Clinical neurology and neurosurgery - 234(2023) vom: 15. Nov., Seite 108017

Sprache:

Englisch

Beteiligte Personen:

Englezou, Christina [VerfasserIn]
Nazeer, Kabir K [VerfasserIn]
Rajabally, Yusuf A [VerfasserIn]

Links:

Volltext

Themen:

Chronic inflammatory demyelinating polyneuropathy
Immunoglobulins
Journal Article
Outcome measures
Response
Treatment

Anmerkungen:

Date Completed 06.11.2023

Date Revised 08.11.2023

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.clineuro.2023.108017

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM363585338