J Sleep Med.  2024 Aug;21(2):88-97. 10.13078/jsm.240009.

Evaluation of Sleep Patterns and Chronotypes in Spanish Women With Fibromyalgia Syndrome: A Descriptive Cross-Sectional Study

Affiliations
  • 1Department of Pharmacology and Physical Medicine, Radiology and Physical Medicine Area, Nursing and Physiotherapy Section, Faculty of Health Sciences, University of La Laguna, Santa Cruz de Tenerife, Spain
  • 2Doctoral School and Postgraduate Studies, University of La Laguna, San Cristóbal de La Laguna, Santa Cruz de Tenerife, Spain
  • 3Musculoskeletal Pain and Motor Control Research Group, Faculty of Health Sciences, Universidad Europea de Canarias, Santa Cruz de Tenerife, Spain
  • 4Hospiten Bellevue, Puerto de la Cruz, Santa Cruz de Tenerife, Spain
  • 5Faculty of Health Sciences, Universidad Europea de Canarias, Santa Cruz de Tenerife, Spain
  • 6San Juan de Dios Hospital, Santa Cruz de Tenerife, Spain
  • 7School of Medicine (Health Sciences), University of La Laguna, Santa Cruz de Tenerife, Spain
  • 8Foot and Ankle Unit, Orthopedic Surgery and Traumatology Department, San Cristóbal de La Laguna, Santa Cruz de Tenerife, Spain

Abstract


Objectives
This study aimed to investigate sleep patterns and chronotypes in Spanish women diagnosed with fibromyalgia syndrome (FMS).
Methods
A descriptive, cross-sectional observational study following the Strengthening the Reporting of Observational Studies in Epidemiology guidelines was conducted from March 1, 2024, to June 10, 2024, at the Fibromyalgia and Chronic Fatigue Syndrome Association of Tenerife (San Cristóbal de La Laguna, Spain).
Results
A total of 73 women, with a mean age of 56.15±6.47 years, diagnosed with FMS were enrolled. Bedtime habits and wake-up times showed significant variability, reflecting individual differences in sleep chronotype preferences among the participants. The Pittsburgh Sleep Quality Index revealed a mean score of 11.62±0.92, indicating substantial challenges in sleep quality among participants with FMS. Sleep efficiency was low, averaging 14.86%±0.34%, and there was a significant discrepancy in sleep duration between workdays and free days, with an average difference of 2.0±0.5 h. The participants reported compensatory sleep through an average of two naps per day, each lasting 40 min.
Conclusions
Participants with FMS experienced poor sleep quality, characterized by variability in sleep patterns between workdays and free days, along with significant social jet lag. Low sleep efficiency suggests a prevalent sleep debt, which the participants attempted to mitigate through frequent and extended napping.

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