The Prevalence and Impact of Insomnia in Multiple Sclerosis

Objective: In this study, the prevalence of insomnia and the effects of factors such as depression, anxiety, and fatigue on sleep and quality of life in patients with relapsing-remitting multiple sclerosis (RRMS) were investigated.Materials and Methods: One hundred and five RRMS patients and 105 healthy control groups were examined.Insomnia, depression, anxiety, sleep and life qualities and fatigue were evaluated with scales.Results: The insomnia prevalence was higher in MS patients than in the control group (31.7% vs. 17.1%, p=0.014).Fatigue, anxiety and depression levels increased in MS patients, and sleep and life qualities were significantly impaired (p<0.001).Fatigue, anxiety and depression levels were higher in female patients than in males, while quality of life was lower (p<0.001).It has shown an increasing effect on depression and anxiety levels, insomnia and deterioration in sleep quality.Conclusion: Factors that adversely affect sleep and quality of life, especially depression, anxiety and fatigue, should be carefully evaluated in RRMS patients.This emphasizes the importance of individual approaches in clinical management.