Evidence map›Paper›PMID 41556018›Full record

ReviewCureus2025

The Impact of Sleep Dysfunction on Inflammatory Skin Diseases: A Systematic Review.

Tahani A Moafa, Mohammed E Mojiri, Khlood K Alattas, Ali M Sumayli, Esra H Alnujaidi, Maha O Alharbi, Ramis M Manni, Nawal H Hibili, Faris A Alomir, Faris M Almutairi and 1 more

Abstract readReview
In one paragraph

Review in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Tahani A MoafaFamily Medicine, Jazan Health Cluster, Jazan, SAU.
Mohammed E MojiriMedicine, Jazan University, Jazan, SAU.
Khlood K AlattasMedicine, Jazan University, Jazan, SAU.
Ali M SumayliMedicine, Jazan University, Jazan, SAU.
Esra H AlnujaidiMedicine, King Faisal University, Hofuf, SAU.
Maha O AlharbiMedicine, Sulaiman Alrajhi University, Bukayriyah, SAU.
Ramis M ManniFaculty of Medicine, Jazan University, Jazan, SAU.
Nawal H HibiliFaculty of Medicine, Umm Al-Qura University, Makkah, SAU.
Faris A AlomirFaculty of Medicine, King Faisal University, Hofuf, SAU.
Faris M AlmutairiMedicine, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, SAU.
Saleh M AlhusayniMedicine, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, SAU.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Sleep disturbance is increasingly recognized as a major comorbidity in chronic inflammatory skin diseases, driven by altered sleep architecture, circadian disruption, and pruritus-related nocturnal symptoms that exacerbate disease activity and reduce quality of life. This systematic review of 13 studies (N ≈ 189,000) identified the prevalence, correlates, and clinical implications of sleep disturbance across major dermatologic conditions, focusing on atopic dermatitis (AD) and psoriasis. In AD, poor sleep showed strong associations with higher Scoring Atopic Dermatitis (SCORAD) and Patient-Oriented Eczema Measure (POEM) scores and greater pruritus intensity, with itch emerging as the primary predictor of sleep disruption. In psoriasis, poor sleep was closely linked to higher Psoriasis Area and Severity Index (PASI) and Dermatology Life Quality Index (DLQI) scores and more severe pruritus, with depression mediating the impact of quality-of-life impairment on sleep. Genetic evidence further supported a causal relationship between insomnia and increased risk of AD and psoriasis. Collectively, findings reveal a bidirectional interplay in which nocturnal pruritus, emotional distress, and inflammation sustain one another, underscoring sleep disturbance as an integral component of dermatologic disease burden and highlighting the need for routine sleep assessment, targeted interventions, and longitudinal studies to determine whether improving sleep can reduce inflammatory activity and enhance patient outcomes.

Indexed as

atopic dermatitisdermatologyinflammationnocturnal symptomsprurituspsoriasisquality of lifesleep disturbancesleep qualitysystematic review

Identifiers

PMID41556018
PMCPMC12812233

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.