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Quality of life in patients with primary restless leg syndrome: community-based study

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Abstract

Restless leg syndrome (RLS) is frequently associated with poor mental health and impaired quality of life (QoL), due to discomfort, pain, fatigue, inability to rest, sleep disturbances, and consequently, anxiety and depression. The aim of this study is to address this issue in a community-based cohort of patients with RLS. The present study is a sub-analysis of the community-based prevalence study. In this door-to-door survey, we identified according to four essential IRLSSG diagnostic criteria 107 people with RLS. Clinical characteristics of RLS, including QoL, were obtained from 94 subjects (88 %), who completed the Serbian translation of SF-36. The main finding of our study was that the severity of RLS, in particular frequency of symptoms, negatively influenced majority of the SF-36 domains. The severity of depressive and anxiety symptoms was negatively associated with all domains of SF-36. Age of participants significantly correlated with both physical and mental composite scores. In multivariate linear regression model, higher scores of Hamilton depression (p = 0.001) and anxiety (p = 0.003) Rating scales were the most significant negative contributors of the total SF-36 score in persons with RLS. Suggesting particular role of comorbid depression and anxiety, our results may have a practical implication in terms of different psychosocial treatment and support in addition to the regular therapeutic protocols in RLS patients.

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References

  1. Hening WA (2002) Restless legs syndrome: a sensorimotor disorder of sleep/wake motor regulation. Curr Neurol Neurosci Rep 2:186–196

    Article  PubMed  Google Scholar 

  2. Hening W, Allen R, Earley C, Kushida C, Picchietti D, Silber M (1999) The treatment of restless leg syndrome and periodic limb movement disorder. An American Academy of Sleep Medicine Review. Sleep 22:970–999

    CAS  PubMed  Google Scholar 

  3. Earley CJ (2003) Clinical practice. Restless legs syndrome. N Engl J Med 348:2103–2109

    Article  PubMed  Google Scholar 

  4. Allen RP, Walters AS, Montplaisir J, Hening W, Myers A, Bell TJ, Ferini-Strambi L (2005) Restless legs syndrome prevalence and impact: REST general population-based study. Arch Intern Med 165:1286–1292

    Article  PubMed  Google Scholar 

  5. Pekmezovic T, Jovic J, Svetel M, Kostic VS (2013) Prevalence of restless legs syndrome among adult population in a Serbian district: a community-based study. Eur J Epidemiol 28:927–930

    Article  PubMed  Google Scholar 

  6. Walters AS (1995) Toward a better definition of the restless legs syndrome. The International Restless Legs Syndrome Study Group. Mov Disord 10:634–642

    Article  CAS  PubMed  Google Scholar 

  7. International RLS Study Group (2011) Revised diagnostic criteria. Available at: http://irlssg.org/diagnostic-criteria/. Accessed 1 Oct 2012

  8. Hening WA, Allen RP, Washburn M, Lesage SR, Earley CJ (2009) The four diagnostic criteria for restless leg syndrome are unable to exclude confounding conditions (“mimics”). Sleep Med 10:976–981

    Article  PubMed Central  PubMed  Google Scholar 

  9. Abetz L, Allen R, Follet A, Washburn T, Earley C, Kirsch J, Knight H (2004) Evaluating the quality of life of patients with restless legs syndrome. Clin Ther 26:925–935

    Article  PubMed  Google Scholar 

  10. McCrink L, Allen RP, Wolowacz S, Sherrill B, Connolly M, Kirsch J (2007) Predictors of health-related quality of life in sufferers with restless legs syndrome: a multi-national study. Sleep Med 8:73–83

    Article  PubMed  Google Scholar 

  11. Kushida C, Martin M, Nikam P, Blaisdell B, Wallenstein G, Ferini-Strambi L et al (2007) Burden of restless legs syndrome on health-related quality of life. Qual Life Res 16:617–624

    Article  PubMed  Google Scholar 

  12. Walters AS, LeBrocq C, Dhar A, Hening W, Rosen R, Allen RP (2003) Trenkwalder C; International Restless Legs Syndrome Study Group. Validation of the International Restless Legs Syndrome Study Group rating scale for restless legs syndrome. Sleep Med 4:121–132

    Article  PubMed  Google Scholar 

  13. Allen RP, Picchietti D, Hening WA, Trenkwalder C, Walters AS, Montplaisi J (2003) Restless legs syndrome: diagnostic criteria, special considerations, and epidemiology. A report from the restless legs syndrome diagnosis and epidemiology workshop at the National Institutes of Health. Sleep Med 4:101–119

    Article  PubMed  Google Scholar 

  14. Hamilton M (1967) Development of a rating scale for primary depressive illness. Br J Soc Clin Psychol 6:278–286

    Article  CAS  PubMed  Google Scholar 

  15. Hamilton M (1959) The assessment of anxiety states by rating. Br J Med Psychol 32:50–55

    Article  CAS  PubMed  Google Scholar 

  16. Ware JE, Snow KK, Kosinski M (1993) SF-36 health survey manual and interpretation guide. Nimrod Press, Boston

    Google Scholar 

  17. Happe S, Reese JP, Stiasny-Kolster K, Peglau I, Mayer G, Klotsche J et al (2009) Assessing health-related quality of life in patients with restless legs syndrome. Sleep Med 10:295–305

    Article  PubMed  Google Scholar 

  18. Cho YW, Kim DH, Allen RP, Earley CJ (2012) Assessing health-related quality of life in patients with restless legs syndrome in Korea: comparison with other chronic medical diseases. Sleep Med 13:1158–1163

    Article  PubMed  Google Scholar 

  19. Winkelman J, Redline S, Baldwin CM, Resnick HE, Newman AB, Gottlieb DJ (2009) Polysomnographic and health-related quality of life correlates of restless legs syndrome in the Sleep Heart Health Study. Sleep 32:772–778

    PubMed Central  PubMed  Google Scholar 

  20. Cuellar N, Strumpf NE, Ratcliffe SJ (2007) Symptoms of restless legs syndrome in older adults: outcomes on sleep quality, sleepiness, fatigue, depression, and quality of life. J Am Geriatr Soc 55:1387–1392

    Article  PubMed  Google Scholar 

  21. Abetz L, Vallow SM, Kirsch J, Allen RP, Washburn T, Earley CJ (2005) Validation of the restless legs syndrome quality of life questionnaire. Value Health 8:157–167

    Article  PubMed  Google Scholar 

  22. Dodel R, Happe S, Peglau I, Mayer G, Wasem J, Reese H, Giani G, Geraedts G, Trenkwalder C, Oerther W, Stiasny-Kolster K (2010) Health economic burden of patients with restless legs syndrome in a German ambulatory setting. Pharmacoeconomics 28:381–393

    Article  PubMed  Google Scholar 

  23. Addington AM, Gallo JJ, Ford DE, Eaton WW (2001) Epidemiology of unexplained fatigue and major depression in the community: the Baltimore ECA follow-up, 1981–1994. Psychol Med 31:1037–1044

    Article  CAS  PubMed  Google Scholar 

  24. Breslau N, Roth T, Rosenthal L, Andreski P (1996) Sleep disturbance and psychiatric disorders: a longitudinal epidemiological study of young adults. Biol Psychiatry 39:411–418

    Article  CAS  PubMed  Google Scholar 

  25. Chang PP, Ford DE, Mead LA, Cooper-Patrick L, Klag MJ (1997) Insomnia in young men and subsequent depression. The Johns Hopkins precursors study. Am J Epidemiol 146:105–114

    Article  CAS  PubMed  Google Scholar 

  26. Ford DE, Kamerow DB (1989) Epidemiologic study of sleep disturbances and psychiatric disorders. An opportunity for prevention? J Am Med Assoc 262:1479–1484

    Article  CAS  Google Scholar 

  27. Kalloo A, Gamaldo CE, Kwan AB, Salas RE (2013) The impact of restless legs syndrome/willis-Ekbom disorder on quality of life. Eur Neurol Rev 8:97–104

    Google Scholar 

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Acknowledgments

This work was supported by the Ministry of Education and Science of the Republic of Serbia (Grant Numbers 175090 and 175087).

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The authors have no any conflict of interest.

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Correspondence to Marina V. Svetel.

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Svetel, M.V., Jovic, J.S., Pekmezovic, T.D. et al. Quality of life in patients with primary restless leg syndrome: community-based study. Neurol Sci 36, 1345–1351 (2015). https://doi.org/10.1007/s10072-015-2103-7

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  • DOI: https://doi.org/10.1007/s10072-015-2103-7

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