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A good night’s sleep. It sounds so simple doesn’t it? I’m just back from a conference in the USA and forgot the hideousness of changing time zones and long-haul flights. Sleep should probably be given a higher priority in our lives as it impacts on so many other functions: fatigue, mental health, cognitive function to name a few.
Much has been written about sleep and MS but I feel like what we need is some simple guidance and direction for everyday life. (This reference is for those who want something deeply academic. Brass et al Sleep disorders in patients with multiple sclerosis. Sleep Medicine Reviews. 2010:14(2):121-129)
In MS when fatigue, mental health and cognition can already be problematic, poor sleep adds another layer or complication. Up to 70% of people with MS have at least one sleep disorder. Insomnia (maintenance and/or sleep onset issues) effects between 42-58%PwMS and restless legs syndrome effects 19% of PwMS compared to 4% non MSers.
Mental health impacts sleep. The presence of anxiety and or depression will impact sleep often causing early morning waking or difficulties getting to sleep and let’s not forget sleep apnoea.
So there are a few things to consider and assess about your sleep and some very practical steps you can take. Start by completing a simple sleep assessment. This will inform you and your MS Care team of where your sleep issues lie. Try: Pittsburgh Sleep Quality index or NHS Sleep Questionnaire for adults.
The importance of nutrition, lifestyle and supplement in supporting multiple sclerosis