1030 BELIEFS ABOUT SLEEP IN PEOPLE WITH PSORIASIS: AN IN-DEPTH QUALITATIVE STUDY USING THE COMMON-SENSE MODEL OF SELF-REGULATION FRAMEWORK
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Bibliographic record
Abstract
Psoriasis a common, complex, long-term inflammatory condition primarily affecting the skin, is associated with significant physical and psychological comorbidity. Sleep disturbance is frequently reported by people with psoriasis and is associated with pre-sleep arousal, itch and low mood. This is the first study to our knowledge that explores in-depth the beliefs people with psoriasis hold about sleep. We used the established Common-Sense Self-Regulation Model (CS-SRM) as a theoretical framework. Semi-structured interviews were conducted in a purposive sample of 9 people with psoriasis. The interviewer explored participants’ beliefs about their sleep (characteristics of sleep patterns; timeline; causes of good/poor sleep; consequences of poor sleep and beliefs about the curability/controllability of poor sleep) and coping strategies used. Data were analysed using principles of framework and thematic analysis. Five key themes emerged within the dimensions of the CS-SRM: 1) ‘Dissatisfaction with sleep’: reduced sleep quality and duration and difficulty initiating sleep; 2) ‘Sleep varies by perceptions of psoriasis’; sleep disturbance triggered by psoriasis symptoms, and sleep changes as a function of time since treatment; 3) ‘Heightened awareness of psoriasis at night’; symptom management and thoughts/worries about psoriasis contributing to sleep disturbance 4) ‘Sleep affecting multiple domains of life’; consequences of sleep disturbance on work, social and family life 5) ‘Perceived lack of control of sleep’: a constant battle for control over sleep, increased effort to sleep and resigned acceptance of poor sleep. Patients report strong links between sleep disturbance and psoriasis symptoms and management in a bi-directional manner that require further testing. The CS-SRM appears to be a valid theoretical model for assessing the beliefs about sleep in people with psoriasis. This work was supported by a grant from The Psoriasis Association of Great Britain and Northern Ireland (R117541)
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Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.001 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it