Sleep, Fatigue, and Mood Mechanisms We observed an important trend towards reduced fatigue with better sleep hygiene, particularly on the MFIS scale, suggesting that secondary fatigue may be linked to improved sleep.
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Sleep Hygiene and Symptom Burden in Multiple Sclerosis: A Cross-Sectional Study.
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For other outcomes (AIS, ESS, HADS-A, HADS-D), a similar directional pattern was observed but did not reach statistical significance.