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Investigation of Sleep Quality and The Relationship with Symptom Severity in Irritable Bowel Syndrome

Year 2024, Volume: 4 Issue: 3, 33 - 39, 31.12.2024

Abstract

Objective: This study aims to analyze sleep quality and its association with symptom severity in irritable bowel syndrome (IBS).
Materials and Methods: A total of 100 subjects, including 50 IBS patients and 50 healthy controls followed at our center between November 2023 and April 2024, were recruited for the study. All participants were assessed using the Pittsburgh Sleep Quality Index (PSQI), and the results were compared between groups. Additionally, the symptom severity of the IBS group was evaluated using the IBS Symptom Severity Scale (IBS-SSS), and its correlation with the PSQI score was analyzed.
Results: Of the participants, 18 (24%) were male, and the median age was 40.5 years (range: 28–52). The total PSQI score was significantly higher in the IBS group compared to controls (7.5 vs. 4, p < 0.001). A positive correlation was identified between the total PSQI score and IBS-SSS (r = 0.501, p < 0.001).
Conclusion: IBS is a functional bowel disorder that negatively impacts sleep quality. Moreover, the severity of IBS symptoms is associated with poorer sleep quality.

Ethical Statement

The study was approved by the Medical and Health Research Ethics Committee of Yenimahalle Training and Research Hospital (Approval date: 11.2023; number: E-62).

References

  • Lacy BE., Pimentel M., Brenner DM., et al. ACG clinical guideline: management of irritable bowel syndrome. Am J Gastroenterol 2021; 116(1):17-44. Doi:10.14309/ajg.0000000000001036.
  • Mönnikes H. Quality of life in patients with irritable bowel syndrome. J Clin Gastroenterol 2011; 45 Suppl:S98-101. Doi:10.1097/MCG.0b013e31821fbf44.
  • Vasant DH., Paine PA., Black CJ., et al. British Society of Gastroenterology guidelines on the management of irritable bowel syndrome. Gut 2021; 70(7):1214-40. Doi:10.1136/gutjnl-2021-324598.
  • Saha L. Irritable bowel syndrome: pathogenesis, diagnosis, treatment, and evidence-based medicine. World J Gastroenterol 2014; 20(22):6759-73. Doi:10.3748/wjg.v20.i22.6759.
  • Coss-Adame E., Rao SS. Brain and gut interactions in irritable bowel syndrome: new paradigms and new understandings. Curr Gastroenterol Rep 2014; 16(4):379. Doi:10.1007/s11894-014-0379-z.
  • Topan R., Vork L., Fitzke H., et al. Poor Subjective sleep quality predicts symptoms in irritable bowel syndrome using the experience sampling method. Am J Gastroenterol 2024; 119(1):155-64. Doi:10.14309/ajg.0000000000002510.
  • Tu Q., Heitkemper MM., Jarrett ME., et al. Sleep disturbances in irritable bowel syndrome: a systematic review. Neurogastroenterol Motil 2017; 29(3). Doi:10.1111/nmo.12946.
  • Lacy BE., Patel NK. Rome Criteria and a diagnostic approach to irritable bowel syndrome. J Clin Med 2017; 6(11). Doi:10.3390/jcm6110099
  • Mollayeva T., Thurairajah P., Burton K., et al. The Pittsburgh sleep quality index as a screening tool for sleep dysfunction in clinical and non-clinical samples: a systematic review and meta-analysis. Sleep Med Rev 2016; 25:52-73. Doi:10.1016/j.smrv.2015.01.009.
  • Enck P., Aziz Q., Barbara G., et al. Irritable bowel syndrome. Nat Rev Dis Primers 2016; 2:16014. Doi:10.1038/nrdp.2016.14.
  • Lea R., Whorwell PJ. Quality of life in irritable bowel syndrome. PharmacoEconomics 2001; 19(6):643-53. Doi:10.2165/00019053-200119060-00003.
  • Holtmann GJ., Ford AC., Talley NJ. Pathophysiology of irritable bowel syndrome. Lancet Gastroenterol Hepatol 2016; 1(2):133-46. Doi:10.1016/s2468-1253(16)30023-1.
  • El-Salhy M. Recent developments in the pathophysiology of irritable bowel syndrome. World J Gastroenterol 2015; 21(25):7621-36. Doi:10.3748/wjg.v21.i25.7621.
  • Ng QX., Soh AYS., Loke W., et al. The role of inflammation in irritable bowel syndrome (IBS). J Inflamm Res 2018; 11:345-9. Doi:10.2147/jir.s174982.
  • Camilleri M., Ford AC. Irritable bowel syndrome: pathophysiology and current therapeutic approaches. Handb Exp Pharmacol 2017; 239:75-113. Doi:10.1007/164_2016_102.
  • Kennedy PJ., Cryan JF., Dinan TG., et al. Irritable bowel syndrome: a microbiome-gut-brain axis disorder? World J Gastroenterol 2014; 20(39):14105-25. Doi:10.3748/wjg.v20.i39.14105.
  • Mayer EA., Nance K., Chen S. The gut-brain axis. Annu Rev Med 2022; 73:439-53. Doi:10.1146/annurev-med-042320-014032.
  • Shaikh SD., Sun N., Canakis A., et al. Irritable bowel syndrome and the gut microbiome: a comprehensive review. J Clin Med 2023; 12(7). Doi:10.3390/jcm12072558.
  • Alghamdi AA., Alghamdi AM., Alshareef MA., et al. Assessment of sleep quality among adolescents and adults with self-diagnosed irritable bowel syndrome, in Jeddah, Saudi Arabia. Cureus 2023; 15(7):e42778. Doi:10.7759/cureus.42778.
  • Zargar A., Gooraji SA., Keshavarzi B., et al. Effect of irritable bowel syndrome on sleep quality and quality of life of inflammatory bowel disease in clinical remission. Int J Prev Med 2019; 10:10. Doi:10.4103/ijpvm.IJPVM_364_17.
  • Patel A., Hasak S., Cassell B., et al. Effects of disturbed sleep on gastrointestinal and somatic pain symptoms in irritable bowel syndrome. Aliment Pharmacol Ther 2016; 44(3):246-58. Doi:10.1111/apt.13677.
  • Elsenbruch S., Harnish MJ., Orr WC. Subjective and objective sleep quality in irritable bowel syndrome. Am J Gastroenterol 1999; 94(9):2447-52. Doi:10.1111/j.1572-0241.1999.01374.x.
  • Goldsmith G., Levin JS. Effect of sleep quality on symptoms of irritable bowel syndrome. Dig Dis Sci 1993; 38(10):1809-14. Doi:10.1007/bf01296103.

İrritabl Barsak Sendromunda Uyku Kalitesinin ve Semptom Şiddeti ile İlişkisinin Araştırılması

Year 2024, Volume: 4 Issue: 3, 33 - 39, 31.12.2024

Abstract

Amaç: Bu çalışma, İBS'de uyku kalitesini ve bunun semptom şiddeti ile ilişkisini analiz etmeyi amaçlamaktadır.
Gereç ve Yöntemler: Kasım 2023 ve Nisan 2024 tarihleri arasında merkezimizde takip edilen 50 İBS hastası ve 50 sağlıklı kontrol ile birlikte toplam 100 katılımcı çalışmaya dahil edilmiştir. Tüm katılımcılar Pittsburgh Uyku Kalitesi İndeksi (PSQI) ile değerlendirilmiş ve gruplar arasında karşılaştırılmıştır. Ayrıca, İBS grubunun semptom şiddeti İBS Semptom Şiddeti Ölçeği (İBS-SSS) ile değerlendirilmiş ve PSQI skoru ile korelasyonu analiz edilmiştir.
Bulgular: Hastaların 18'i (%24) erkekti ve ortanca yaş 40,5 (28-52) yıldı. Toplam PSQI puanı İBS grubunda daha yüksekti (7,5 vs 4, p <0,001). Toplam PSQI puanı ile IBS-SSS arasında pozitif bir korelasyon tespit edilmiştir (r = 0.501, p <0.001).
Sonuç: İBS, uyku kalitesini olumsuz etkileyen fonksiyonel bir bağırsak hastalığıdır. Ayrıca, İBS semptomlarının şiddetinin uyku kalitesindeki düşüşle ilişkili olduğu bulunmuştur.

Thanks

The authors declare that there is no conflict of interest.

References

  • Lacy BE., Pimentel M., Brenner DM., et al. ACG clinical guideline: management of irritable bowel syndrome. Am J Gastroenterol 2021; 116(1):17-44. Doi:10.14309/ajg.0000000000001036.
  • Mönnikes H. Quality of life in patients with irritable bowel syndrome. J Clin Gastroenterol 2011; 45 Suppl:S98-101. Doi:10.1097/MCG.0b013e31821fbf44.
  • Vasant DH., Paine PA., Black CJ., et al. British Society of Gastroenterology guidelines on the management of irritable bowel syndrome. Gut 2021; 70(7):1214-40. Doi:10.1136/gutjnl-2021-324598.
  • Saha L. Irritable bowel syndrome: pathogenesis, diagnosis, treatment, and evidence-based medicine. World J Gastroenterol 2014; 20(22):6759-73. Doi:10.3748/wjg.v20.i22.6759.
  • Coss-Adame E., Rao SS. Brain and gut interactions in irritable bowel syndrome: new paradigms and new understandings. Curr Gastroenterol Rep 2014; 16(4):379. Doi:10.1007/s11894-014-0379-z.
  • Topan R., Vork L., Fitzke H., et al. Poor Subjective sleep quality predicts symptoms in irritable bowel syndrome using the experience sampling method. Am J Gastroenterol 2024; 119(1):155-64. Doi:10.14309/ajg.0000000000002510.
  • Tu Q., Heitkemper MM., Jarrett ME., et al. Sleep disturbances in irritable bowel syndrome: a systematic review. Neurogastroenterol Motil 2017; 29(3). Doi:10.1111/nmo.12946.
  • Lacy BE., Patel NK. Rome Criteria and a diagnostic approach to irritable bowel syndrome. J Clin Med 2017; 6(11). Doi:10.3390/jcm6110099
  • Mollayeva T., Thurairajah P., Burton K., et al. The Pittsburgh sleep quality index as a screening tool for sleep dysfunction in clinical and non-clinical samples: a systematic review and meta-analysis. Sleep Med Rev 2016; 25:52-73. Doi:10.1016/j.smrv.2015.01.009.
  • Enck P., Aziz Q., Barbara G., et al. Irritable bowel syndrome. Nat Rev Dis Primers 2016; 2:16014. Doi:10.1038/nrdp.2016.14.
  • Lea R., Whorwell PJ. Quality of life in irritable bowel syndrome. PharmacoEconomics 2001; 19(6):643-53. Doi:10.2165/00019053-200119060-00003.
  • Holtmann GJ., Ford AC., Talley NJ. Pathophysiology of irritable bowel syndrome. Lancet Gastroenterol Hepatol 2016; 1(2):133-46. Doi:10.1016/s2468-1253(16)30023-1.
  • El-Salhy M. Recent developments in the pathophysiology of irritable bowel syndrome. World J Gastroenterol 2015; 21(25):7621-36. Doi:10.3748/wjg.v21.i25.7621.
  • Ng QX., Soh AYS., Loke W., et al. The role of inflammation in irritable bowel syndrome (IBS). J Inflamm Res 2018; 11:345-9. Doi:10.2147/jir.s174982.
  • Camilleri M., Ford AC. Irritable bowel syndrome: pathophysiology and current therapeutic approaches. Handb Exp Pharmacol 2017; 239:75-113. Doi:10.1007/164_2016_102.
  • Kennedy PJ., Cryan JF., Dinan TG., et al. Irritable bowel syndrome: a microbiome-gut-brain axis disorder? World J Gastroenterol 2014; 20(39):14105-25. Doi:10.3748/wjg.v20.i39.14105.
  • Mayer EA., Nance K., Chen S. The gut-brain axis. Annu Rev Med 2022; 73:439-53. Doi:10.1146/annurev-med-042320-014032.
  • Shaikh SD., Sun N., Canakis A., et al. Irritable bowel syndrome and the gut microbiome: a comprehensive review. J Clin Med 2023; 12(7). Doi:10.3390/jcm12072558.
  • Alghamdi AA., Alghamdi AM., Alshareef MA., et al. Assessment of sleep quality among adolescents and adults with self-diagnosed irritable bowel syndrome, in Jeddah, Saudi Arabia. Cureus 2023; 15(7):e42778. Doi:10.7759/cureus.42778.
  • Zargar A., Gooraji SA., Keshavarzi B., et al. Effect of irritable bowel syndrome on sleep quality and quality of life of inflammatory bowel disease in clinical remission. Int J Prev Med 2019; 10:10. Doi:10.4103/ijpvm.IJPVM_364_17.
  • Patel A., Hasak S., Cassell B., et al. Effects of disturbed sleep on gastrointestinal and somatic pain symptoms in irritable bowel syndrome. Aliment Pharmacol Ther 2016; 44(3):246-58. Doi:10.1111/apt.13677.
  • Elsenbruch S., Harnish MJ., Orr WC. Subjective and objective sleep quality in irritable bowel syndrome. Am J Gastroenterol 1999; 94(9):2447-52. Doi:10.1111/j.1572-0241.1999.01374.x.
  • Goldsmith G., Levin JS. Effect of sleep quality on symptoms of irritable bowel syndrome. Dig Dis Sci 1993; 38(10):1809-14. Doi:10.1007/bf01296103.
There are 23 citations in total.

Details

Primary Language English
Subjects Gastroenterology and Hepatology
Journal Section Research Articles
Authors

Ibrahim Ethem Guven

Yusuf Murat Bag 0000-0002-0159-9356

Publication Date December 31, 2024
Submission Date November 13, 2024
Acceptance Date December 18, 2024
Published in Issue Year 2024 Volume: 4 Issue: 3

Cite

APA Guven, I. E., & Bag, Y. M. (2024). Investigation of Sleep Quality and The Relationship with Symptom Severity in Irritable Bowel Syndrome. Güncel Tıbbi Araştırmaları Dergisi, 4(3), 33-39. https://doi.org/10.52818/cjmr.1584941
AMA Guven IE, Bag YM. Investigation of Sleep Quality and The Relationship with Symptom Severity in Irritable Bowel Syndrome. CJMR. December 2024;4(3):33-39. doi:10.52818/cjmr.1584941
Chicago Guven, Ibrahim Ethem, and Yusuf Murat Bag. “Investigation of Sleep Quality and The Relationship With Symptom Severity in Irritable Bowel Syndrome”. Güncel Tıbbi Araştırmaları Dergisi 4, no. 3 (December 2024): 33-39. https://doi.org/10.52818/cjmr.1584941.
EndNote Guven IE, Bag YM (December 1, 2024) Investigation of Sleep Quality and The Relationship with Symptom Severity in Irritable Bowel Syndrome. Güncel Tıbbi Araştırmaları Dergisi 4 3 33–39.
IEEE I. E. Guven and Y. M. Bag, “Investigation of Sleep Quality and The Relationship with Symptom Severity in Irritable Bowel Syndrome”, CJMR, vol. 4, no. 3, pp. 33–39, 2024, doi: 10.52818/cjmr.1584941.
ISNAD Guven, Ibrahim Ethem - Bag, Yusuf Murat. “Investigation of Sleep Quality and The Relationship With Symptom Severity in Irritable Bowel Syndrome”. Güncel Tıbbi Araştırmaları Dergisi 4/3 (December 2024), 33-39. https://doi.org/10.52818/cjmr.1584941.
JAMA Guven IE, Bag YM. Investigation of Sleep Quality and The Relationship with Symptom Severity in Irritable Bowel Syndrome. CJMR. 2024;4:33–39.
MLA Guven, Ibrahim Ethem and Yusuf Murat Bag. “Investigation of Sleep Quality and The Relationship With Symptom Severity in Irritable Bowel Syndrome”. Güncel Tıbbi Araştırmaları Dergisi, vol. 4, no. 3, 2024, pp. 33-39, doi:10.52818/cjmr.1584941.
Vancouver Guven IE, Bag YM. Investigation of Sleep Quality and The Relationship with Symptom Severity in Irritable Bowel Syndrome. CJMR. 2024;4(3):33-9.