Subjective and objective sleep quality assessment in adolescent patients with inflammatory bowel disease

Objectives: There is a link between inflammatory bowel disease (IBD) and poor sleep quality that is presumed to be multifactorial. The purpose of this study was to identify factors that impact sleep quality in this group including clinical disease activity, depression, anxiety, quality of life, and...

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Main Authors: Holly Breeden, Elizabeth McDonough, Amanda Glinky, Rebecca Wallace, Robbie Beyl, Colleen LeBlanc
Format: Article
Language:English
Published: Elsevier 2024-12-01
Series:Sleep Medicine: X
Online Access:http://www.sciencedirect.com/science/article/pii/S2590142724000235
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author Holly Breeden
Elizabeth McDonough
Amanda Glinky
Rebecca Wallace
Robbie Beyl
Colleen LeBlanc
author_facet Holly Breeden
Elizabeth McDonough
Amanda Glinky
Rebecca Wallace
Robbie Beyl
Colleen LeBlanc
author_sort Holly Breeden
collection DOAJ
description Objectives: There is a link between inflammatory bowel disease (IBD) and poor sleep quality that is presumed to be multifactorial. The purpose of this study was to identify factors that impact sleep quality in this group including clinical disease activity, depression, anxiety, quality of life, and disordered social media use through questionnaires. Methods: This prospective study analyzed sleep quality in adolescent patients ages 13 to 18 with a diagnosis of IBD using objective data from wrist actigraphy and subjective report from the Pittsburgh Sleep Quality Index (PSQI). Additional screeners including the Short Pediatric Crohn's Disease Activity Index or Pediatric Ulcerative Colitis Activity Index, Pediatric Quality of Life Inventory Gastrointestinal Symptoms Module, Generalized Anxiety Disorder 7-item screener, Patient Health Questionnaire depression screener, and Social Media Disorder scale were also collected. Results: Twenty-three subjects enrolled and 16 completed questionnaires. 62.5 % of participants were in clinical remission and the remaining 37.5 % had mild to severe clinical IBD activity. Poor subjective sleep quality was associated with a shorter duration of sleep time and an increased clinical disease activity score. Patients in clinical remission slept for a longer duration than those with mild IBD activity. Conclusions: This study did not identify a significant relationship between sleep quality and psychosocial factors in the adolescent population with IBD, though their influence cannot be discounted. There was a connection between the presence of disease activity and shorter sleep duration. Similarly, PSQI scores correlated with sleep time but not sleep quality.
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spelling doaj-art-7caa18c394034c1fb2997f8a2341d8f02025-08-20T02:38:05ZengElsevierSleep Medicine: X2590-14272024-12-01810012510.1016/j.sleepx.2024.100125Subjective and objective sleep quality assessment in adolescent patients with inflammatory bowel diseaseHolly Breeden0Elizabeth McDonough1Amanda Glinky2Rebecca Wallace3Robbie Beyl4Colleen LeBlanc5Department of Pediatrics LSU Health Sciences Center New Orleans, 433 Bolivar St, New Orleans, LA, 70112, USA; Corresponding author. 210 State Street, New Orleans, LA, 70118, USA.Department of Pediatrics LSU Health Sciences Center New Orleans, 433 Bolivar St, New Orleans, LA, 70112, USAChildren's Hospital of New Orleans, 200 Henry Clay Avenue, New Orleans, LA, 70118, USAChildren's Hospital of New Orleans, 200 Henry Clay Avenue, New Orleans, LA, 70118, USAPennington Biomedical Research Center, Louisiana State University System, 6400 Perkins Rd, Baton Rouge, LA, 70808, USADepartment of Pediatrics LSU Health Sciences Center New Orleans, 433 Bolivar St, New Orleans, LA, 70112, USAObjectives: There is a link between inflammatory bowel disease (IBD) and poor sleep quality that is presumed to be multifactorial. The purpose of this study was to identify factors that impact sleep quality in this group including clinical disease activity, depression, anxiety, quality of life, and disordered social media use through questionnaires. Methods: This prospective study analyzed sleep quality in adolescent patients ages 13 to 18 with a diagnosis of IBD using objective data from wrist actigraphy and subjective report from the Pittsburgh Sleep Quality Index (PSQI). Additional screeners including the Short Pediatric Crohn's Disease Activity Index or Pediatric Ulcerative Colitis Activity Index, Pediatric Quality of Life Inventory Gastrointestinal Symptoms Module, Generalized Anxiety Disorder 7-item screener, Patient Health Questionnaire depression screener, and Social Media Disorder scale were also collected. Results: Twenty-three subjects enrolled and 16 completed questionnaires. 62.5 % of participants were in clinical remission and the remaining 37.5 % had mild to severe clinical IBD activity. Poor subjective sleep quality was associated with a shorter duration of sleep time and an increased clinical disease activity score. Patients in clinical remission slept for a longer duration than those with mild IBD activity. Conclusions: This study did not identify a significant relationship between sleep quality and psychosocial factors in the adolescent population with IBD, though their influence cannot be discounted. There was a connection between the presence of disease activity and shorter sleep duration. Similarly, PSQI scores correlated with sleep time but not sleep quality.http://www.sciencedirect.com/science/article/pii/S2590142724000235
spellingShingle Holly Breeden
Elizabeth McDonough
Amanda Glinky
Rebecca Wallace
Robbie Beyl
Colleen LeBlanc
Subjective and objective sleep quality assessment in adolescent patients with inflammatory bowel disease
Sleep Medicine: X
title Subjective and objective sleep quality assessment in adolescent patients with inflammatory bowel disease
title_full Subjective and objective sleep quality assessment in adolescent patients with inflammatory bowel disease
title_fullStr Subjective and objective sleep quality assessment in adolescent patients with inflammatory bowel disease
title_full_unstemmed Subjective and objective sleep quality assessment in adolescent patients with inflammatory bowel disease
title_short Subjective and objective sleep quality assessment in adolescent patients with inflammatory bowel disease
title_sort subjective and objective sleep quality assessment in adolescent patients with inflammatory bowel disease
url http://www.sciencedirect.com/science/article/pii/S2590142724000235
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