Brief Behavioral Therapy and Bupropion for Sleep and Fatigue in Young Adults With Crohn’s Disease: An Exploratory Open Trial Study

Hashash, Jana G.; Knisely, Mitchell R.; Germain, Anne; Mcauliff, Katheryn; Strassburger, Meredith; Vachon, A; Binion, David G.; Regueiro, Miguel; Wallace, Meredith L.; Szigethy, Eva

doi:10.1016/j.cgh.2020.09.047

Cited by 23 publications

(14 citation statements)

References 31 publications

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“…In this review, four studies involved an intervention: aerobic exercise, brief behavioural therapy with bupropion, cognitive behavioural therapy for insomnia and spirulina supplementation (Hashash et al, 2022; Mählmann et al, 2017; Moradi et al, 2021; Salwen‐Deremer et al, 2021). All interventions focused on individual‐level factors.…”

Section: Resultsmentioning

confidence: 99%

Systematic review: Individual‐level factors and social determinants of health impacting sleep health in individuals with inflammatory bowel disease

Yoo

Tsai

Heitkemper

et al. 2023

Journal of Advanced Nursing

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Aim To examine the individual‐level factors and social determinants of health (SDOH) linked to sleep health among individuals with inflammatory bowel disease (IBD). Design Systematic review without meta‐analysis. Data Sources Four databases (PubMed, Web of Science, CINAHL and PsycINFO) were searched in February 2022. Review Methods Databases were searched with keywords related to IBD and sleep. The review was conducted per the PRISMA protocol. The checklist for analytical cross‐sectional studies published by the Joanna Briggs Institute was used for quality appraisal. Factors were organized by individual, social and societal levels according to the social–ecological model of sleep health. Results In the review, 45 studies were identified and synthesized. All studies examined individual‐level factors with sleep, with age being the most common factor studied. Only nine studies considered a social determinant of health which included marital status, number of children, education level, annual income, employment status, work tenure, type of employment, area of residence, minority status/ethnicity and COVID‐19. However, the source of information for the social determinant of health was not clearly defined for more than half of these studies. Conclusion Although IBD sleep research has explored individual‐level factors (i.e. age) that impact sleep health, there is a lack of information on the SDOH that can contribute to sleep health. Impact This review provides insight into the different factors that have been examined in IBD sleep research. By determining the SDOH that impact sleep, nursing research can inform sustainable and tailored interventions that focus on changing behaviour and improving sleep of individuals of varying backgrounds and life experiences. There is a continued need for nurses in practice and research to explore the SDOH that influence health outcomes and the daily lives of those with IBD.

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Section: Resultsmentioning

confidence: 99%

Systematic review: Individual‐level factors and social determinants of health impacting sleep health in individuals with inflammatory bowel disease

Yoo

Tsai

Heitkemper

et al. 2023

Journal of Advanced Nursing

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“…CBT and acceptance and mindfulness-based approaches have been widely referred to as brain-gut behavior therapies, with high support for their use in disorders of gut-brain interaction 18 ; these behavioral treatments have evidence of impact on stress, mood, sleep, and quality of life. [19][20][21][22] Gut-directed hypnotherapy was adapted by the assigned therapist from the standardized protocol of Keefer et al, which was previously shown to maintain remission and reduce clinical symptoms such as abdominal pain and diarrhea in ulcerative colitis (UC). 23 Nutritional care.…”

Section: Resultsmentioning

confidence: 99%

Resilience-based Integrated IBD Care Is Associated With Reductions in Health Care Use and Opioids

Keefer

Gorbenko

Siganporia

et al. 2022

Clinical Gastroenterology and Hepatology

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BACKGROUND & AIMS:Integrated inflammatory bowel disease (IBD) care is effective but not routinely implemented.Validated methods that simultaneously address mind and body targets such as resilience may improve access and outcomes. We describe the development and implementation of the GRITT method and its impact on resilience, health care utilization (HCU), and opioid use in IBD. METHODS:Consecutive patients from an academic IBD center were evaluated for low resilience on the basis of provider referral. Low resilience patients were invited to participate in the GRITT program. Primary outcome was % reduction in HCU. Secondary outcomes were change in resilience and corticosteroid and opioid use. Patients were allocated into 2 groups for analysis: GRITT participants (GP) and non-participants (NP). Clinical data and HCU in the year before enrollment were collected at baseline and 12 months. One-way repeated measures multivariate analysis of covariance evaluated group 3 time interactions for the primary outcome. Effect size was calculated for changes in resilience over time. RESULTS:Of 456 screened IBD patients 394 were eligible, 184 GP and 210 NP. GP had greater reduction in HCU than NP: 71% reduction in emergency department visits, 94% reduction in unplanned hospitalizations. There was 49% reduction in opioid use and 73% reduction in corticosteroid use in GP. Resilience increased by 27.3 points (59%), yielding a large effect size (d [ 2.4). CONCLUSIONS:Mind-body care that focuses on building resilience in the context of IBD care may be a novel approach to reduce unplanned HCU and opioid use, but large, multicenter, randomized controlled trials are needed.

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“…This index encompasses seven dimensions, and the overall score ranges from 0 to 21. Scores exceeding 5 indicated sleep disturbance 18 . Based on the score range, sleep quality was classified as good (0–5), medium (6–10), poor (11–15), or very poor (16–21).…”

Section: Participants and Methodsmentioning

confidence: 99%

“…Scores exceeding 5 indicated sleep disturbance. 18 Based on the score range, sleep quality was classified as good (0-5), medium (6-10), poor (11)(12)(13)(14)(15), or very poor (16-21).…”

Section: Pittsburgh Sleep Quality Index (Psqi)mentioning

confidence: 99%

Geographic differences in psychological symptoms, sleep quality, and quality of life in patients with inflammatory bowel disease: A multicenter study in China

Liu,

Zhang,

et al. 2024

J of Digest Diseases

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ObjectiveWe aimed to explore the geographic differences in psychological symptoms, sleep quality, and quality of life (QoL) among adult patients with inflammatory bowel disease (IBD).MethodsA unified questionnaire was developed to collect data on psychological status and QoL of IBD patients from 42 hospitals across 22 provinces, municipalities, and autonomous regions in China's mainland from September 2021 to May 2022.ResultsA total of 2478 patients with IBD were surveyed. The proportions of patients with anxiety (28.5% vs 23.1%), depression (32.3% vs 27.8%), and poor QoL (44.8% vs 32.2%) were significantly higher in patients from the northern region compared to the southern region (all P < 0.05). In the western region, the proportions of patients with anxiety (31.9% vs 23.0%), depression (37.7% vs 26.7%), sleep disturbances (64.5% vs 58.5%), and poor QoL (44.9% vs 34.8%) were significantly higher than in the eastern and central regions (all P < 0.01). Patients from inland regions had significantly higher rates of anxiety (27.1% vs 23.3%), depression (32.5% vs 26.0%), sleep disturbance (62.0% vs 57.7%), and poor QoL (43.5% vs 29.9%) compared to those from coastal regions (all P < 0.05). In economically underdeveloped areas, the proportions of patients with depression (33.1% vs 28.5%) and poor QoL (52.0% vs 32.4%) were significantly higher than in economically (relatively) developed areas (both P < 0.05).ConclusionThere are significant geographic differences in psychological symptoms, sleep quality, and QoL among Chinese patients with IBD, which might provide valuable insights for global IBD research and clinical practice.

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Brief Behavioral Therapy and Bupropion for Sleep and Fatigue in Young Adults With Crohn’s Disease: An Exploratory Open Trial Study

Cited by 23 publications

References 31 publications

Systematic review: Individual‐level factors and social determinants of health impacting sleep health in individuals with inflammatory bowel disease

Systematic review: Individual‐level factors and social determinants of health impacting sleep health in individuals with inflammatory bowel disease

Resilience-based Integrated IBD Care Is Associated With Reductions in Health Care Use and Opioids

Geographic differences in psychological symptoms, sleep quality, and quality of life in patients with inflammatory bowel disease: A multicenter study in China

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