Sleep Measures Predict Next-Day Symptoms in Women with Irritable Bowel Syndrome

Buchanan, Diana Taibi; Cain, Kevin C.; Heitkemper, Margaret; Burr, Robert L.; Vitiello, Michael V.; Zia, Jasmine; Jarrett, Monica

doi:10.5664/jcsm.4038

Cited by 61 publications

(71 citation statements)

References 31 publications

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“…Compared to subjective sleep results which tended to consistently report evidence of poor sleep quality, group difference findings using objective sleep measures were mixed. The majority of the selected studies used PSG as their objective sleep measure, and only two studies employed actigraphy. Most of the studies (10/15) that utilized PSG only used a single night recording.…”

Section: Resultsmentioning

confidence: 99%

Sleep disturbances in irritable bowel syndrome: a systematic review

Heitkemper

Jarrett

et al. 2016

Neurogastroenterology Motil

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Section: Resultsmentioning

confidence: 99%

Sleep disturbances in irritable bowel syndrome: a systematic review

Heitkemper

Jarrett

et al. 2016

Neurogastroenterology Motil

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“…44 Therefore, an ambient lighting intervention designed to increase circadian entrainment and improve sleep can also impact populations beyond those studied in the present paper.…”

Section: Discussionmentioning

confidence: 97%

Tailored lighting intervention for persons with dementia and caregivers living at home

et al. 2015

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Objectives Light therapy has shown promise as a nonpharmacological treatment to help regulate abnormal sleep-wake patterns and associated behavioral issues prevalent among individuals diagnosed with Alzheimer’s disease and related dementia (ADRD). The present study investigated the effectiveness of a lighting intervention designed to increase circadian stimulation during the day using light sources that have high short-wavelength content and high light output. Methods Thirty-five persons with ADRD and 34 caregivers completed the 11-week study. During week 1, subjective questionnaires were administered to the study participants. During week 2, baseline data were collected using Daysimeters and actigraphs. Researchers installed the lighting during week 3, followed by 4 weeks of the tailored lighting intervention. During the last week of the lighting intervention, Daysimeter, actigraph and questionnaire data were again collected. Three weeks after the lighting intervention was removed, a third data collection (post-intervention assessment) was performed. Results The lighting intervention significantly increased circadian entrainment, as measured by phasor magnitude and sleep efficiency, as measured by actigraphy data, and significantly reduced symptoms of depression in the participants with ADRD. The caregivers also exhibited an increase in circadian entrainment during the lighting intervention; a seasonal effect of greater sleep efficiency and longer sleep duration was also found for caregivers. Conclusions An ambient lighting intervention designed to increase daytime circadian stimulation can be used to increase sleep efficiency in persons with ADRD and their caregivers, and may also be effective for other populations such as healthy older adults with sleep problems, adolescents, and veterans with traumatic brain injury.

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“…For example, gastroesophageal reflux disease (GERD) patients experimentally deprived of sleep have more severe oesophageal symptoms when exposed to acid stimulation protocols . Specific to functional GI disorders, a recent study in women ( n = 24) with IBS showed that self‐reported sleep disturbances were associated with abdominal pain, anxiety and fatigue the next day . Furthermore, since affective disorders (anxiety and depression) are common in IBS, and that sleep disturbances are a hallmark feature of these mood disorders, psychiatric comorbidity may play an important role in understanding the effect of sleep on IBS symptoms.…”

Section: Introductionmentioning

confidence: 99%

Effects of disturbed sleep on gastrointestinal and somatic pain symptoms in irritable bowel syndrome

Patel

Hasak

Cassell

et al. 2016

Aliment Pharmacol Ther

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Summary Background Sleep disturbances are common, and perhaps are even more prevalent in irritable bowel syndrome (IBS). Aim To determine the effect of measured sleep on: 1) IBS symptoms the following day, and IBS-specific quality of life (IBS-QOL), and 2) non-GI pain symptoms. Methods IBS patients’ sleep patterns were compared to healthy individuals via wrist-mounted actigraphy over 7 days. Daily bowel pain logs (severity, distress; 10-point Likert), stool pattern (Bristol scale) and supporting symptoms (e.g., bloating, urgency; 5-point Likert) were kept. Validated measures, including the GI Symptom Rating Scale-IBS, Visceral Sensitivity Index, Pittsburgh Sleep Quality Index and the IBS-Quality of Life were collected. Mediation analysis explored the relationship between sleep, mood, and bowel symptoms. Results 50 subjects (38.6±1.0years old, 44 female; 24 IBS and 26 healthy controls) completed sleep monitoring. IBS patients slept more hours per day (7.7±0.2 vs 7.1±0.1, p=0.008), but felt less well-rested. IBS patients demonstrated more waking episodes during sleep (waking episodes; 12.1 vs 9.3, p<0.001). Waking episodes predicted worse abdominal pain (p≤0.01) and GI distress (p<0.001), but not bowel pattern or accessory IBS symptoms (p>0.3 for each). Waking episodes negatively correlated with general- and IBS-specific QOL in IBS (r= −0.58 and −0.52, p<0.001 for each). Disturbed sleep effects on abdominal pain were partially explained by mood as an intermediate. Conclusion Sleep disturbances are more common in IBS, and correlate with IBS-related pain, distress, and poorer IBS-related QOL. Disturbed sleep effects extend beyond the bowel, leading to worse mood and greater somatic pain in IBS patients.

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Sleep Measures Predict Next-Day Symptoms in Women with Irritable Bowel Syndrome

Cited by 61 publications

References 31 publications

Sleep disturbances in irritable bowel syndrome: a systematic review

Sleep disturbances in irritable bowel syndrome: a systematic review

Tailored lighting intervention for persons with dementia and caregivers living at home

Effects of disturbed sleep on gastrointestinal and somatic pain symptoms in irritable bowel syndrome

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