Patients with IBD Want to Talk About Sleep and Treatments for Insomnia with Their Gastroenterologist

Background and Aims Poor sleep may be prospectively associated with worse disease course in inflammatory bowel disease (IBD). Chronic insomnia is the most common cause of poor sleep complaints in IBD and is theorized to be maintained by dysfunctional thoughts and behavioral patterns. However, data c...

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Bibliographic Details
Published in:Digestive diseases and sciences 2023-06, Vol.68 (6), p.2291-2302
Main Authors: Salwen-Deremer, Jessica K., Godzik, Cassandra M., Jagielski, Christina H., Siegel, Corey A., Smith, Michael T.
Format: Article
Language:English
Subjects:
Behavior
Behavior therapy
Behavioral health care
Biochemistry
Care and treatment
Cognitive therapy
Colitis, Ulcerative - therapy
Comorbidity
Female
Gastroenterologists
Gastroenterology
Gastrointestinal diseases
Hepatology
Humans
Inflammatory bowel disease
Inflammatory Bowel Diseases - complications
Inflammatory Bowel Diseases - epidemiology
Inflammatory Bowel Diseases - therapy
Insomnia
Male
Medicine
Medicine & Public Health
Middle Aged
Oncology
Original
Original Article
Pain
Sleep
Sleep Initiation and Maintenance Disorders - epidemiology
Sleep Initiation and Maintenance Disorders - etiology
Sleep Initiation and Maintenance Disorders - therapy
Surveys
Transplant Surgery
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Summary:Background and Aims Poor sleep may be prospectively associated with worse disease course in inflammatory bowel disease (IBD). Chronic insomnia is the most common cause of poor sleep complaints in IBD and is theorized to be maintained by dysfunctional thoughts and behavioral patterns. However, data characterizing patterns specific to insomnia in IBD are lacking. Understanding the nuances of insomnia and patients’ preferences for treatment is critical for addressing this significant comorbidity in IBD. Methods We conducted an anonymous, mixed-method online survey of people with IBD and asked questions about sleep patterns, thoughts, and behaviors related to sleep, treatment preferences, and barriers to treatment. Results 312 participants (60.9% Crohn’s, 66.3% women, mean age of 48.62 years) were included in this study. Participants with insomnia were significantly more concerned about the consequences of sleep loss, felt more helpless about their sleep, and were more likely to engage in behaviors known to perpetuate insomnia (e.g., spending time in bed in pain; ps  ≤ 0.001) than those without insomnia. 70.3% of participants were interested in discussing sleep as part of IBD care, 63.5% were interested in receiving sleep recommendations from their gastroenterologist, and 84.6% of those with insomnia were interested in participating in sleep treatments. Conclusion Participants with IBD and insomnia are interested in treatment and reported patterns that can be targeted in Cognitive Behavioral Therapy for Insomnia, as opposed to traditional sleep hygiene guidelines. Additionally, people with insomnia engaged in several sleep-interfering behaviors related to pain. Clinical trials that target insomnia in people with IBD should include pain management in the intervention.
ISSN:0163-2116
1573-2568
DOI:10.1007/s10620-023-07883-8