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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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| Published in: | Digestive diseases and sciences 2023-06, Vol.68 (6), p.2291-2302 |
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| container_issue | 6 |
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| container_title | Digestive diseases and sciences |
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| creator | Salwen-Deremer, Jessica K. Godzik, Cassandra M. Jagielski, Christina H. Siegel, Corey A. Smith, Michael T. |
| description | 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. |
| doi_str_mv | 10.1007/s10620-023-07883-8 |
| format | article |
| fullrecord | <record><control><sourceid>gale_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_9958321</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A749584730</galeid><sourcerecordid>A749584730</sourcerecordid><originalsourceid>FETCH-LOGICAL-c541t-874a9b75f74e18ab903b7e1c293ca22eb4c80fc3feaa81f0e70887fc50f4815e3</originalsourceid><addsrcrecordid>eNp9klFvFCEUhSdGY9fqH_DBkPjiy9QLzAzMi8latW7SRBPX-EgY9rJLnYEVWI3_XtqprTXG8ADhfudcLjlV9ZTCCQUQLxOFjkENjNcgpOS1vFctaCt4zdpO3q8WQLtyprQ7qh6ldAEAvaDdw-qId7IBSdmi2nzU2aHPifxweUdWr9-QL9pnkgNZ6_ErWQ7hkMmnEXFPtN-QdUSdpyuBDZGsfAqTd3pWr3foIjnTKcdQEIxhDFuX8uPqgdVjwifX-3H1-d3b9en7-vzD2ep0eV6btqG5lqLR_SBaKxqkUg898EEgNaznRjOGQ2MkWMMtai2pBRQgpbCmBdtI2iI_rl7NvvvDMOHGlDdEPap9dJOOP1XQTt2teLdT2_Bd9X0rOaPF4MW1QQzfDpiymlwyOI7aYzgkxYQE6NpeNAV9_hd6EQ7Rl_EUk7ShbUf7_pba6hGV8zaUvubSVC1FU7o2gkOhTv5BlbXByZng0bpyf0fAZoGJIaWI9mZGCuoyG2rOhirZUFfZULKInv35OzeS32EoAJ-BVEp-i_F2pP_Y_gKEQcQM</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2814156199</pqid></control><display><type>article</type><title>Patients with IBD Want to Talk About Sleep and Treatments for Insomnia with Their Gastroenterologist</title><source>Springer Link</source><creator>Salwen-Deremer, Jessica K. ; Godzik, Cassandra M. ; Jagielski, Christina H. ; Siegel, Corey A. ; Smith, Michael T.</creator><creatorcontrib>Salwen-Deremer, Jessica K. ; Godzik, Cassandra M. ; Jagielski, Christina H. ; Siegel, Corey A. ; Smith, Michael T.</creatorcontrib><description>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.</description><identifier>ISSN: 0163-2116</identifier><identifier>EISSN: 1573-2568</identifier><identifier>DOI: 10.1007/s10620-023-07883-8</identifier><identifier>PMID: 36840812</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>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</subject><ispartof>Digestive diseases and sciences, 2023-06, Vol.68 (6), p.2291-2302</ispartof><rights>The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2023. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><rights>2023. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.</rights><rights>COPYRIGHT 2023 Springer</rights><rights>The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2023, Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c541t-874a9b75f74e18ab903b7e1c293ca22eb4c80fc3feaa81f0e70887fc50f4815e3</citedby><cites>FETCH-LOGICAL-c541t-874a9b75f74e18ab903b7e1c293ca22eb4c80fc3feaa81f0e70887fc50f4815e3</cites><orcidid>0000-0001-6498-3729</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,315,786,790,891,27957,27958</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36840812$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Salwen-Deremer, Jessica K.</creatorcontrib><creatorcontrib>Godzik, Cassandra M.</creatorcontrib><creatorcontrib>Jagielski, Christina H.</creatorcontrib><creatorcontrib>Siegel, Corey A.</creatorcontrib><creatorcontrib>Smith, Michael T.</creatorcontrib><title>Patients with IBD Want to Talk About Sleep and Treatments for Insomnia with Their Gastroenterologist</title><title>Digestive diseases and sciences</title><addtitle>Dig Dis Sci</addtitle><addtitle>Dig Dis Sci</addtitle><description>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.</description><subject>Behavior</subject><subject>Behavior therapy</subject><subject>Behavioral health care</subject><subject>Biochemistry</subject><subject>Care and treatment</subject><subject>Cognitive therapy</subject><subject>Colitis, Ulcerative - therapy</subject><subject>Comorbidity</subject><subject>Female</subject><subject>Gastroenterologists</subject><subject>Gastroenterology</subject><subject>Gastrointestinal diseases</subject><subject>Hepatology</subject><subject>Humans</subject><subject>Inflammatory bowel disease</subject><subject>Inflammatory Bowel Diseases - complications</subject><subject>Inflammatory Bowel Diseases - epidemiology</subject><subject>Inflammatory Bowel Diseases - therapy</subject><subject>Insomnia</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Oncology</subject><subject>Original</subject><subject>Original Article</subject><subject>Pain</subject><subject>Sleep</subject><subject>Sleep Initiation and Maintenance Disorders - epidemiology</subject><subject>Sleep Initiation and Maintenance Disorders - etiology</subject><subject>Sleep Initiation and Maintenance Disorders - therapy</subject><subject>Surveys</subject><subject>Transplant Surgery</subject><issn>0163-2116</issn><issn>1573-2568</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><recordid>eNp9klFvFCEUhSdGY9fqH_DBkPjiy9QLzAzMi8latW7SRBPX-EgY9rJLnYEVWI3_XtqprTXG8ADhfudcLjlV9ZTCCQUQLxOFjkENjNcgpOS1vFctaCt4zdpO3q8WQLtyprQ7qh6ldAEAvaDdw-qId7IBSdmi2nzU2aHPifxweUdWr9-QL9pnkgNZ6_ErWQ7hkMmnEXFPtN-QdUSdpyuBDZGsfAqTd3pWr3foIjnTKcdQEIxhDFuX8uPqgdVjwifX-3H1-d3b9en7-vzD2ep0eV6btqG5lqLR_SBaKxqkUg898EEgNaznRjOGQ2MkWMMtai2pBRQgpbCmBdtI2iI_rl7NvvvDMOHGlDdEPap9dJOOP1XQTt2teLdT2_Bd9X0rOaPF4MW1QQzfDpiymlwyOI7aYzgkxYQE6NpeNAV9_hd6EQ7Rl_EUk7ShbUf7_pba6hGV8zaUvubSVC1FU7o2gkOhTv5BlbXByZng0bpyf0fAZoGJIaWI9mZGCuoyG2rOhirZUFfZULKInv35OzeS32EoAJ-BVEp-i_F2pP_Y_gKEQcQM</recordid><startdate>20230601</startdate><enddate>20230601</enddate><creator>Salwen-Deremer, Jessica K.</creator><creator>Godzik, Cassandra M.</creator><creator>Jagielski, Christina H.</creator><creator>Siegel, Corey A.</creator><creator>Smith, Michael T.</creator><general>Springer US</general><general>Springer</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0001-6498-3729</orcidid></search><sort><creationdate>20230601</creationdate><title>Patients with IBD Want to Talk About Sleep and Treatments for Insomnia with Their Gastroenterologist</title><author>Salwen-Deremer, Jessica K. ; Godzik, Cassandra M. ; Jagielski, Christina H. ; Siegel, Corey A. ; Smith, Michael T.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c541t-874a9b75f74e18ab903b7e1c293ca22eb4c80fc3feaa81f0e70887fc50f4815e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Behavior</topic><topic>Behavior therapy</topic><topic>Behavioral health care</topic><topic>Biochemistry</topic><topic>Care and treatment</topic><topic>Cognitive therapy</topic><topic>Colitis, Ulcerative - therapy</topic><topic>Comorbidity</topic><topic>Female</topic><topic>Gastroenterologists</topic><topic>Gastroenterology</topic><topic>Gastrointestinal diseases</topic><topic>Hepatology</topic><topic>Humans</topic><topic>Inflammatory bowel disease</topic><topic>Inflammatory Bowel Diseases - complications</topic><topic>Inflammatory Bowel Diseases - epidemiology</topic><topic>Inflammatory Bowel Diseases - therapy</topic><topic>Insomnia</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Oncology</topic><topic>Original</topic><topic>Original Article</topic><topic>Pain</topic><topic>Sleep</topic><topic>Sleep Initiation and Maintenance Disorders - epidemiology</topic><topic>Sleep Initiation and Maintenance Disorders - etiology</topic><topic>Sleep Initiation and Maintenance Disorders - therapy</topic><topic>Surveys</topic><topic>Transplant Surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Salwen-Deremer, Jessica K.</creatorcontrib><creatorcontrib>Godzik, Cassandra M.</creatorcontrib><creatorcontrib>Jagielski, Christina H.</creatorcontrib><creatorcontrib>Siegel, Corey A.</creatorcontrib><creatorcontrib>Smith, Michael T.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Proquest Nursing & Allied Health Source</collection><collection>ProQuest Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Family Health Database (Proquest)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Digestive diseases and sciences</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Salwen-Deremer, Jessica K.</au><au>Godzik, Cassandra M.</au><au>Jagielski, Christina H.</au><au>Siegel, Corey A.</au><au>Smith, Michael T.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Patients with IBD Want to Talk About Sleep and Treatments for Insomnia with Their Gastroenterologist</atitle><jtitle>Digestive diseases and sciences</jtitle><stitle>Dig Dis Sci</stitle><addtitle>Dig Dis Sci</addtitle><date>2023-06-01</date><risdate>2023</risdate><volume>68</volume><issue>6</issue><spage>2291</spage><epage>2302</epage><pages>2291-2302</pages><issn>0163-2116</issn><eissn>1573-2568</eissn><notes>ObjectType-Article-1</notes><notes>SourceType-Scholarly Journals-1</notes><notes>ObjectType-Feature-2</notes><notes>content type line 23</notes><abstract>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.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>36840812</pmid><doi>10.1007/s10620-023-07883-8</doi><tpages>12</tpages><orcidid>https://orcid.org/0000-0001-6498-3729</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0163-2116 |
| ispartof | Digestive diseases and sciences, 2023-06, Vol.68 (6), p.2291-2302 |
| issn | 0163-2116 1573-2568 |
| language | eng |
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| source | Springer Link |
| 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 |
| title | Patients with IBD Want to Talk About Sleep and Treatments for Insomnia with Their Gastroenterologist |
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