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Sleep quality and functional gastrointestinal disorders. A psychological issue.
J Dig Dis 2018; 19(2):84-92JD

Abstract

OBJECTIVE

Sleep disorders are often associated with functional gastrointestinal disorders (FGIDs). This study aims to evaluate the association of sleep disorders with specific FGIDs and to assess the related importance of psychological disorders.

METHODS

We included 1009 consecutive patients with FGIDs (70.9% females). The patients completed a Rome III questionnaire and after a psychological evaluation on anxiety and depression they were classified according to their sleep disorders using a 7-point grading scale: Groups 1-3, drowsiness (severe, moderate, mild); Group 4, no change; Groups 5-7, insomnia (mild, moderate, severe). Multinomial logistic regression using sleep group as a dependent variable with no sleep change as reference and body mass index, FGIDs, anxiety and depression as independent variables were used for statistical analysis.

RESULTS

Altogether 667 (66.1%) patients reported changes in sleep disorders, of whom 487 (48.3%) had decreased sleep and 180 (17.8%) had increased sleep while 342 (33.9%) reported no change. Depression was lower in patients with no change in sleep pattern and increased with the severity of their sleep disorder (P < 0.001). State-anxiety is associated with moderate drowsiness (P = 0.024), while trait anxiety is associated with mild insomnia (P = 0.048). FGIDs associated with sleep disorders included chest pain, epigastric pain syndrome, irritable bowel syndrome with constipation, diarrhea, bloating, fecal incontinence and proctalgia fugax.

CONCLUSION

Sleep disorders are associated with FGIDs, especially in the presence of depressive symptoms.

Authors+Show Affiliations

Department of Physiology, Paris V René Descartes University, Paris, France. Department of Gastroenterology, Avicenne Hospital, Bobigny, France.Department of Gastroenterology, Avicenne Hospital, Bobigny, France.Department of Gastroenterology, Avicenne Hospital, Bobigny, France.Department of Gastroenterology, Avicenne Hospital, Bobigny, France.Department of Gastroenterology, Avicenne Hospital, Bobigny, France.Department of Gastroenterology, Avicenne Hospital, Bobigny, France.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

29316246

Citation

Bouchoucha, Michel, et al. "Sleep Quality and Functional Gastrointestinal Disorders. a Psychological Issue." Journal of Digestive Diseases, vol. 19, no. 2, 2018, pp. 84-92.
Bouchoucha M, Mary F, Bon C, et al. Sleep quality and functional gastrointestinal disorders. A psychological issue. J Dig Dis. 2018;19(2):84-92.
Bouchoucha, M., Mary, F., Bon, C., Bejou, B., Airinei, G., & Benamouzig, R. (2018). Sleep quality and functional gastrointestinal disorders. A psychological issue. Journal of Digestive Diseases, 19(2), pp. 84-92. doi:10.1111/1751-2980.12577.
Bouchoucha M, et al. Sleep Quality and Functional Gastrointestinal Disorders. a Psychological Issue. J Dig Dis. 2018;19(2):84-92. PubMed PMID: 29316246.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Sleep quality and functional gastrointestinal disorders. A psychological issue. AU - Bouchoucha,Michel, AU - Mary,Florence, AU - Bon,Cyriaque, AU - Bejou,Bakhtiar, AU - Airinei,Gheorghe, AU - Benamouzig,Robert, PY - 2017/05/31/received PY - 2017/09/04/revised PY - 2018/01/04/accepted PY - 2018/1/10/pubmed PY - 2018/9/5/medline PY - 2018/1/10/entrez KW - depression KW - dyspepsia KW - functional gastrointestinal disorder KW - irritable bowel syndrome KW - sleep SP - 84 EP - 92 JF - Journal of digestive diseases JO - J Dig Dis VL - 19 IS - 2 N2 - OBJECTIVE: Sleep disorders are often associated with functional gastrointestinal disorders (FGIDs). This study aims to evaluate the association of sleep disorders with specific FGIDs and to assess the related importance of psychological disorders. METHODS: We included 1009 consecutive patients with FGIDs (70.9% females). The patients completed a Rome III questionnaire and after a psychological evaluation on anxiety and depression they were classified according to their sleep disorders using a 7-point grading scale: Groups 1-3, drowsiness (severe, moderate, mild); Group 4, no change; Groups 5-7, insomnia (mild, moderate, severe). Multinomial logistic regression using sleep group as a dependent variable with no sleep change as reference and body mass index, FGIDs, anxiety and depression as independent variables were used for statistical analysis. RESULTS: Altogether 667 (66.1%) patients reported changes in sleep disorders, of whom 487 (48.3%) had decreased sleep and 180 (17.8%) had increased sleep while 342 (33.9%) reported no change. Depression was lower in patients with no change in sleep pattern and increased with the severity of their sleep disorder (P < 0.001). State-anxiety is associated with moderate drowsiness (P = 0.024), while trait anxiety is associated with mild insomnia (P = 0.048). FGIDs associated with sleep disorders included chest pain, epigastric pain syndrome, irritable bowel syndrome with constipation, diarrhea, bloating, fecal incontinence and proctalgia fugax. CONCLUSION: Sleep disorders are associated with FGIDs, especially in the presence of depressive symptoms. SN - 1751-2980 UR - https://www.unboundmedicine.com/medline/citation/29316246/Sleep_quality_and_functional_gastrointestinal_disorders._A_psychological_issue L2 - https://doi.org/10.1111/1751-2980.12577 DB - PRIME DP - Unbound Medicine ER -