Sleep disturbances in the irritable bowel syndrome and functional dyspepsia are independent of psychological distress: a population-based study of 1322 Australians.

Tytuł:: Sleep disturbances in the irritable bowel syndrome and functional dyspepsia are independent of psychological distress: a population-based study of 1322 Australians.
Autorzy:: Koloski NA; College of Health, Medicine and Wellbeing, University of Newcastle, Callaghan, New South Wales, Australia.; Department of Gastroenterology and Hepatology, Princess Alexandra Hospital, Brisbane, QLD, Australia.; Faculty of Health and Behavioural Sciences, University of Queensland, Herston, QLD, Australia.
Jones M; Department of Psychology, Macquarie University, Sydney, NSW, Australia.
Walker MM; School of Medicine and Public Health, College of Health Medicine and Wellbeing, University of Newcastle, Callaghan, New South Wales, Australia.
Keely S; School of Biomedical Sciences and Pharmacy, College of Health Medicine and Wellbeing, University of Newcastle, Callaghan, New South Wales, Australia.
Holtmann G; Department of Gastroenterology and Hepatology, Princess Alexandra Hospital, Brisbane, QLD, Australia.; Faculty of Medicine, University of Queensland, St. Lucia, QLD, Australia.
Talley NJ; College of Health, Medicine and Wellbeing, University of Newcastle, Callaghan, New South Wales, Australia.
Źródło:: Alimentary pharmacology & therapeutics [Aliment Pharmacol Ther] 2021 Sep; Vol. 54 (5), pp. 627-636. Date of Electronic Publication: 2021 Jul 11.
Typ publikacji:: Journal Article
Język:: English
Imprint Name(s):: Publication: Oxford : Wiley-Blackwell
Original Publication: [Oxford, OX] : Blackwell Scientific Publications, [c1987-
MeSH Terms:: Dyspepsia*/epidemiology
Irritable Bowel Syndrome*/complications
Irritable Bowel Syndrome*/epidemiology
Psychological Distress*
Sleep Wake Disorders*/epidemiology
Sleep Wake Disorders*/etiology
Adult ; Australia/epidemiology ; Humans ; Prevalence ; Sleep ; Surveys and Questionnaires
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Entry Date(s):: Date Created: 20210711 Date Completed: 20210903 Latest Revision: 20210903
Update Code:: 20240105
DOI:: 10.1111/apt.16500
PMID:: 34247414
: Czasopismo naukowe

Pełny tekst

Background: Psychological distress, strongly associated with functional gastrointestinal disorders (FGIDS), likely plays a central role in the pathophysiology. The role of sleep disturbances in FGIDs is unclear, and an association with psychological factors is uncertain.
Aim: To determine whether sleep disturbances are associated with irritable bowel syndrome (IBS) and functional dyspepsia (FD) and if a potential association is explained by psychological distress.
Methods: Adult sample randomly selected from a region in New South Wales, Australia in 2015 who returned a follow-up mail survey in 2018 (response rate, 60.5%) that contained questions on IBS, FD, sleep (MOS-Sleep Scale) and psychological distress (Kessler 6 scale).
Results: Among this population, 10.4% (95% CI 8.8-12.2) and 17.9% (95% CI 15.9-20.1) met Rome III criteria for IBS and FD, respectively. The prevalence of any sleep disturbance at least most of the time was common, with a significantly higher prevalence in FGID (IBS and/or FD) compared with the remaining population (41.8% vs 32.2%, P = 0.003). The total sleep problem index was significantly higher for IBS (OR = 1.71 [95% CI 1.29-2.27], P < 0.0001) (IBS-diarrhoea predominant and IBS-mixed but not IBS-constipation) and FD (OR = 1.80 [1.43-2.26], P < 0.0001) (both epigastric pain syndrome and postprandial distress syndrome) even after adjusting for age, sex and psychological distress.
Conclusion: Both IBS and FD, and most of their major subtypes except IBS-C, are associated with a range of sleep disturbances. These sleep problems do not appear to be explained by psychological factors and may play an independent role in the pathophysiology.
(© 2021 John Wiley & Sons Ltd.)

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