Scott, A.J. orcid.org/0000-0001-7426-7099, Flowers, O. and Rowse, G. orcid.org/0000-0003-3292-4008 (2021) Do specific types of sleep disturbances represent risk factors for poorer health‐related quality of life in inflammatory bowel disease? A longitudinal cohort study. British Journal of Health Psychology, 26 (1). pp. 90-108. ISSN 1359-107X
Abstract
Objectives
Poor global sleep quality is commonly reported in people with inflammatory bowel disease (IBD) and is linked to poorer health‐related quality of life (HRQoL). However, understanding is currently limited by a lack of: (1) longitudinal research and (2) research investigating the impact of specific types of problems sleeping on IBD‐related outcomes, particularly on HRQoL.
Design
Observational longitudinal cohort study.
Methods
N = 276 participants with IBD completed measures at baseline (T1) and 4 weeks later at T2. Four specific sleep disturbances associated with IBD including sleep apnoea, insomnia, restless legs, and nightmares were measured alongside depression, anxiety and stress, and HRQoL.
Results
After controlling for participant demographics and clinical characteristics, T1 depression, anxiety, stress, and T1 HRQoL, more severe symptom severity of sleep apnoea (B = −0.30, p < .05) and insomnia symptoms (B = −0.23, p < .05) at T1 significantly predicted poorer HRQoL at T2. However, the experience of restless legs (B = −0.03, p > .87) and nightmares (B = −0.14, p > .11) at T1 did not predict HRQoL.
Conclusion
Symptoms synonymous with sleep apnoea and insomnia might represent modifiable risk factors that provide independent contributions to HRQoL over time in those with IBD. These findings suggest that interventions designed to improve sleep apnoea and insomnia could confer benefits to HRQoL in those with IBD. However, more longitudinal research is needed to understand the contribution of sleep disturbances over the longer term, as well as more randomized controlled trials testing the effect of improving sleep on IBD‐related outcomes.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © 2020 The Authors. This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. https://creativecommons.org/licenses/by/4.0/ |
Keywords: | Crohn’s; health‐related quality of life; inflammatory bowel disease; sleep; ulcerative colitis |
Dates: |
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Institution: | The University of Sheffield |
Academic Units: | The University of Sheffield > Faculty of Medicine, Dentistry and Health (Sheffield) > School of Health and Related Research (Sheffield) > ScHARR - Sheffield Centre for Health and Related Research The University of Sheffield > Faculty of Science (Sheffield) > Department of Psychology (Sheffield) |
Depositing User: | Symplectic Sheffield |
Date Deposited: | 08 Jul 2020 08:06 |
Last Modified: | 20 Jan 2022 09:14 |
Status: | Published |
Publisher: | Wiley |
Refereed: | Yes |
Identification Number: | 10.1111/bjhp.12457 |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:163015 |