More than one-third of people with inflammatory bowel disease (IBD) report trouble sleeping, with moderate or worse insomnia. And the more severe their insomnia, the worse the disability related to their IBD, a new study finds.
Poor sleep is common with IBD, says lead researcher Alex Barnes, MD, a gastroenterologist and clinical lecturer at Flinders Medical Centre in Bedford Park, Australia.
Barnes and colleagues did an online survey of 670 people with IBD in Australia. They found that clinically significant insomnia was significantly tied to active IBD, belly pain, and significant anxiety and depression.The study findings suggest people with IBD be screened for trouble with sleep, Barnes says. In the study, people had clinically significant insomnia if they scored a 14 or higher on the Insomnia Severity Index.
Once insomnia is confirmed, it is important to decide if it significantly impacts a person’s quality of life. This can include attending fewer social- or work-related activities or having a hard time driving, making appointments, or running errands, for example. The finding in the study that more severe insomnia – more trouble falling asleep, staying asleep and/or waking up too early – is linked to worse IBD symptoms aligns with evidence from other studies, Cheng says.
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