Advertisement

Digestive Diseases and Sciences

, Volume 38, Issue 10, pp 1809–1814 | Cite as

Effect of sleep quality on symptoms of irritable bowel syndrome

  • Geoffrey Goldsmith
  • Jeffrey S. Levin
Original Articles

Abstract

A prospective, one-month diary study was conducted with 23 adult irritable bowel syndrome (IBS) patients in order to determine the relationship between IBS and the quality of sleep. Subjects were screened through history and diagnostic studies. Accepted patients then completed a daily diary of IBS symptoms and sleep quality. At baseline, most subjects (74%) characterized themselves as “poor sleepers”. Using pooled time series analysis, the study found a significant correlation between morning IBS symptoms and the quality of the prior night's sleep (P<0.001), a finding not previously reported in the literature. A less strong but still significant correlation (P<0.05) was found between end of day IBS symptoms and the quality of sleep during the prior evening. Morning IBS symptoms seem to rise or fall in close association with the prior night's quality of sleep. The study supports the hypothesis that IBS symptoms are related to a disturbance in sleep.

Key Words

irritable bowel syndrome sleep quality 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Drossman DA, Sandler RS, McKee DC, Lovitz AJ: Bowel dysfunction amongst subjects not seeking health care. Gastroenterology 83:529–534, 1982Google Scholar
  2. 2.
    Hislop IG: Psychological significance of the irritable bowel syndrome. Gut 12:452–457, 1971Google Scholar
  3. 3.
    Young J, Alpers DH, Norland MS, Woodruff RA: Psychiatric illness and the irritable bowel syndrome: Practical implications for the primary care physician. Gastroenterology 80:1068–1069, 1981Google Scholar
  4. 4.
    Drossman DA, Sandler RS: Irritable bowel syndrome: The role of psychosocial factors.In Irritable Bowel Syndrome. NW Read (ed). London, Grune & Stratton, 1985Google Scholar
  5. 5.
    Harvey RF, Read AE: Effect of cholecystokinin on colonic motility and symptoms in patients with irritable bowel syndrome. Lancet 1:1–3, 1977Google Scholar
  6. 6.
    Sullivan MA, Cohen A, Snape WJ: Colonic myoelectrical activity in the irritable bowel syndrome; effect of eating and anti-cholingerics. N Engl J Med 298:878–883, 1978Google Scholar
  7. 7.
    Whitehead WE, Cheskin LJ, Heller BR, Robinson JC, Crowell MD, Benjamin C, Schuster MM: Evidence for exacerbation of irritable bowel syndrome during menses. Gastroenterology 98:1485–1489, 1990Google Scholar
  8. 8.
    Goo RH, Moore JG, Greenberg E, Alazraki NP: Circadian variation in gastric emptying of meals in humans. Gastroenterology 93:515–518, 1987Google Scholar
  9. 9.
    Narducci F, Bassotti G, Caburri M, Morell A: Circadian rhythms of the human colonic motility. 10th international symposium on gastrointestinal motility. Dig Dis Sci 30(8):784, 1985 (abstract)Google Scholar
  10. 10.
    Kumar D, Wingate DL, Ruckebusch Y: Circadian variation in the propagation velocity of the migrating motor complex. Gastroenterology 91:926–930, 1986Google Scholar
  11. 11.
    Roberts-Thompson IC, Kennaway DJ, Knight RE, Pannall PR: Circadian rhythms in patients with abdominal pain syndrome. Aust NZ J Med 18:569–574, 1988Google Scholar
  12. 12.
    Manning AP, Thompson WG, Heaton KW, Morris AF: Towards positive diagnosis of the irritable bowel. Br Med J 6138:653–654, 1978Google Scholar
  13. 13.
    Beck AT, Ward CH, Mendelson M, Mock J, Erbaugh J: An inventory for measuring depression. Arch Gen Psychiatry (Chicago) 4:561–571, June 1961Google Scholar
  14. 14.
    Spielberger CD: State-trait anxiety inventory form Y, assessment, counseling and training materials. Consulting Psychologists Press Inc., Palo Alto, CA, 1988Google Scholar
  15. 15.
    SAS Institute. VMS SAS Production Release 5–18 (software). Cary, NC, SAS Institute, 1988Google Scholar
  16. 16.
    Frederiksen CH, Rotundo JA: Time-Series models and the study of longitudinal change.In Longitudinal Research in the Study of Behavior and Development. JR Nesselroode, BP Baltes (eds). New York, Academic Press, 1979, pp 111–153Google Scholar
  17. 17.
    Ostrom CW Jr: Time Series Analysis: Regression Techniques, 2nd ed. Newbury Park, California, Sage Publications, 1990Google Scholar
  18. 18.
    Sayrs LW: Pooled Time Series Analysis. Newbury Park, California, Sage Publications, 1989Google Scholar
  19. 19.
    Kessler RC, Greenbert DF: Linear Panel Analysis: Models of Quantitative Change. New York, Academic Press, 1981, pp 157–163Google Scholar
  20. 20.
    Hannan MT, Young AA: Estimation in panel models: Results on pooling cross-sections and time series.In DR Heise (ed). Sociological Methodology 1977. San Francisco, Jossey-Bass Publishers, 1977, pp 52–83Google Scholar
  21. 21.
    Drummond DJ, Gallant AR: The TSCREG procedure.In SUGI Supplemental Library User's Guide, Version 5 Edition. Cary, North Carolina, SAS Institute, 1986, pp 625–645Google Scholar
  22. 22.
    Roche Labs: Psychiatric Rating Scales. Nutley, New Jersey, Roche, Inc., 1984Google Scholar
  23. 23.
    Williamson HA, Williamson MT: The Beck Depression Inventory: Normative data and problems with generalizability. Fam Med 21(1):58–60, 1989Google Scholar
  24. 24.
    Nielsen AC, Williams TA: Depression in ambulatory medical patients: prevalence by self-report questionnaire and recognition by nonpsychiatric physicians. Arch Gen Psychiatry 37:999–1004, 1980Google Scholar
  25. 25.
    Spielberger CD: Manual for the State-Trait Anxiety Inventory. Palo Alto, California, Consulting Psychologists Press Inc., 1983Google Scholar
  26. 26.
    Whitehead WE, Schuster M (eds): Gastrointestinal Disorders. Orlando, Florida, Academic Press, 1985Google Scholar
  27. 27.
    Chaudhary NA, Truelove SC: Q J Med 31:307–332, 1962Google Scholar
  28. 28.
    Saletu B: Is the subjectively experienced quality of sleep related to objective sleep parameters? Behav Biol 13:433–444, 1975 (abstract 4222)Google Scholar
  29. 29.
    Johns MW: Factor analysis of objective and subjective characteristics of a night's sleep. Psychol Med 5:413–418, 1975Google Scholar
  30. 30.
    Williams RL, Karacan I, Moore CA: Sleep Disorders-Diagnosis and Treatment, 2nd ed. New York, John Wiley & Sons, 1988Google Scholar
  31. 31.
    Maxton DG, Morris J, Whorwell PJ: More accurate diagnosis of irritable bowel syndrome by use of “non-colonic” symptomatology. Gut 32:784–786, 1991Google Scholar

Copyright information

© Plenum Publishing Corporation 1993

Authors and Affiliations

  • Geoffrey Goldsmith
    • 1
    • 2
  • Jeffrey S. Levin
    • 1
    • 2
  1. 1.Department of Family and Community MedicineUniversity of Arkansas for Medical SciencesLittle Rock
  2. 2.Department of Family and Community MedicineEastern Virginia Medical SchoolNorfolk

Personalised recommendations