Subjective and objective sleep quality assessment in adolescent patients with inflammatory bowel disease

Holly Breeden; Elizabeth McDonough; Amanda Glinky; Rebecca Wallace; Robbie Beyl; Colleen LeBlanc

doi:10.1016/j.sleepx.2024.100125

Subjective and objective sleep quality assessment in adolescent patients with inflammatory bowel disease

Sleep Med X. 2024 Aug 28:8:100125. doi: 10.1016/j.sleepx.2024.100125. eCollection 2024 Dec 15.

Authors

Holly Breeden¹, Elizabeth McDonough¹, Amanda Glinky², Rebecca Wallace², Robbie Beyl³, Colleen LeBlanc¹

Affiliations

¹ Department of Pediatrics LSU Health Sciences Center New Orleans, 433 Bolivar St, New Orleans, LA, 70112, USA.
² Children's Hospital of New Orleans, 200 Henry Clay Avenue, New Orleans, LA, 70118, USA.
³ Pennington Biomedical Research Center, Louisiana State University System, 6400 Perkins Rd, Baton Rouge, LA, 70808, USA.

Abstract

Objectives: There is a link between inflammatory bowel disease (IBD) and poor sleep quality that is presumed to be multifactorial. The purpose of this study was to identify factors that impact sleep quality in this group including clinical disease activity, depression, anxiety, quality of life, and disordered social media use through questionnaires.

Methods: This prospective study analyzed sleep quality in adolescent patients ages 13 to 18 with a diagnosis of IBD using objective data from wrist actigraphy and subjective report from the Pittsburgh Sleep Quality Index (PSQI). Additional screeners including the Short Pediatric Crohn's Disease Activity Index or Pediatric Ulcerative Colitis Activity Index, Pediatric Quality of Life Inventory Gastrointestinal Symptoms Module, Generalized Anxiety Disorder 7-item screener, Patient Health Questionnaire depression screener, and Social Media Disorder scale were also collected.

Results: Twenty-three subjects enrolled and 16 completed questionnaires. 62.5 % of participants were in clinical remission and the remaining 37.5 % had mild to severe clinical IBD activity. Poor subjective sleep quality was associated with a shorter duration of sleep time and an increased clinical disease activity score. Patients in clinical remission slept for a longer duration than those with mild IBD activity.

Conclusions: This study did not identify a significant relationship between sleep quality and psychosocial factors in the adolescent population with IBD, though their influence cannot be discounted. There was a connection between the presence of disease activity and shorter sleep duration. Similarly, PSQI scores correlated with sleep time but not sleep quality.