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Association Between Sleep Quality and Postcolonoscopy Pain.

Haci Bolat1, Tugba Tolu2, Haluk Tarık Kani2,3

  • 1Department of General Surgery, Niğde Ömer Halisdemir University Faculty of Medicine, Niğde, Türkiye.

The Turkish Journal of Gastroenterology : the Official Journal of Turkish Society of Gastroenterology
|May 4, 2026
PubMed
Summary

Poor sleep quality is linked to increased abdominal pain after colonoscopy. Addressing sleep and psychosocial factors can improve patient comfort and care following endoscopic procedures.

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Brain–gut axiscolonoscopypatient satisfactionpostprocedural painpsychosomatic factorssleep quality

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Area of Science:

  • Gastroenterology
  • Sleep Medicine
  • Pain Management

Background:

  • Postcolonoscopy pain impacts patient satisfaction and repeat procedure willingness.
  • Patient-related factors influencing pain are not fully understood.
  • The role of sleep quality in postcolonoscopy pain is not well-elucidated.

Purpose of the Study:

  • To investigate the association between sleep quality and postcolonoscopy abdominal pain.
  • To identify patient-related factors affecting pain after colonoscopy.

Main Methods:

  • Prospective observational cohort study of 103 adults (18-80 years) undergoing colonoscopy.
  • Assessed sleep quality (Pittsburgh Sleep Quality Index) and psychological parameters.
  • Measured pain intensity using Visual Analog Scale at multiple time points post-procedure.

Main Results:

  • Poor sleep quality significantly correlated with higher pain intensity 6 hours post-colonoscopy (r = 0.239, P = .015).
  • No association found between anxiety/depression scores and pain intensity.
  • Prior depression diagnosis, incomplete procedures, and gastrointestinal symptoms were linked to higher pain.

Conclusions:

  • Sleep quality is a significant patient-related factor influencing early postcolonoscopy pain.
  • Integrating sleep and psychosocial assessments may enhance understanding of pain variability.
  • Improved patient-centered care can be achieved by considering these factors.