糟糕的主观睡眠质量预测了刺激性肠综合征的症状,使用经验采样方法
Rabia Topan1, Lisa Vork2, Heather Fitzke3
1Blizard Institute, Wingate Institute of Neurogastroenterology, Centre for Neuroscience, Surgery and Trauma Barts and the London School of Medicine and Dentistry, Queen Mary University, London, UK.
The American journal of gastroenterology
|September 22, 2023
概括
主观睡眠质量差,但不是客观的测量,预测了刺激性肠综合征 (IBS) 患者第二天的胃肠症状. 这凸显了睡眠质量在管理IBS症状经验中的重要性.
科学领域:
- 胃肠病学 胃肠病学
- 睡眠医学 睡眠医学
- 精神病体医学是一种精神病体医学.
背景情况:
- 睡眠质量是影响刺激性肠综合征 (IBS) 症状体验的潜在因素.
- 了解睡眠和胃肠道 (GI) 症状之间的关系对于有效的IBS管理至关重要.
研究的目的:
- 研究IBS患者的主观和客观睡眠质量与胃肠道症状之间的双向关系.
- 确定睡眠质量对随后的胃肠道症状严重性的预测作用.
主要方法:
- 利用动图进行客观的睡眠评估,并使用智能手机应用程序每天在七天内追踪胃肠道症状和情绪.
- 采用经验采样方法 (ESM) 来捕获实时症状数据和主观睡眠质量.
- 应用交叉滞后结构方程模型来分析睡眠和胃肠道症状之间的时间动态.
主要成果:
- 显著比例的IBS患者 (66%) 报告了临床显著的睡眠障碍,82%的查结果为睡眠障碍呈阳性.
- 较差的主观睡眠质量显著预测了第二天的腹痛增加和下部消化道症状.
- 来自动摄影的客观睡眠测量没有显示出与随后的胃肠道症状有显著的关联.
结论:
- 睡眠质量的感知,而不是客观的睡眠参数,似乎在预测IBS下一天的胃肠道症状方面更有影响.
- 研究结果表明,针对主观睡眠质量的干预措施可能对控制IBS症状有益.
- 需要进一步的研究来探索睡眠干预对肠胃综合征症状负担的影响.
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