Modulation of Sleep Quality and Autonomic Functioning by Symptoms of Depression in Women with Irritable Bowel Syndrome

Robert, Jennifer J. T.; Orr, William C.; Elsenbruch, Sigrid

doi:10.1023/b:ddas.0000037820.54069.6c

Cited by 51Gastrointestinal motility and disordersHeart Rate Variability and Autonomic ControlSleep and related disorders

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Modulation of Sleep Quality and Autonomic Functioning by Symptoms of Depression in Women with Irritable Bowel Syndrome

Robert, Jennifer J. T., Orr, William C., Elsenbruch, Sigrid·2004·Digestive Diseases and Sciences

DOI 10.1023/b:ddas.0000037820.54069.6c

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Abstract

The objective of this study was to determine how depressive symptoms affect autonomic activity during sleep, objective and subjective sleep, and gastrointestinal symptom severity in women with irritable bowel syndrome (IBS). Seventy women who met the Rome II criteria for IBS and 21 healthy volunteers participated. All participants were recruited from the surrounding community. IBS patients were stratified into two groups based on their Beck Depression Inventory II score and 44 IBS patients with depressive symptoms (IBS+DS) were compared to 26 IBS patients without depressive symptoms (IBS-DS). Autonomic activity was measured by heart rate variability (HRV) analysis. Fifteen-minute segments were selected from a baseline presleep period, stage 2, slow-wave sleep, and rapid-eye movement sleep for heart rate variability spectral analysis. Subjective sleep quality was assessed by the Pittsburg Sleep Quality Index (PSQI) and gastrointestinal symptom severity was assessed by an 18-item questionnaire. The IBS+DS group reported significantly (P < 0.01) more sleep complaints, measured by the PSQI, than the IBS-DS group and healthy controls. The IBS+DS group took significantly (P < 0.05) longer to enter their first rapid-eye movement period than healthy controls. The IBS+DS group reported significantly (P = 0.01) increased gastrointestinal symptom severity compared to the IBS-DS group. There were no significant group differences in autonomic activity during the baseline presleep period or sleep stages. The results demonstrated that IBS patients with significant depressive symptoms had increased gastrointestinal symptom severity, increased sleep complaints, and alterations in sleep architecture compared to healthy controls and IBS patients without significant depressive symptoms.

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HF was recorded in all studies, LF was recorded in 26 (96.8%), and VLF was recorded in 6 (21.4%).
“HF was recorded in all studies, LF was recorded in 26 (96.8%) (31–47,50–58), and VLF was recorded in 6 (21.4%) (37,41,44,52,56,57).”
From Alterations in Heart Rate Variability Associated With Irritable Bowel Syndrome or Inflammatory Bowel Disease: A Systematic Review and Meta-Analysis (2021) · cites this paper as [36]
Nineteen studies compared IBS with HC, 9 compared IBD with HC, and 2 compared HRV across all 3 comparators.
“Nineteen studies compared IBS with HC (31–49), 9 compared IBD with HC (50–58), and 2 compared HRV across all 3 comparators (41,44).”
From Alterations in Heart Rate Variability Associated With Irritable Bowel Syndrome or Inflammatory Bowel Disease: A Systematic Review and Meta-Analysis (2021) · cites this paper as [36]

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BIOFEEDBACK E RESISTÊNCIA GALVÂNICA DA PELE: MEDIDAS EM PACIENTES COM SÍNDROME DO INTESTINO IRRITÁVEL E EM INDIVÍDUOS SAUDÁVEIS BIOFEEDBACK AND GALVANIC RESISTANCE OF THE SKIN: MEASURES IN PATIENTS WITH IRRITABLE BOWEL SYNDROME AND IN HEALTHY INDIVIDUALS
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Sleep-Related Autonomic Disturbances in Symptom Subgroups of Women with Irritable Bowel Syndrome
Robert, J. J. T., Elsenbruch, S., & Orr, W. C. (2006) · Digestive Diseases and Sciences · doi:10.1007/s10620-006-9305-z · Cited by 38
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Behavioral and physiological sleep characteristics in women with irritable bowel syndrome
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The association between irritable bowel syndrome and the coexistence of depression and insomnia
Lee, S. K., Yoon, D. W., Lee, S., Kim, J., Choi, K.-M., & Shin, C. (2016) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2016.12.007 · Cited by 36

Authors: Robert, J. J. T., Orr, W. C., & Elsenbruch, S.
Affiliations: University of Michigan (US)
Essen University Hospital (DE)
Corresponding author: Robert, Jennifer J. T.
ORCID: Elsenbruch, Sigrid
Venue: Digestive Diseases and Sciences
Publisher: Springer Science and Business Media LLC
Published: 2004-08
Volume: 49
Issue: 7-8
Pages: 1250-1258
ISSN: 0163-2116 (ISSN-L)
1573-2568
DOI: 10.1023/b:ddas.0000037820.54069.6c
OpenAlex: W2155728560
Cited by: 51
References: 46
Citations by year: 2024: 1 · 2023: 1 · 2022: 1 · 2021: 2 · 2020: 2 · 2019: 1 · 2018: 2 · 2017: 2 · 2016: 2 · 2015: 2 · 2014: 1 · 2013: 6 · 2012: 2
FWCI: 5.13
Type: journal article
Language: en
Open access: closed
Licence: www.springernature.com/gp/researchers/text-and-data-mining (tdm)
www.springernature.com/gp/researchers/text-and-data-mining (vor)
Locations: Digestive Diseases and Sciences (publishedVersion)
PubMed (publishedVersion)
Deep Blue (University of Michigan) (submittedVersion)
Topics: Health Sciences › Medicine › Gastroenterology › Gastrointestinal motility and disorders
Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Heart Rate Variability and Autonomic Control
Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
Keywords: irritable bowel syndrome, depressive symptoms, sleep quality, autonomic nervous system, heart rate variability, sleep architecture, REM latency, gastrointestinal symptom severity, women
MeSH terms: Adult, Analysis of Variance, Autonomic Nervous System, Depression, Female, Heart Rate, Humans, Sleep, Sleep Stages, Sleep, REM, Comorbidity, Irritable Bowel Syndrome

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Modulation of Sleep Quality and Autonomic Functioning by Symptoms of Depression in Women with Irritable Bowel Syndrome

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