The Effect of Dream Anxiety on Sleep Quality in Inflammatory Bowel Diseases

2019 ◽  
Vol 38 (5) ◽  
pp. 380-389
Author(s):  
Haluk Tarik Kani ◽  
Ayse Sakalli Kani ◽  
Uzay Dural ◽  
Emre Basgoze ◽  
Cagri Aksu ◽  
...  

Introduction: Declining sleep quality is a well-known issue in inflammatory bowel disease (IBD), but dream characteristics of patients with IBD and their role in sleep quality are unknown. In this study, we aimed to examine whether and how patients with ulcerative colitis (UC) and Crohn’s disease (CD) differ on sleep quality, sleepiness level, and dream anxiety (DA) level compared to healthy controls (HC), controlling for their depressive and anxious tendencies. Methods: Patients and HCs were enrolled prospectively into the study. The Van DA Scale, Pittsburg Sleep Quality Index, Epworth Sleepiness Scale, Beck Depression Index, and State-Trait Anxiety Inventories were used to assess DA, sleep quality, sleepiness, depression, and anxiety, respectively. Results: Patients with IBD had significantly lower depression (p = 0.004), state anxiety (p = 0.0001), trait anxiety (p = 0.004), and DA (p = 0.0001) than HCs. Although no statistically significant difference in sleep quality was found (p = 0.99), daytime sleepiness was more common in HCs than in IBD patients (p = 0.0001). No statistically significant difference was seen in depression, state anxiety, trait anxiety, DA, sleep quality, and daytime sleepiness between patients with CD and those with UC. No correlation was found between disease activity indices and psychological parameters. Conclusion: In contrast to previous studies, this study found lower anxiety and depression levels in patients with IBD than in HCs. Moreover, DA score was higher in HCs. For the first time, we revealed that DA may be one of the factors leading to sleep disturbance in patients with IBD.

2013 ◽  
Vol 71 (8) ◽  
pp. 533-536 ◽  
Author(s):  
Gisele S. M. Leite Neves ◽  
Marleide da Mota Gomes

OBJECTIVE: It was to evaluate the relationships between fatigue and excessive daytime sleepiness, sleep quality, depression and anxiety. METHODS: This was a cross-sectional study on 98 unselected adult patients with epilepsy (PWE) at a tertiary center. It used clinical-sociodemographic characteristics, fatigue measured by the SF-36 vitality subscale (VsSF-36) and the Epworth Sleepiness Scale, Pittsburgh Sleep Quality Index and Beck Depression and Anxiety Inventories. RESULTS: We observed that our patients presented vitality or fatigue similar to drivers with chronic headaches evaluated in the same city. Fatigue was related to depression, anxiety and sleep quality, but not to daytime sleepiness. A multiple linear regression analysis was conducted and we observed that fatigue was independently correlated with depression and quality of sleep. However, no significant difference was observed regarding seizure frequency or number of antiepileptic drugs. CONCLUSION: Fatigue needs to be studied more in PWE, and its risk factors need to be controlled, along with sleep quality and psychiatric disorders.


2021 ◽  
Vol 12 ◽  
Author(s):  
Bailong Liu ◽  
Ke Qiao ◽  
Youfeng Lu

The study aimed to investigate the relationship among perceived stress, state-trait anxiety, and sleep quality of graduates to provide a reference for improving their psychological status and attitude adjustment of job-searching during the COVID-19 pandemic. The research was conducted in a descriptive cross-sectional online survey between May 2020 and August 2020. The data were collected from 1,200 participants by using the personal information form prepared by the researchers in line with the literature, the Perceived Stress Scale, the State-Trait Anxiety Inventory, and the Pittsburgh Sleep Quality Index (PSQI). Among the surveyed participants, 47.67% were female, and 10.92% were medical students. The mean perceived stress, state anxiety, trait anxiety, and sleep quality were moderate and found as 31.4±6.69, 46.67±5.80, 49.45±5.54, and 5.94±2.47, respectively. The detection rates of state anxiety and trait anxiety were 48.63 and 49.50%, respectively. There was no significant difference in the detection rate of state anxiety and trait anxiety among different genders and majors (p >0.05). The detection rate of state anxiety and trait anxiety of rural family students was higher than that of urban family students (p <0.01). The score on the PSQI was positively associated with the scores on the perceived stress, state anxiety, and trait anxiety scales (p <0.001 for each model). Sleep quality was associated with increased perceived stress, state anxiety, and trait anxiety among graduates in China. Collectively, the study revealed the relationship between perceived stress, state-trait anxiety, and sleep quality among university graduates in China during the COVID-19 pandemic. Our results offer novel practical implications for all circles of the society to ensure students’ health under the context of the COVID-19 epidemic.


2014 ◽  
Vol 1 (4) ◽  
Author(s):  
Arvindgiri K. Aparnath

The present study is based on Academic anxiety. The aim of the study is to find out the difference between religion and gender, regarding academic anxiety for the purpose of the study, 120 School children were chosen from different school at Kapadwanj town, Gujarat, for data collection in all 120 student, 60 being boys (30 Hindu +30 Muslim ) and 60 girls (30 Hindu + 30 Muslim ). Generally anxiety can be either a trait anxiety or a state anxiety. A trait anxiety is a stable characteristic or trait of the person. A state anxiety is one which is aroused by some temporary condition of the environment such as examination, accident, punishment, etc. Academic anxiety is a kind of state anxiety which relates to the impending danger from the environments of the academic institution including teacher, certain subjects like Mathematics, English, etc. I have used ‘Academic Anxiety Scale for children’ (AASC Scale) by Dr. A. k. Singh & Dr. (km) A.  Sen Gupta. The obtained data analyzed through Mann-Whitney ‘ U ‘ test. The result shows that there was no significant difference between the Academic anxiety of Muslim boys & girls and Hindu girls & Muslim girls. There is more Academic anxiety in Hindu girls then Hindu boys and more Academic anxiety in Muslim boys then Hindu boys.


Nutrients ◽  
2020 ◽  
Vol 12 (10) ◽  
pp. 3206 ◽  
Author(s):  
Caterina Strisciuglio ◽  
Sabrina Cenni ◽  
Maria Rosaria Serra ◽  
Pasquale Dolce ◽  
Massimo Martinelli ◽  
...  

Background: Nutritional support is very important in the treatment of Paediatric Inflammatory Bowel Disease (IBD). The role of the Mediterranean Diet (MD) has been understudied in children with IBD. The aims of this study were to assess the dietary intakes of IBD children in comparison with healthy controls (HCs), their adherence to MD; and the relationship between inflammation and dietary behaviors. Methods: Paediatric IBD patients in clinical remission and HCs were enrolled. The nutritional status and adherence to the Mediterranean Diet was evaluated through a 3-day food diary and the Mediterranean Diet Quality Index for Children and Adolescents (KIDMED). Results: The analysis of food diaries showed a significantly higher kilocalorie intake in IBD patients compared to HCs (p = 0.012), an increase in carbohydrates (p = 0.015) and in protein intake (p = 0.024). Both IBD and HCs have an intermediate adherence to MD. The comparison between Crohn’s disease (CD) and Ulcerative colitis (UC) patients showed significant difference in protein intake in CD patients (p = 0.047), as well as for vitamin D (p = 0.044) and iron intake (p = 0.023). Interestingly; in IBD patients we found a significant association between adherence to MD and a low level of fecal calprotectin (p = 0.027). Conclusion: Children with IBD in remission have a sub-optimal food intake compared to HCs. MD seems to correlate to decreased intestinal inflammation.


2017 ◽  
Vol 41 (S1) ◽  
pp. S675-S676 ◽  
Author(s):  
M. Boudali ◽  
M. Hamza ◽  
S. Bourgou ◽  
L. Jouini ◽  
F. Charfi ◽  
...  

IntroductionSince the advent of online streaming television, a new behavioural phenomenon have emerged among millennial, named “binge watching” that is viewing more than two episodes of a TV show in the same sitting. Whether or not this behaviour reflects emotional difficulties has been poorly studied.AimsDescribe the phenomenon and search a possible link with depression and anxiety.MethodsFifty medical students were recruited. A questionnaire exploring the circumstances, the purpose and the outcome of the binge viewing was fulfilled. The Beck depressive inventory and the state-trait anxiety inventory were passed for the assessment of depression and anxiety.ResultsAmong the 50 students questioned, 68% met the criteria of binge viewers and 64.7% of them adopted this behaviour at least once a week with an overall average of screen exposure of 3.8 hours in one sitting. Before the binge watching, 35.3% reported excitement and 29.4% boredom and have used it mostly to pass time (47.1%) and for fun (44.1%). Participants have felt more relaxed and happier after the viewing. Mild depression was found in 10 cases and moderate depression in 5 cases. Anxiety scores averaged 35.38 for state anxiety and 40.32 for trait anxiety. An inverse relationship was found between depression and anxiety scores and the frequency of the binge watching and its exposure duration. The correlation was hover non significant.ConclusionsCould it be that the binge watching is a means of fighting against anxiety and depression rather than an evidence of emotional difficulties? Further studies are needed.Disclosure of interestThe authors have not supplied their declaration of competing interest.


2020 ◽  
Vol 9 (9) ◽  
pp. 2921 ◽  
Author(s):  
Marcin Sochal ◽  
Ewa Małecka-Panas ◽  
Agata Gabryelska ◽  
Renata Talar-Wojnarowska ◽  
Bartosz Szmyd ◽  
...  

The causes of disordered sleep, frequently reported by patients with inflammatory bowel diseases (IBD), are poorly understood. The study aimed to evaluate sleep quality in IBD patients and to identify factors affecting their sleep. IBD patients (n = 133) and healthy controls (HC; n = 57) were included in the study and completed sleep questionnaires (Pittsburgh Sleep Quality Index (PSQI), Athens insomnia scale (AIS), and Epworth sleepiness scale (ESS)), Beck Depression Inventory (BDI), and pain scales (Visual Analogue Scale and Laitinen Pain Scale). IBD patients attained higher scores in all sleep questionnaires compared to HC: PSQI, AIS, and ESS (all p < 0.001). They also had prolonged sleep latency (p < 0.001) with reduced sleep efficiency (p < 0.001). Patients in exacerbation of IBD had higher scores in PSQI (p = 0.008), ESS (p = 0.009), but not in AIS, compared to those in remission. Participants with comorbid chronic diseases had higher scores in PSQI and AIS, but not in ESS, compared to others. Multiple regression revealed that the sleep questionnaire results were significantly affected by mood level (BDI), but not by the aforementioned pain scales. Sleep impairment in IBD patients is a common problem that deserves attention in everyday clinical practice and mood level seems to be the main factor affecting the quality of sleep in IBD patients.


1981 ◽  
Vol 3 (3) ◽  
pp. 228-238 ◽  
Author(s):  
Robert S. Weinberg ◽  
Thomas G. Seabourne ◽  
Allen Jackson

The present investigation attempted to determine whether imagery combined with relaxation (VMBR) is more effective in facilitating karate performance than either imagery or relaxation alone. Each subject (N = 32) was randomly assigned to either a VMBR, relaxation, imagery, or attention-placebo control condition in a one-way design. During the first day of the karate class (which met twice a week), each group was individually provided with an explanation of how to practice their assigned strategy at home. Trait anxiety tests were administered at the beginning and the end of the 6-week test period. In addition, performance tests were administered at the end of the testing period along with precompetitive state anxiety. Trait anxiety results indicated that all subjects displayed a reduction in trait anxiety over the course of the testing period. State anxiety results indicated that the VMBR and relaxation groups exhibited lower levels of state anxiety than the imagery and attention-control groups. Performance was broken down into three subareas which consisted of skill, combinations, and sparring (actual competition). Results only showed an effect for sparring, with VMBR group exhibiting better performance than all other groups.


2019 ◽  
Vol 7 (4) ◽  
pp. 74
Author(s):  
Haluk Saçakli

The purpose of this study is to examine the state and trait anxiety levels of the individuals who perform archery sports at the elite level according to different variables. The population of the study was held from constitute archers who participated in the archery tournament "Turkey Cup" in 2018 (N=421). Also, the sample of the research was the volunteer athletes determined by the simple random sampling method (n = 156). The study was conducted by applying the causal comparison method in the screening model. The data collected by the survey technique. Participants were provided with a personal information form and Trait and State Anxiety Inventory. The obtained data transferred to SPSS 22 packet program and one-way ANOVA and Independent Sample T-test statistic applied as the statistical process for study purpose. This study demonstrates that there was a significant difference between the participants' level of trait anxiety according to gender variable and state anxiety levels according to the bow categories they used. Also the study demonstrates that there was a significant difference between the participants' level of trait anxiety according to gender variable and state anxiety levels according to the bow categories they used.


Acta Medica ◽  
2021 ◽  
pp. 1-7
Author(s):  
İzzet Fidancı ◽  
Hilal Aksoy ◽  
Duygu Ayhan Başer ◽  
Duygu Yengil Taci ◽  
Mustafa Cankurtaran

Objective: The aim of this study is to examine factors that can affect revanchist behavior such as emotional state and sleep quality, and to evaluate the relationship between them. Materials and Methods: 461 individuals at the age of 18 and above who referred to our polyclinic for any reason, and agreed to participate were included in the study via conducting a survey after their written consents were obtained. A survey that consisted of socio-demographic information in the first section, and “the Vengeance Scale”, “the Pittsburgh Sleep Quality Index”, “the State-Trait Anxiety Inventory” and “Beck Depression Inventory” in the second section was applied to the participants. The data were analyzed with IBM SPSS V23. Results: 52.7% of the participants were male and 47.3% were female. The mean age of the study group was 37.4 ± 11.2 years. 51.4% of the participants had severe depression according to the Beck Depression Inventory, while 20.4% had moderate, 16.3% had minimal and 11.9% had mild depression. The median value of the revanchist behavior levels did not differ according to gender (p=0.257). The median value of the revanchist behavior levels in males were 82, while it was 75 in female participants. The median value of the revanchist behavior levels did not differ according to the educational background (p=0.727). A statistically significant relationship was not found between revanchist behavior levels and age, state anxiety, trait anxiety, Beck depression point and PSQI (p>0.05). Conclusion: The absence of a significant relationship between revenge behavior and age, anxiety level, depression and sleep quality will help us to improve the quality of life of societies rather than personal psychological characteristics, and this behavior level that can also cause violence will be minimized.


2021 ◽  
Vol 15 (Supplement_1) ◽  
pp. S333-S333
Author(s):  
F Macaluso ◽  
W Fries ◽  
S Renna ◽  
A Viola ◽  
M Muscianisi ◽  
...  

Abstract Background Biologic-naïve patients treated with Vedolizumab (VDZ) are largely underrepresented in real-world cohorts. We performed a multicentre, observational, cohort study on the effectiveness and safety of VDZ as treatment for Crohn’s disease (CD) and ulcerative colitis (UC) among biologic-naïve subjects. Methods Data of consecutive biologic-naïve patients with CD and UC treated with VDZ from July 2016 to December 2019 were extracted from the cohort of the Sicilian Network for Inflammatory Bowel Disease (SN-IBD). The primary outcome was the clinical response at 14 and 52 weeks evaluated with Harvey Bradshaw Index in CD and partial Mayo score in UC. Results 172 consecutive patients (CD: n=88; UC: n=84; median age 66.0 years) were included, with a median follow-up of 58.8 weeks. After 14 weeks, a clinical response was reported in 68.2% of patients with CD and 67.9% of patients with UC treated with VDZ, including 45.5% patients in the CD group and 46.4% patients in the UC group who achieved steroid-free remission. After 52 weeks, a clinical response was reported in 77.4% of CD and in 73.8% of UC patients treated with VDZ, including 59.7% patients in the CD group and 60.7% patients in the UC group who achieved steroid-free remission. All differences between CD and UC were not statistically significant. Cox survival analysis showed no significant difference in the probability of treatment discontinuation between CD and UC patients (log-rank p=0.73). Conclusion This large, real-world, multicenter study demonstrated the effectiveness and safety of VDZ as a first-line biologic, showing high rates of clinical response and steroid-free remission at both induction and maintenance.


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