Clinical Epidemiology Laboratory, Sub direction of Clinical Research, Instituto Nacional de Psiquiatría Ramón de la Fuente Muñiz.
Inflammatory Bowel Disease Clinic, Department of Gastroenterology, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico.
J Clin Gastroenterol. 2021 Aug 1;55(7):609-614. doi: 10.1097/MCG.0000000000001397.
The aim of this study was to describe mental health factors associated with the development of fatigue in inflammatory bowel disease (IBD) patients.
IBD includes ulcerative colitis and Crohn's disease. Patients with chronic diseases can present fatigue differently and qualitatively more severely than those typically represented by healthy populations.
This was a cross-sectional study in which 200 Mexican patients were attending the Inflammatory Bowel Disease Clinic at the National Institute of Medical Sciences and Nutrition. All patients answered 3 instruments: the first IBD-fatigue, HADS (Hospital Anxiety and Depression Scale), and PSQI (Pittsburgh Sleep Quality Index). The statistical analysis was carried out in the statistical program SPSS v 24.
The percentage of fatigue in our patients was 55.5% (n=111) for mild-moderate fatigue, 31.5% (n=63) for severe fatigue, and only 13% (n=26) had no fatigue. Sleep disturbance and sleep latency were the most important predictors of fatigue in IBD patients.
Sleep quality and depression have an impact on fatigue in Mexican patients with IBD. It is important for multidisciplinary management to reduce these symptoms and improve the quality of life of patients with IBD.
本研究旨在描述与炎症性肠病（IBD）患者疲劳发展相关的心理健康因素。
IBD 包括溃疡性结肠炎和克罗恩病。患有慢性疾病的患者可能会表现出与健康人群不同的疲劳症状，而且在质上可能更严重。
这是一项横断面研究，共有 200 名墨西哥患者在国家医学科学和营养研究所的炎症性肠病诊所就诊。所有患者都回答了 3 个量表：第一个是 IBD 疲劳量表、HADS（医院焦虑和抑郁量表）和 PSQI（匹兹堡睡眠质量指数）。统计分析在统计程序 SPSS v 24 中进行。
我们的患者中疲劳的百分比为 55.5%（n=111）为轻度-中度疲劳，31.5%（n=63）为重度疲劳，只有 13%（n=26）没有疲劳。睡眠障碍和睡眠潜伏期是 IBD 患者疲劳的最重要预测因素。
睡眠质量和抑郁对墨西哥 IBD 患者的疲劳有影响。多学科管理对于减轻这些症状和提高 IBD 患者的生活质量非常重要。
