PURPOSE
The purpose of this study was to identify factors associated with insomnia in college students with Irritable Bowel Syndrome (IBS).
METHODS
College students with IBS (n=259) were recruited in 4 universities in Daegu city and Ulsan city, South Korea. Participants completed questionnaires measuring the following variables: insomnia (Insomnia Severity Index [ISI]), dysfunctional beliefs and attitudes about sleep (Dysfunctional Beliefs and Attitudes about Sleep Scale-16 [DBAS-16]), pre-sleep arousal (Pre-Sleep Arousal Scale [PSAS]), gastrointestinal symptoms during sleep (Gastrointestinal Symptoms during Sleep), sleep hygiene (Sleep Hygiene Practices Scale [SHPS]), psychological distress (Brief Symptom Inventory-18 [BSI-18]), and IBS symptom severity(IBS Severity Scoring System [IBS-SSS]).
RESULTS
In our participants, 53.3%(n=138) reported having insomnia (ISI score ≥10). Compared to the non-insomnia group (n=121), the insomnia group reported significantly higher scores in DBAS-16, PSAS, gastrointestinal symptoms during sleep, IBS-SSS, SHPS, and BSI-18 (p < .001 for all). Multiple logistic regression analysis revealed that gastrointestinal symptoms during sleep (Odds Ratio [OR]=2.77, 95% Confidence Interval [CI]: 1.29~5.96), dysfunctional beliefs and attitudes about sleep (OR=1.04, 95% CI: 1.03~1.06), cognitive arousal before sleep (OR=1.10, 95% CI: 1.05~1.17), and somatization (OR=1.12, 95% CI: 1.02~1.23) were associated with insomnia in this sample.
CONCLUSION
Our findings indicate that insomnia is a serious problem for college students with IBS and that gastrointestinal symptoms during sleep and sleep related dysfunctional cognitions should be managed to improve insomnia of them.

Citations

• A reliability generalization meta-analysis of the internal consistency and test-retest reliability of the pre-sleep arousal scale (PSAS)
  Inês Luana Correia, Waqar Husain, Maria Teresa Gonçalves, Luís Pires, Khaled Trabelsi, Ammar Achraf, Seithikurippu R. Pandi-Perumal, Perry M. Nicassio, Markus Jansson-Fröjmark, Michael V. Vitiello, Daniel Ruivo Marques, Haitham Jahrami
  Sleep Medicine.2025; 126: 290.     CrossRef
• Mitochondrial DNA Copy Number Is Associated with the Severity of Irritable Bowel Syndrome
  Soo-Jung Jung, Jae-Ho Lee, Ji-Yeon Lim, Yun-Yi Yang
  Medicina.2024; 60(10): 1605.     CrossRef
• An Association between Telomere Length and Irritable Bowel Syndrome in Korean Populations
  Yun-Yi Yang, Jae-Ho Lee, Jae-Hee Park
  Keimyung Medical Journal.2024; 43(2): 122.     CrossRef
• Painful GI Conditions and Their Bidirectional Relationships with Sleep Disturbances
  Jessica K. Salwen-Deremer, Sarah Ballou
  Current Sleep Medicine Reports.2022; 8(4): 105.     CrossRef
• The Effects of Cognitive Behavioral Therapy for Insomnia among College Students with Irritable Bowel Syndrome: A Randomized Controlled Trial
  Yun-Yi Yang, Sangeun Jun
  International Journal of Environmental Research and Public Health.2022; 19(21): 14174.     CrossRef

PURPOSE
Reported insomnia and decreased sleep quality are common among older adults. The purpose of this study was to identify factors contributing to insomnia and decreased sleep quality among elderly persons living within a community. The data will be verified with Actigraph which is a non-invasive measurement of rest/activity cycles.
METHODS
137 participants over 65 years old were recruited from a senior welfare center. Their mean age was 74.07±5.18 years old and majority was women (69.3%). The quality and quantity of nighttime sleep were assessed using Varren-synder-Halper Sleep Scale and a sleep log. Depression and fatigue were assessed using Geriatric Depression Scale Short Form and Fatigue Severity Scale, respectively. Pain was assessed using 11-point Numeric rating scale. An actigraph was used to verify the self-reported sleep.
RESULTS
Ninety-two participants (67.2%) reported insomnia. Sixty-eight subjects (49.6%) reported good sleep. Of the participants, 56.2% reported depression and 33.6% reported fatigue. In logistic regression, depression was related to insomnia (OR=3.09, p=.003). Sleep quality was related to depression (OR=2.13, p=.045) and fatigue (OR=2.24, p=.044). The data from the Sleep logs correlated with data obtained from the actigraph.
CONCLUSION
Depression significantly influenced insomnia and sleep quality whereas fatigue only influenced sleep quality. Thus, depression and fatigue should be closely monitored among elderly persons with sleep disturbances.

Citations

• Actigraphy-Based Assessment of Sleep Parameters in Intensive Care Unit Patients Receiving Respiratory Support Therapy
  Jiyeon Kang, Yongbin Kwon
  Journal of Korean Critical Care Nursing.2022; 15(3): 115.     CrossRef
• Sleep Patterns of Older Residents in Long-Term-Care Facilities: A Comparison with Older Adults in Home-Care Services and Community-Dwelling Older Adults
  Eunhee Hwang
  Journal of Korean Gerontological Nursing.2021; 23(1): 75.     CrossRef
• The Effect of Auricular Acupressure on Sleep in Older Adults with Sleep Disorders
  Ju Hee Lee, Hyojung Park
  Journal of Korean Gerontological Nursing.2021; 23(2): 117.     CrossRef
• Factors that Influence Sleep among Residents in Long-Term Care Facilities
  Da Eun Kim, Ju Young Yoon
  International Journal of Environmental Research and Public Health.2020; 17(6): 1889.     CrossRef
• Insomnia and its associated factors among  older people of selected ward of Banepa municipality, Nepal
  Manisha Dangol, Sunil Shrestha, Sita Kumari Rai Koirala
  Nursing Open.2020; 7(1): 355.     CrossRef
• Factors Affecting Sleep Disturbances in Hospitalized Patients with Colorectal Cancer undergoing Chemotherapy: A Retrospective Study
  Jihyeon Song, Smi Choi-kwon
  Korean Journal of Adult Nursing.2019; 31(1): 100.     CrossRef
• Characteristics and Factors related to Fatigue in Older Adults at a Senior Welfare Center
  Su Yeon Jeong, Smi Choi-Kwon
  Korean Journal of Adult Nursing.2018; 30(5): 516.     CrossRef

PURPOSE
The purposes of this study were to investigate the prevalence of insomnia and to compare sleep patterns, demographic characteristics, and obstacles for sleep between women with and without insomnia.
METHODS
This was a descriptive study. Study participants were 1,679 Korean women aged over 20 years. Information on symptoms of insomnia, sleep patterns, and related factors was assessed by questionnaire. Symptoms of insomnia included difficulties in initiating and maintaining sleep and early morning awakening.
RESULTS
This study found that 32.0% of the study participants had insomnia, subjects with insomnia had bad sleep patterns compared to comparison group, lower educational level and menopause were closely related to insomnia, and noise, temperature, lighting, presence of bed partner, intake of caffeine, frequent urination, and pain or itching were associated with insomnia.
CONCLUSION
This study suggests that insomnia is prevalent in women and closely associated with education level and menopausal status.

This study was conducted with a purpose to evaluate the effect of auricular acupuncture pressure therapy on insomnia of elderly and to suggest the auricular acupuncture pressure therapy as an independent nursing intervention. The study was unequvalance control group pretest-posttest experimental design and the data collection was done from 37 samples of experimetal group and 37 samples of control group which were random-assigned as 60 years-over elderly people who lived in seoul. Data were collected from November, 1999 to February, 2000. The tools used in the study were the auricular acupuncture pressure therapy for decreasing of insomnia, the scale of sleepness and self-satisfaction scale. The auricular acupuncture pressure therapy used in this study is a sort of the auricular acupuncture to decrease insomnia and self-satisfaction of sleep by pressured on applied auricular acupncture of upper auricular blood acupuncture site of insomnia. Data was analied by SPSS stastistics program. Conclusively, sleepness and self-satisfaction of sleep were measured higher in experimental group which applied this auricular acupuncture pressure therapy than control group which not applized(p=.000). Therefore, the auricular acupuncture pressure therapy can decrease frequent insonmia of elderly and increase self satisfaction of sleep, processingly can improve quality of life in the late stage. Futhermore, it can be developed as independent oriental nursing intervention.