Type D personality, insomnia severity, perceived stress, and health-related quality of life in inflammatory bowel disease: A case–control study

IF 3.3 2区医学 Q2 PSYCHIATRY

Journal of Psychosomatic Research Pub Date : 2025-06-24 DOI:10.1016/j.jpsychores.2025.112199

Hassan Mohammed Sonbol , Mona Metwally El-Sayed , Mahmoud Abdelwahab Khedr , Mohamad Abulhassan Ibrahim , Manar Osama , Asmaa Adel Abdel-Sattar , Hiam Fathy Elsaied , Eman Abdeen Ali , Shorouk Mohsen , Alaa Salah Abdel Mawgoud

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引用次数: 0

Abstract

Background

Inflammatory bowel disease (IBD), which includes Crohn's disease (CD) and ulcerative colitis (UC), is associated with significant psychological distress. This study aimed to investigate the relationships between Type D personality, insomnia severity, and perceived stress in IBD patients and a matched control group.

Methods

A case–control study was conducted with 132 patients with IBD and 132 age- and sex-matched controls at the outpatient IBD clinic of Main Internal Medicine University Hospitals, Egypt. The participants completed the DS14 (Type D Personality Scale), PSS-10 (Perceived Stress Scale), ISI (Insomnia Severity Index), SIBDQ (Short Inflammatory Bowel Disease Questionnaire), and GSRS (Gastrointestinal Symptom Rating Scale). For disease severity assessment, the DSI (Disease Severity Index) was employed. Logistic regression analysis was conducted only among IBD patients to identify independent predictors of perceived stress and insomnia.

Results

Compared with controls, patients with IBD presented significantly higher Type D personality scores (total score: 28 vs. 9, p < 0.001), increased insomnia severity (severe insomnia: 9.1 % vs. 3.1 %, p < 0.001), and higher perceived stress levels (high stress: 34.1 % vs. 6.8 %, p < 0.001). Logistic regression revealed that Type D personality (OR: 30.9, 95 % CI: 5.9–160.1, p < 0.001) and urban residency (OR: 3.1, 95 % CI: 1.5–6.7, p = 0.001) were significant predictors of perceived stress, whereas Crohn's disease was associated with greater insomnia severity (OR: 3.6, 95 % CI: 1.6–7.9, p = 0.001).

Conclusion

The findings highlight the significant impact of Type D personality, insomnia, and perceived stress on patients with IBD. These results emphasize the need for integrated care approaches that address both psychological and physical health to improve patient outcomes and quality of life.

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炎症性肠病患者的D型人格、失眠严重程度、感知压力和健康相关生活质量：一项病例对照研究

炎症性肠病（IBD），包括克罗恩病（CD）和溃疡性结肠炎（UC），与显著的心理困扰相关。本研究旨在探讨IBD患者和匹配对照组的D型人格、失眠严重程度和感知压力之间的关系。方法对埃及主要内科大学医院IBD门诊的132例IBD患者和132例年龄和性别匹配的对照组进行病例对照研究。参与者完成DS14 （D型人格量表）、PSS-10（感知压力量表）、ISI（失眠严重程度指数）、SIBDQ（短期炎症性肠病问卷）和GSRS（胃肠道症状评定量表）。疾病严重程度评估采用疾病严重程度指数（DSI）。Logistic回归分析仅在IBD患者中进行，以确定感知压力和失眠的独立预测因素。结果与对照组相比，IBD患者的D型人格得分显著高于对照组(总分：28比9，p <；0.001)，失眠严重程度增加(严重失眠：9.1%对3.1%,p <；0.001)，以及更高的感知压力水平(高压力：34.1%对6.8%,p <；0.001)。Logistic回归显示D型人格(OR: 30.9, 95% CI: 5.9-160.1, p <；0.001)和城市居住（OR: 3.1, 95% CI: 1.5-6.7, p = 0.001）是感知压力的重要预测因子，而克罗恩病与更严重的失眠相关（OR: 3.6, 95% CI: 1.6-7.9, p = 0.001）。结论D型人格、失眠和感知压力对IBD患者有显著影响。这些结果强调需要综合护理方法，解决心理和身体健康，以改善患者的结果和生活质量。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Psychosomatic Research 医学-精神病学

CiteScore

7.40

自引率

6.40%

发文量

314

审稿时长

6.2 weeks

期刊介绍： The Journal of Psychosomatic Research is a multidisciplinary research journal covering all aspects of the relationships between psychology and medicine. The scope is broad and ranges from basic human biological and psychological research to evaluations of treatment and services. Papers will normally be concerned with illness or patients rather than studies of healthy populations. Studies concerning special populations, such as the elderly and children and adolescents, are welcome. In addition to peer-reviewed original papers, the journal publishes editorials, reviews, and other papers related to the journal''s aims.