Effects of a comprehensive self-management intervention on extraintestinal symptoms among patients with IBS

“…Our study found that the correlation between self-management for perimenopausal fatigue and perceived validity was satisfactory, since the commonly used management measures included enduring fatigue and listening to music; the 25% validity measures included feeling helpless, feeling angry, and asking family members to share the housework; the 50% validity measures included seeking healthcare attention, hormonal supplements, and sharing with others; the 75% validity measures included attending events, body massage, and keeping busy; the 100% validity measures were arranging activities or exercises. In fact, several studies have shown the possibility of benefits of fatigue self-management in clinical practice, including patients with cancer, neurological disease, and cardiovascular disease [ 53 , 54 , 55 , 56 , 57 , 58 , 59 , 60 ]. Studies have also shown that most behaviors are rated as providing moderate relief and are implemented with moderate self-efficacy in patients [ 55 , 56 , 57 , 58 , 59 , 60 ].…”

Section: Discussionmentioning

confidence: 99%

“…In fact, several studies have shown the possibility of benefits of fatigue self-management in clinical practice, including patients with cancer, neurological disease, and cardiovascular disease [ 53 , 54 , 55 , 56 , 57 , 58 , 59 , 60 ]. Studies have also shown that most behaviors are rated as providing moderate relief and are implemented with moderate self-efficacy in patients [ 55 , 56 , 57 , 58 , 59 , 60 ]. Yancey et al suggested that encouraging timely rest, practicing relaxation techniques, cognitive behavioral therapy, and exercise could help women with fatigue syndrome to relieve their discomfort [ 59 ].…”

Section: Discussionmentioning

confidence: 99%

The Perimenopausal Fatigue Self-Management Scale Is Suitable for Evaluating Perimenopausal Taiwanese Women’s Vulnerability to Fatigue Syndrome

et al. 2021

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The purpose of this study was to test the feasibility of utilizing the established perimenopausal fatigue self-management scale (P-MFSMS) to evaluate perimenopausal Taiwanese women’s vulnerability to fatigue syndrome. A cross-sectional study design was adopted to survey 220 perimenopausal Taiwanese women with a mean age of 51.8 ± 4.64 years and a mean body mass index of 23.07 ± 3.04 kg/m2, 75.9% of whom were married, 52.3% had a college education or above, 80.4% had salaries, 81.3% had small families, and 96.4% were not using hormone therapy. The P-MFSMS consists of 25 questions based on six categories: (1) strive to maintain work energy and efficiency; (2) seek self-help from medical resources (doctor shopping); (3) strive to maintain the normal operation of the family (seeking help and support from family or significant other); (4) make time for activities or exercise in busy life; (5) slow down or adjust lifestyle; (6) frustration. For all of these six categories, the minimum loading of each question on the factor was calculated to be over 0.50, with a Cronbach’s α of 0.78 and a corrected total-item correlation of >0.50. The goodness of fit of the model was determined to be acceptable, with a chi-square/df value of <3.0 (χ2 = 503.45 and df = 260), a root mean square error of approximation (RMSEA) value of 0.065 (<0.08), as well as a Kaiser–Meyer–Olkin (KMO) value of 0.892. The Tucker–Lewis index (TLI = 0.91), Comparative Fit index (CFI = 0.92), and Incremental Fit index (IFI = 0.92) were all >0.90. There was no statistically significant difference in the difficulty between perimenopausal and postmenopausal women utilizing differential item function (DIF) analysis. Taken together, the 25-question P-MFSMS may be a potentially valid and reliable instrument for suitably evaluating perimenopausal Taiwanese women’s vulnerability to fatigue syndrome. Future studies will be conducted to test the effectiveness of the P-MFSMS for evaluating perimenopausal Taiwanese women’s vulnerability to fatigue syndrome in clinical practice.

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“…3 For sleep quality, a rating of poor or fair indicated nights with poor sleep, and for refreshing sleep, "not at all refreshing" or "somewhat refreshing" indicated nights with unrefreshing sleep. 35 Using the percentage of symptomatic days over 28-day diary data for each indicator allowed us not only to capture both the symptom severity and frequency but also to minimize recall bias from self-report measures. All measures were collected at baseline and before any intervention.…”

Section: Statistical Analysesmentioning

confidence: 99%

Indirect effect of sleep on abdominal pain through daytime dysfunction in adults with irritable bowel syndrome

Yang

Burr

Buchanan

et al. 2020

Journal of Clinical Sleep Medicine

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Study Objectives: Sleep deficiency, psychological distress, daytime dysfunction, and abdominal pain are common in adults with irritable bowel syndrome. Prior research on individuals with chronic pain has identified the indirect effect of sleep on pain through psychological distress or daytime dysfunction; however, this effect is less clear in irritable bowel syndrome. The purpose of this study was to examine potential indirect effects of sleep on abdominal pain symptoms simultaneously through psychological distress and daytime dysfunction in adults with irritable bowel syndrome. Methods: Daily symptoms of nighttime sleep complaints (sleep quality and refreshment), psychological distress, daytime dysfunction (fatigue, sleepiness, and difficulty concentrating), and abdominal pain were collected in baseline assessments from 2 randomized controlled trials of 332 adults (mean age 42 years and 85% female) with irritable bowel syndrome. Structural equation modeling was used to examine the global relationships among nighttime sleep complaints, psychological distress, daytime dysfunction, and abdominal pain. Results: The structural equation modeling analyses found a strong indirect effect of poor sleep on abdominal pain via daytime dysfunction but not psychological distress. More than 95% of the total effect of nighttime sleep complaints on abdominal pain was indirect. Conclusions: These findings suggest that the primary impact of nighttime sleep complaints on abdominal pain is indirect. The indirect effect appears primarily through daytime dysfunction. Such understanding provides a potential avenue to optimize personalized and hybrid behavioral interventions for adults with irritable bowel syndrome through addressing daytime dysfunction and sleep behaviors. Additional study integrating symptoms with biological markers is warranted to explore the underlying mechanisms accounting for these symptoms.

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Effects of a comprehensive self-management intervention on extraintestinal symptoms among patients with IBS

Cited by 17 publications

References 34 publications

A Rome Working Team Report on Brain-Gut Behavior Therapies for Disorders of Gut-Brain Interaction

A Rome Working Team Report on Brain-Gut Behavior Therapies for Disorders of Gut-Brain Interaction

The Perimenopausal Fatigue Self-Management Scale Is Suitable for Evaluating Perimenopausal Taiwanese Women’s Vulnerability to Fatigue Syndrome

Indirect effect of sleep on abdominal pain through daytime dysfunction in adults with irritable bowel syndrome

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