Mental Health Factors Associated With Fatigue in Mexican Patients With Inflammatory Bowel Disease

Abstract

Goals:The aim of this study was to describe mental health factors associated with the development of fatigue in inflammatory bowel disease (IBD) patients.Background: 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.Study: 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.Results: 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.Conclusions: 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.

Validity and reliability of the Inflammatory Bowel Disease Fatigue Scale in Mexican patients

“…Some studies have reported the presence of fatigue in up to 50% of patients with IBD, in 62% of those who suffer from Crohn's disease, and in 47% of those with chronic idiopathic ulcerative colitis in areas with a high incidence of IBD 7,8 . Data in Mexico 9 report a frequency of mild-moderate fatigue symptoms in 55.5% and severe fatigue in 31.5% of patients. Despite being one of the most frequent symptoms in patients with IBD, it is common for evaluation not to be carried out in regular clinical practice and for the required interventions not to be provided.…”

Validez y confiabilidad de la Escala de Fatiga para la Enfermedad Intestinal Inflamatoria en pacientes mexicanos

“…6 Algunos estudios han reportado la presencia de fatiga hasta en 50 % de los pacientes con EII, en 62 % de quienes padecen enfermedad de Crohn y en 47 % de aquellos con colitis ulcerosa crónica idiopática en zonas de alta incidencia de EII. 7,8 Los datos en México 9 reportan una frecuencia de síntomas de fatiga leve-moderada en 55.5 % y de fatiga grave en 31.5 % de los pacientes. A pesar de ser uno de los síntomas más frecuentes en los pacientes con EII, es común que no se realice una evaluación en la práctica clínica cotidiana y no se brinden las intervenciones requeridas.…”