Geographic differences in psychological symptoms, sleep quality, and quality of life in patients with inflammatory bowel disease: A multicenter study in China

医学 萧条(经济学) 生活质量(医疗保健) 焦虑 内科学 炎症性肠病 疾病 精神科 护理部 经济 宏观经济学
作者
Chuan Liu,Ji Xiang Zhang,Jin Ting Li,Yu Ping Wei,Jun Hai Zhen,Yan Rui Wu,Hao Dong He,Ying Chen,Jia Yi Sun,Cheng Tan,Shuo Wang,Qiu Tang Xiong,Fei Liao,Xiao Cui Yang,Ping An,Zhong Chun Liu,Chang Qing Jiang,Jie Shi,Kaichun Wu,Wei Dong
出处
期刊:Journal of Digestive Diseases [Wiley]
卷期号:25 (2): 109-122
标识
DOI:10.1111/1751-2980.13259
摘要

Objective We aimed to explore the geographic differences in psychological symptoms, sleep quality, and quality of life (QoL) among adult patients with inflammatory bowel disease (IBD). Methods A unified questionnaire was developed to collect data on psychological status and QoL of IBD patients from 42 hospitals across 22 provinces, municipalities, and autonomous regions in China's mainland from September 2021 to May 2022. Results A total of 2478 patients with IBD were surveyed. The proportions of patients with anxiety (28.5% vs 23.1%), depression (32.3% vs 27.8%), and poor QoL (44.8% vs 32.2%) were significantly higher in patients from the northern region compared to the southern region (all P < 0.05). In the western region, the proportions of patients with anxiety (31.9% vs 23.0%), depression (37.7% vs 26.7%), sleep disturbances (64.5% vs 58.5%), and poor QoL (44.9% vs 34.8%) were significantly higher than in the eastern and central regions (all P < 0.01). Patients from inland regions had significantly higher rates of anxiety (27.1% vs 23.3%), depression (32.5% vs 26.0%), sleep disturbance (62.0% vs 57.7%), and poor QoL (43.5% vs 29.9%) compared to those from coastal regions (all P < 0.05). In economically underdeveloped areas, the proportions of patients with depression (33.1% vs 28.5%) and poor QoL (52.0% vs 32.4%) were significantly higher than in economically (relatively) developed areas (both P < 0.05). Conclusion There are significant geographic differences in psychological symptoms, sleep quality, and QoL among Chinese patients with IBD, which might provide valuable insights for global IBD research and clinical practice.
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