{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T13:07:00Z","timestamp":1789132020985,"version":"build-2803163510"},"reference-count":35,"publisher":"SAGE Publications","issue":"7","license":[{"start":{"date-parts":[[2026,3,13]],"date-time":"2026-03-13T00:00:00Z","timestamp":1773360000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100000871","name":"mayo clinic","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000871","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Clin Nurs Res"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:p>\n                    Individuals with inflammatory bowel disease (IBD) experience overlooked deficits in objectively measured cognitive functioning; however, there is limited knowledge about self-reported cognitive symptoms in this group. Sleep characteristics, such as insomnia, poor sleep quality, or fragmented sleep, may be key modifiable factors that are associated with cognitive symptoms among individuals with IBD. This study aimed to describe cognitive symptoms and examine the relationship between these symptoms and sleep characteristics among adults with IBD. We conducted a descriptive, cross-sectional study using the Pittsburgh Sleep Quality Index, wrist actigraphy, the Insomnia Severity Index, and the FACT-Cog Perceived Cognitive Impairments subscale. Bivariate statistics were used to evaluate relationships between variables. The sample included 83 participants (mean age 40.44\u2009years [standard deviation 10.7], 71% female). Over 77% (\n                    <jats:italic toggle=\"yes\">n<\/jats:italic>\n                    \u2009=\u200960) had poor self-reported sleep quality, and 69.5% (\n                    <jats:italic toggle=\"yes\">n<\/jats:italic>\n                    \u2009=\u200957) had clinically meaningful insomnia. The most frequently reported cognitive symptoms (experienced two or more times a week) were trouble concentrating (51.3%), forgetting names (43.8%), forgetting intended tasks (38.9%), and slow thinking (37.6%). Insomnia severity was moderately correlated with three out of the four most common cognitive symptoms (trouble concentrating:\n                    <jats:italic toggle=\"yes\">r<\/jats:italic>\n                    <jats:sub>s<\/jats:sub>\n                    \u2009=\u2009.51,\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    \u2009&lt;\u2009.01; forgetting intended tasks:\n                    <jats:italic toggle=\"yes\">r<\/jats:italic>\n                    <jats:sub>s<\/jats:sub>\n                    \u2009=\u2009.38,\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    \u2009&lt;\u2009.01; slow thinking:\n                    <jats:italic toggle=\"yes\">r<\/jats:italic>\n                    <jats:sub>s<\/jats:sub>\n                    \u2009=\u2009.46,\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    \u2009&lt;\u2009.01). Future research is needed to examine relationships between objective cognitive measures and sleep characteristics and to test the effects of insomnia treatment on daytime cognitive symptoms in this complex patient population.\n                  <\/jats:p>","DOI":"10.1177\/10547738261427988","type":"journal-article","created":{"date-parts":[[2026,3,13]],"date-time":"2026-03-13T17:40:42Z","timestamp":1773423642000},"page":"361-367","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Sleep Characteristics and Cognitive Symptoms Among Adults with Inflammatory Bowel Disease"],"prefix":"10.1177","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3841-1967","authenticated-orcid":false,"given":"Stacy","family":"Al-Saleh","sequence":"first","affiliation":[{"name":"Mayo Clinic, Phoenix, AZ, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melanie","family":"Schneekloth","sequence":"additional","affiliation":[{"name":"Mayo Clinic, Rochester, MN, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sunanda","family":"Kane","sequence":"additional","affiliation":[{"name":"Mayo Clinic, Rochester, MN, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7753-3564","authenticated-orcid":false,"given":"Kendra","family":"Kamp","sequence":"additional","affiliation":[{"name":"University of Washington, Seattle, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7817-2708","authenticated-orcid":false,"given":"Nancy S.","family":"Redeker","sequence":"additional","affiliation":[{"name":"University of Connecticut, Storrs, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4501-5244","authenticated-orcid":false,"given":"Samantha","family":"Conley","sequence":"additional","affiliation":[{"name":"Mayo Clinic, Rochester, MN, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,3,13]]},"reference":[{"key":"e_1_3_2_2_1","doi-asserted-by":"crossref","unstructured":"Barberio B. Zamani M. Black C. J. Savarino E. V. Ford A. C. (2021). Prevalence of symptoms of anxiety and depression in patients with inflammatory bowel disease: A systematic review and meta-analysis. The Lancet Gastroenterology & Hepatology 6(5) 359\u2013370. https:\/\/doi.org\/10.1016\/s2468-1253(21)00014-5","DOI":"10.1016\/S2468-1253(21)00014-5"},{"key":"e_1_3_2_3_1","doi-asserted-by":"crossref","unstructured":"Barnes A. Andrews J. M. Mukherjee S. Bryant R. V. Bampton P. Fraser R. J. Mountifield R. (2024). Insomnia is common in inflammatory bowel disease (IBD) and is associated with mental health conditions as well as IBD activity. Intestinal Research 22(1) 104\u2013114. https:\/\/doi.org\/10.5217\/ir.2023.00028","DOI":"10.5217\/ir.2023.00028"},{"key":"e_1_3_2_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1389-9457(00)00065-4"},{"key":"e_1_3_2_5_1","doi-asserted-by":"crossref","unstructured":"Bernstein J. P. K. DeVito A. Calamia M. (2019). Subjectively and objectively measured sleep predict differing aspects of cognitive functioning in adults. Archives of Clinical Neuropsychology 34(7) 1127\u20131137. https:\/\/doi.org\/10.1093\/arclin\/acz017","DOI":"10.1093\/arclin\/acz017"},{"key":"e_1_3_2_6_1","doi-asserted-by":"crossref","unstructured":"Brownlow J. A. Miller K. E. Gehrman P. R. (2020). Insomnia and cognitive performance. Sleep Medicine Clinics 15(1) 71\u201376. https:\/\/doi.org\/10.1016\/j.jsmc.2019.10.002","DOI":"10.1016\/j.jsmc.2019.10.002"},{"key":"e_1_3_2_7_1","doi-asserted-by":"crossref","unstructured":"Buxton O. M. Gao Q. Hakun J. G. Ji L. Gamaldo A. A. Bertisch S. M. Sliwinski M. J. Wang C. Derby C. A. (2025). Within- and between-person associations of sleep characteristics with daily cognitive performance in a community-based sample of older adults. Sleep Health. https:\/\/doi.org\/https:\/\/doi.org\/10.1016\/j.sleh.2025.11.010","DOI":"10.1016\/j.sleh.2025.11.010"},{"key":"e_1_3_2_8_1","doi-asserted-by":"crossref","unstructured":"Buysse D. J. Reynolds C. F.3rd Monk T. H. Berman S. R. Kupfer D. J. (1989). The Pittsburgh Sleep Quality Index: A new instrument for psychiatric practice and research. Psychiatry Research 28(2) 193\u2013213. https:\/\/doi.org\/10.1016\/0165-1781(89)90047-4","DOI":"10.1016\/0165-1781(89)90047-4"},{"key":"e_1_3_2_9_1","doi-asserted-by":"crossref","unstructured":"Camard M. Urbain F. Noel N. (2025). Cognitive impairment in systemic autoimmune and inflammatory diseases: A narrative review focused on ANCA-associated vasculitis sarcoidosis Sj\u00f6gren\u2019s syndrome systemic sclerosis and Beh\u00e7et\u2019s disease. Autoimmunity Reviews 24(11) Article 103899. https:\/\/doi.org\/https:\/\/doi.org\/10.1016\/j.autrev.2025.103899","DOI":"10.1016\/j.autrev.2025.103899"},{"key":"e_1_3_2_10_1","doi-asserted-by":"crossref","unstructured":"Carney C. E. Buysse D. J. Ancoli-Israel S. Edinger J. D. Krystal A. D. Lichstein K. L. Morin C. M. (2012). The consensus sleep diary: Standardizing prospective sleep self-monitoring. Sleep 35(2) 287\u2013302. https:\/\/doi.org\/10.5665\/sleep.1642","DOI":"10.5665\/sleep.1642"},{"key":"e_1_3_2_11_1","doi-asserted-by":"crossref","unstructured":"Clara I. Lix L. M. Walker J. R. Graff L. A. Miller N. Rogala L. Rawsthorne P. Bernstein C. N. (2009). The Manitoba IBD Index: Evidence for a new and simple indicator of IBD activity. American Journal of Gastroenterology 104(7) 1754\u20131763. https:\/\/doi.org\/10.1038\/ajg.2009.197","DOI":"10.1038\/ajg.2009.197"},{"key":"e_1_3_2_12_1","doi-asserted-by":"crossref","unstructured":"Conley S. Jeon S. Proctor D. D. Sandler R. S. Redeker N. S. (2018). Longitudinal changes in symptom cluster membership in inflammatory bowel disease. Journal of Nursing Scholarship 50(5) 473\u2013481. https:\/\/doi.org\/10.1111\/jnu.12409","DOI":"10.1111\/jnu.12409"},{"key":"e_1_3_2_13_1","doi-asserted-by":"crossref","unstructured":"Conley S. Knies A. Batten J. Ash G. Miner B. Hwang Y. Jeon S. Redeker N. S. (2019). Agreement between actigraphic and polysomnographic measures of sleep in adults with and without chronic conditions: A systematic review and meta-analysis. Sleep Medicine Reviews 46 151\u2013160. https:\/\/doi.org\/10.1016\/j.smrv.2019.05.001","DOI":"10.1016\/j.smrv.2019.05.001"},{"key":"e_1_3_2_14_1","doi-asserted-by":"crossref","unstructured":"Conley S. Proctor D. D. Jeon S. Sandler R. S. Redeker N. S. (2017). Symptom clusters in adults with inflammatory bowel disease. Research in Nursing & Health 40(5) 424\u2013434. https:\/\/doi.org\/10.1002\/nur.21813","DOI":"10.1002\/nur.21813"},{"key":"e_1_3_2_15_1","doi-asserted-by":"crossref","unstructured":"Conley S. Proctor D. D. Lehner V. Jeon S. Redeker N. S. (2020). The feasibility of measuring sleep and circadian characteristics in adults with inflammatory bowel disease. Western Journal of Nursing Research 43(1) 53\u201359. https:\/\/doi.org\/10.1177\/0193945920933926","DOI":"10.1177\/0193945920933926"},{"key":"e_1_3_2_16_1","doi-asserted-by":"crossref","unstructured":"De Boer A. G. Bennebroek Evertsz F. Stokkers P. C. Bockting C. L. Sanderman R. Hommes D. W. Sprangers M. A. Frings-Dresen M. H. (2016). Employment status difficulties at work and quality of life in inflammatory bowel disease patients. European Journal of Gastroenterology & Hepatology 28(10) 1130\u20131136. https:\/\/doi.org\/10.1097\/meg.0000000000000685","DOI":"10.1097\/MEG.0000000000000685"},{"key":"e_1_3_2_17_1","doi-asserted-by":"crossref","unstructured":"Fortier-Brochu E. Morin C. M. (2014). Cognitive impairment in individuals with insomnia: Clinical significance and correlates. Sleep 37(11) 1787\u20131798. https:\/\/doi.org\/10.5665\/sleep.4172","DOI":"10.5665\/sleep.4172"},{"key":"e_1_3_2_18_1","doi-asserted-by":"crossref","unstructured":"Harris P. A. Taylor R. Minor B. L. Elliott V. Fernandez M. O\u2019Neal L. McLeod L. Delacqua G. Delacqua F. Kirby J. Duda S. N. (2019). The REDCap consortium: Building an international community of software platform partners. Journal of Biomedical Informatics 95 Article 103208. https:\/\/doi.org\/10.1016\/j.jbi.2019.103208","DOI":"10.1016\/j.jbi.2019.103208"},{"key":"e_1_3_2_19_1","doi-asserted-by":"crossref","unstructured":"Harris P. A. Taylor R. Thielke R. Payne J. Gonzalez N. Conde J. G. (2009). Research electronic data capture (REDCap)\u2014a metadata-driven methodology and workflow process for providing translational research informatics support. J Biomed Inform 42(2) 377\u2013381. https:\/\/doi.org\/10.1016\/j.jbi.2008.08.010","DOI":"10.1016\/j.jbi.2008.08.010"},{"key":"e_1_3_2_20_1","doi-asserted-by":"crossref","unstructured":"Hess C. Levy B. Hashmi A. Z. Hogan J. Greenspan S. Elber A. Falcon K. Driscoll D. F. (2020). Subjective versus objective assessment of cognitive functioning in primary care. The Journal of the American Board of Family Medicine 33(3) 417\u2013425. https:\/\/doi.org\/10.3122\/jabfm.2020.03.190265","DOI":"10.3122\/jabfm.2020.03.190265"},{"key":"e_1_3_2_21_1","doi-asserted-by":"crossref","unstructured":"Hopkins C. W. P. Powell N. Norton C. Dumbrill J. L. Hayee B. H. Moulton C. D. (2021). Cognitive impairment in adult inflammatory bowel disease: A systematic review and meta-analysis. Journal of the Academy of Consultation-Liaison Psychiatry 62(4) 387\u2013403. https:\/\/doi.org\/https:\/\/doi.org\/10.1016\/j.psym.2020.10.002","DOI":"10.1016\/j.psym.2020.10.002"},{"key":"e_1_3_2_22_1","doi-asserted-by":"crossref","unstructured":"Lau S. C. L. Connor L. Baum M. C. (2021). The relation between subjective and objective assessment of cognitive and physical functioning in community-dwelling stroke survivors. Archives of Physical Medicine and Rehabilitation 102(10) e16. https:\/\/doi.org\/https:\/\/doi.org\/10.1016\/j.apmr.2021.07.437","DOI":"10.1016\/j.apmr.2021.07.437"},{"key":"e_1_3_2_23_1","doi-asserted-by":"crossref","unstructured":"Li J. Vitiello M. V. Gooneratne N. S. (2022). Sleep in normal aging. Sleep Medicine Clinics 17(2) 161\u2013171. https:\/\/doi.org\/10.1016\/j.jsmc.2022.02.007","DOI":"10.1016\/j.jsmc.2022.02.007"},{"key":"e_1_3_2_24_1","doi-asserted-by":"crossref","unstructured":"Luik A. I. Zuurbier L. A. Hofman A. Van Someren E. J. W. Ikram M. A. Tiemeier H. (2015). Associations of the 24-h activity rhythm and sleep with cognition: A population-based study of middle-aged and elderly persons. Sleep Medicine 16(7) 850\u2013855. https:\/\/doi.org\/https:\/\/doi.org\/10.1016\/j.sleep.2015.03.012","DOI":"10.1016\/j.sleep.2015.03.012"},{"key":"e_1_3_2_25_1","doi-asserted-by":"crossref","unstructured":"Nocerino A. Nguyen A. Agrawal M. Mone A. Lakhani K. Swaminath A. (2020). Fatigue in inflammatory bowel diseases: Etiologies and management. Advances in Therapy 37(1) 97\u2013112. https:\/\/doi.org\/10.1007\/s12325-019-01151-w","DOI":"10.1007\/s12325-019-01151-w"},{"key":"e_1_3_2_26_1","doi-asserted-by":"crossref","unstructured":"Ott C. Sch\u00f6lmerich J. (2013). Extraintestinal manifestations and complications in IBD. Nature Reviews Gastroenterology & Hepatology 10(10) 585\u2013595. https:\/\/doi.org\/10.1038\/nrgastro.2013.117","DOI":"10.1038\/nrgastro.2013.117"},{"key":"e_1_3_2_27_1","doi-asserted-by":"crossref","unstructured":"Rasch B. Born J. (2013). About sleep\u2019s role in memory. Physiological Reviews 93(2) 681\u2013766. https:\/\/doi.org\/10.1152\/physrev.00032.2012","DOI":"10.1152\/physrev.00032.2012"},{"key":"e_1_3_2_28_1","doi-asserted-by":"crossref","unstructured":"Redeker N. S. Conley S. O\u2019Connell M. Geer J. H. Yaggi H. Jeon S. (2023). Sleep-related predictors of cognition among adults with chronic insomnia and heart failure enrolled in a randomized controlled trial of cognitive behavioral therapy for insomnia. Journal of Clinical Sleep Medicine 19(6) 1073\u20131081. https:\/\/doi.org\/10.5664\/jcsm.10498","DOI":"10.5664\/jcsm.10498"},{"key":"e_1_3_2_29_1","doi-asserted-by":"crossref","unstructured":"Rock P. L. Roiser J. P. Riedel W. J. Blackwell A. D. (2014). Cognitive impairment in depression: A systematic review and meta-analysis. Psychological Medicine 44(10) 2029\u20132040. https:\/\/doi.org\/10.1017\/s0033291713002535","DOI":"10.1017\/S0033291713002535"},{"key":"e_1_3_2_30_1","doi-asserted-by":"crossref","unstructured":"Roniger D. D. G. Lechuga Y. A. Le\u00f3n E. E. Robles R. O. G. Escand\u00f3n \u00d3 S. P\u00e9rez G. J. T. Moctezuma J. V. (2022). Cognitive behavioral therapy for insomnia helps to reverse cognitive impairment in insomnia patients. Sleep Science 15(Spec 2) 355\u2013360. https:\/\/doi.org\/10.5935\/1984-0063.20210026","DOI":"10.5935\/1984-0063.20210026"},{"key":"e_1_3_2_31_1","doi-asserted-by":"crossref","unstructured":"Salwen-Deremer J. K. Smith M. T. Haskell H. G. Schreyer C. Siegel C. A. (2022). Poor sleep in inflammatory bowel disease is reflective of distinct sleep disorders. Digestive Diseases and Sciences 67(7) 3096\u20133107. https:\/\/doi.org\/10.1007\/s10620-021-07176-y","DOI":"10.1007\/s10620-021-07176-y"},{"key":"e_1_3_2_32_1","doi-asserted-by":"crossref","unstructured":"Satterfield B. C. Killgore W. D. S. (2019). Chapter 26\u2014Sleep loss executive function and decision-making. In Grandner M. A. (Ed.) Sleep and Health (pp. 339\u2013358). Academic Press. https:\/\/doi.org\/https:\/\/doi.org\/10.1016\/B978-0-12-815373-4.00026-5","DOI":"10.1016\/B978-0-12-815373-4.00026-5"},{"key":"e_1_3_2_33_1","doi-asserted-by":"crossref","unstructured":"Vargas I. Garland S. N. Kloss J. D. Perlis M. L. (2019). Chapter 28\u2014Insomnia and psychiatric disorders. In Grandner M. A. (Ed.) Sleep and health (pp. 373\u2013389). Academic Press. https:\/\/doi.org\/https:\/\/doi.org\/10.1016\/B978-0-12-815373-4.00028-9","DOI":"10.1016\/B978-0-12-815373-4.00028-9"},{"key":"e_1_3_2_34_1","article-title":"Chemotherapy-related cognitive deficits: Development of the FACT-Cog instrument","volume":"27","author":"Wagner L. I.","year":"2004","unstructured":"Wagner L. I., Lai J., Cella D., Sweet J., Forrestal S. (2004). Chemotherapy-related cognitive deficits: Development of the FACT-Cog instrument. Annals of Behavioral Medicine, 27(Suppl. 10), S10.","journal-title":"Annals of Behavioral Medicine"},{"issue":"6","key":"e_1_3_2_35_1","article-title":"Measuring patient self-reported cognitive function: Development of the functional assessment of cancer therapy-cognitive function instrument","volume":"7","author":"Wagner L. I.","year":"2009","unstructured":"Wagner L. I., Sweet J., Butt Z., Lai J.-s., Cella D. (2009). Measuring patient self-reported cognitive function: Development of the functional assessment of cancer therapy-cognitive function instrument. Journal of Supportive Oncology, 7(6), W32-W39.","journal-title":"Journal of Supportive Oncology"},{"key":"e_1_3_2_36_1","doi-asserted-by":"crossref","unstructured":"Wardle-Pinkston S. Slavish D. C. Taylor D. J. (2019). Insomnia and cognitive performance: A systematic review and meta-analysis. Sleep Medicine Reviews 48 Article 101205. https:\/\/doi.org\/https:\/\/doi.org\/10.1016\/j.smrv.2019.07.008","DOI":"10.1016\/j.smrv.2019.07.008"}],"container-title":["Clinical Nursing Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10547738261427988","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/10547738261427988","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10547738261427988","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T12:16:30Z","timestamp":1789128990000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/10547738261427988"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3,13]]},"references-count":35,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2026,9]]}},"alternative-id":["10.1177\/10547738261427988"],"URL":"https:\/\/doi.org\/10.1177\/10547738261427988","relation":{},"ISSN":["1054-7738","1552-3799"],"issn-type":[{"value":"1054-7738","type":"print"},{"value":"1552-3799","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3,13]]}}}