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Symptoms of Depression and Anxiety Are Independently Associated With Clinical Recurrence of Inflammatory Bowel Disease
Open accessAbstract
Background & aims We examined the relationship between symptoms of depression and anxiety and clinical recurrence of inflammatory bowel disease (IBD) in a large patient cohort. We considered the progression of depression and anxiety over time.Methods We collected clinical and treatment data on 2007 adult participants of the Swiss IBD study (56% with Crohn's disease [CD], 48% male) performed in Switzerland from 2006 through 2015. Depression and anxiety symptoms were quantified by using the Hospital Anxiety and Depression Scale. The relationship between depression and anxiety scores and clinical recurrence was analyzed by using survival-time techniques.Results We found a significant association between symptoms of depression and clinical recurrence over time (for all patients with IBD, P = .000001; for subjects with CD, P = .0007; for subjects with ulcerative colitis, P = .005). There was also a significant relationship between symptoms of anxiety and clinical recurrence over time in all subjects with IBD (P = .0014) and in subjects with CD (P = .031) but not ulcerative colitis (P = .066).Conclusions In an analysis of a large cohort of subjects with IBD, we found a significant association between symptoms of depression or anxiety and clinical recurrence. Patients with IBD should therefore be screened for clinically relevant levels of depression and anxiety and referred to psychologists or psychiatrists for further evaluation and treatment.
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“these episodes of anxiety and depression then have a significant impact on IBD disease outcomes, including IBD flares,40”
From Acceptance commitment therapy (ACT) for psychological distress associated with inflammatory bowel disease (IBD): protocol for a feasibility trial of the ACTforIBD programme (2022) · cites this paper as [40]
Experimental — accuracy not yet measuredThe source backs part of the claim, not all of it — or backs it for a different population, condition or comparison.
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“Indeed, comorbid psychological difficulties are associated with disease activity, flares, treatment response, and the necessity of surgical intervention [2,6,8,9,10,11,12,13,14,15].”
From Brief and Telehealth Acceptance and Commitment Therapy (ACT) Interventions for Stress in Inflammatory Bowel Disease (IBD): A Series of Single Case Experimental Design (SCED) Studies (2022) · cites this paper as [12]
Experimental — accuracy not yet measuredIn the citing paper
“The 13 eligible articles reported on 12 separate study populations,[11, 20-30, 33] containing 9192 patients.”
From Bidirectional brain-gut axis effects influence mood and prognosis in IBD: A systematic review and meta-analysis (2022) · cites this paper as [28]
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“Finally, among three studies that recruited 2844 patients,[26, 28, 30] and which reported a composite endpoint of one or more of these adverse outcomes, risk was significantly higher among those with symptoms of anxiety at baseline (RR = 1.21; 95% CI 1.08-1.36), with low heterogeneity ( I 2 =19.8%)”
From Bidirectional brain-gut axis effects influence mood and prognosis in IBD: A systematic review and meta-analysis (2022) · cites this paper as [28]
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“We also contacted original investigators and obtained additional data from six studies,[26-30, 33] to maximise the number of eligible studies for analysis.”
From Bidirectional brain-gut axis effects influence mood and prognosis in IBD: A systematic review and meta-analysis (2022) · cites this paper as [28]
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“Finally, four studies reported a composite endpoint of one or more of the above,[24, 26, 28, 30] recruiting 2906 patients. In those with symptoms of depression at baseline there was a significantly increased risk of one or more adverse outcomes, compared with those without (RR = 1.26; 95% CI 1.07-1.48; I 2 =19.8%) (Figure 3f).”
From Bidirectional brain-gut axis effects influence mood and prognosis in IBD: A systematic review and meta-analysis (2022) · cites this paper as [28]
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Metadata
- Authors
- Mikocka-Walus, A., Pittet, V., Rossel, J.-B., von Känel, R., Anderegg, C., Bauerfeind, P., Beglinger, C., Begré, S., Belli, D., Bengoa, J. M., Biedermann, L., Bigler, B., Binek, J., Blattmann, M., Boehm, S., Borovicka, J., Braegger, C. P., Brunner, N., Bühr, P., Burnand, B., Burri, E., Buyse, S., Cremer, M., Criblez, D. H., de Saussure, P., Degen, L., Delarive, J., Doerig, C., Dora, B., Dorta, G., Egger, M., Ehmann, T., El-Wafa, A., Engelmann, M., Ezri, J., Felley, C., Fliegner, M., Fournier, N., Fraga, M., Frei, P., Frei, R., Fried, M., Froehlich, F., Funk, C., Ivano Furlano, R., Gallot-Lavallée, S., Geyer, M., Girardin, M., Golay, D., Grandinetti, T., Gysi, B., Haack, H., Haarer, J., Helbling, B., Hengstler, P., Herzog, D., Hess, C., Heyland, K., Hinterleitner, T., Hiroz, P., Hirschi, C., Hruz, P., Iwata, R., Jost, R., Juillerat, P., Kessler Brondolo, V., Knellwolf, C., Knoblauch, C., Köhler, H., Koller, R., Krieger-Grübel, C., Kullak-Ublick, G., Künzler, P., Landolt, M., Lange, R., Serge Lehmann, F., Macpherson, A., Maerten, P., Maillard, M. H., Manser, C., Manz, M., Marbet, U., Marx, G., Matter, C., McLin, V., Meier, R., Mendanova, M., Meyenberger, C., Michetti, P., Misselwitz, B., Moradpour, D., Morell, B., Mosler, P., Mottet, C., Müller, C., Müller, P., Müllhaupt, B., Münger-Beyeler, C., Musso, L., Nagy, A., Neagu, M., Nichita, C., Niess, J., Noël, N., Nydegger, A., Obialo, N., Oneta, C., Oropesa, C., Peter, U., Peternac, D., Marie Petit, L., Piccoli-Gfeller, F., Beatrice Pilz, J., Pittet, V., Raschle, N., Rentsch, R., Restellini, S., Richterich, J.-P., Rihs, S., Alain Ritz, M., Roduit, J., Rogler, D., Rogler, G., Rossel, J.-B., Sagmeister, M., Saner, G., Sauter, B., Sawatzki, M., Schäppi, M., Scharl, M., Schelling, M., Schibli, S., Schlauri, H., Schmid Uebelhart, S., Schnegg, J.-F., Schoepfer, A., Seibold, F., Seirafi, M., Semadeni, G.-M., Semela, D., Senning, A., Sidler, M., Sokollik, C., Spalinger, J., Spangenberger, H., Stadler, P., Steuerwald, M., Straumann, A., Straumann-Funk, B., Sulz, M., Thorens, J., Tiedemann, S., Tutuian, R., Vavricka, S., Viani, F., Vögtlin, J., Von Känel, R., Vonlaufen, A., Vouillamoz, D., Vulliamy, R., Wermuth, J., Werner, H., Wiesel, P., Wiest, R., Wylie, T., Zeitz, J., & Zimmermann, D.
- Affiliations
- Institute of Social and Preventive Medicine (CH)
- ORCID
- Beglinger, Christoph
- Begré, Stefan
- Biedermann, Luc
- Braegger, Christian P.
- Burnand, Bernard
- Burri, Emanuel
- Degen, Lukas
- Fournier, Nicolas
- Fraga, Montserrat
- Froehlich, Florian
- Geyer, Martin
- Herzog, Denise
- Hruz, Petr
- Juillerat, Pascal
- Knoblauch, Christoph
- Köhler, Henrik
- Kullak-Ublick, Gerd
- Landolt, Markus
- Macpherson, Andrew
- McLin, Valérie
- Michetti, Pierre
- Misselwitz, Benjamin
- Moradpour, Darius
- Morell, Bernhard
- Müller, Pascal
- Müllhaupt, Beat
- Nichita, Cristina
- Niess, Jan
- Nydegger, Andreas
- Restellini, Sophie
- Rogler, Gerhard
- Sawatzki, Mikael
- Scharl, Michael
- Schoepfer, Alain
- Seibold, Frank
- Semela, David
- Sokollik, Christiane
- Spalinger, Johannes
- Straumann, Alex
- Tutuian, Radu
- Vavricka, Stephan
- Vonlaufen, Alain
- Werner, Helene
- Wiest, Reiner
- Zeitz, Jonas
- Venue
- Clinical Gastroenterology and Hepatology
- Publisher
- Elsevier BV
- Published
- 2016-06
- Volume
- 14
- Issue
- 6
- Pages
- 829-835.e1
- ISSN
- 1542-3565 (ISSN-L)
- OpenAlex
- W2253459515
- Cited by
- 348
- References
- 49
- Citations by year
- 2026: 19 · 2025: 36 · 2024: 31 · 2023: 38 · 2022: 37 · 2021: 59 · 2020: 42 · 2019: 32 · 2018: 25 · 2017: 17 · 2016: 11
- FWCI
- 22.89
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Clinical Gastroenterology and Hepatology (acceptedVersion)
- PubMed (publishedVersion)
- Archive ouverte UNIGE (University of Geneva) (publishedVersion)
- White Rose Research Online (University of Leeds, The University of Sheffield, University of York) (acceptedVersion)
- Bern Open Repository and Information System (University of Bern) (submittedVersion)
- Deakin Research Online (Deakin University) (submittedVersion)
- Figshare (submittedVersion, cc-by)
- IRIS (submittedVersion)
- SERVAL (Université de Lausanne) (submittedVersion)
- Archive ouverte UNIGE (University of Geneva) (submittedVersion, cc-by)
- Zurich Open Repository and Archive (University of Zurich) (submittedVersion)
- Funders
- Schweizerischer Nationalfonds zur Förderung der Wissenschaftlichen Forschung (33CS30-148422)
- Topics
- Health Sciences › Medicine › Gastroenterology › Inflammatory Bowel Disease
- Life Sciences › Neuroscience › Biological Psychiatry › Tryptophan and brain disorders
- Health Sciences › Medicine › Ophthalmology › Ocular Diseases and Behçet’s Syndrome
- Keywords
- inflammatory bowel disease, depression, anxiety, clinical recurrence, Crohn's disease, ulcerative colitis, psychiatric comorbidity, Hospital Anxiety and Depression Scale, depression screening
- MeSH terms
- Adolescent, Adult, Aged, Aged, 80 and over, Anxiety, Depression, Female, Humans, Male, Middle Aged, Prospective Studies, Recurrence, Severity of Illness Index, Switzerland, Inflammatory Bowel Diseases, Young Adult
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