Do Inflammatory Bowel Disease patients with anxiety and depressive symptoms receive the care they need?
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Background and aims: Inflammatory Bowel Disease (IBD) patients with anxiety and/or depressive symptoms may not receive the care they need. Provision of care requires insight into the factors affecting these psychiatric symptoms. The study was designed to examine the extent to which: (1) IBD patients with anxiety and/or depressive symptoms receive mental treatment and (2) clinical and socio-demographic variables are associated with these symptoms. Methods: 231 adult IBD patients (79% response rate), attending a tertiary care center, completed standardized measures on anxiety and depressive symptoms (HADS), quality of life (SF-12) and mental health care use (TIC-P). Diagnosis and disease activity were determined by the gastroenterologist. Results: 43% had high levels of anxiety and/or depressive symptoms, indicative of a psychiatric disorder (HADS ≥ 8), of whom 18% received psychological treatment and 21% used psychotropic medication. In multivariate analysis, high disease activity was associated with anxiety (OR = 2.72 | p < 0.03) and depression (OR = 3.36 | p < 0.01), while Crohn's disease was associated with anxiety (OR = 2.60 | p < 0.03). Conclusions: Despite high levels of anxiety and depressive symptoms and poor quality of life, psychiatric complaints in IBD patients were undertreated. Screening for and treatment of psychiatric symptoms should become an integral part of IBD medical care. Highlights: ► 18 % of IBD patients with high levels of anxiety and depression receive mental help. ► Higher levels of depression and anxiety are associated with having active disease. ► Screening should become an integral part of IBD medical care. ► Psychological interventions for anxiety and depression in IBD patients are needed.
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Of 28 studies, 21 measured anxiety, and only three concluded statistically significant differences between IBD subtypes, all indicating higher anxiety for CD.
“Twenty-one of the 28 studies measured anxiety, with only three of them concluding there were statistically significant differences between IBD subtypes, all of which indicated higher anxiety for those with CD (21, 29, 41).”
From Controversies Revisited: A Systematic Review of the Comorbidity of Depression and Anxiety with Inflammatory Bowel Diseases (2016) · cites this paper as [29]
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- Authors
- Bennebroek Evertsz', F., Thijssens, N. A. M., Stokkers, P. C. F., Grootenhuis, M. A., Bockting, C. L. H., Nieuwkerk, P. T., & Sprangers, M. A. G.
- Affiliations
- Amsterdam UMC Location University of Amsterdam (NL)
- Sint Lucas Andreas Hospital (NL)
- University of Groningen (NL)
- Venue
- Journal of Crohn's and Colitis
- Publisher
- Oxford University Press (OUP)
- Published
- 2012-02
- Volume
- 6
- Issue
- 1
- Pages
- 68-76
- ISSN
- 1873-9946 (ISSN-L)
- OpenAlex
- W2125913162
- Cited by
- 131
- References
- 65
- Citations by year
- 2026: 4 · 2025: 5 · 2024: 8 · 2023: 7 · 2022: 9 · 2021: 13 · 2020: 16 · 2019: 9 · 2018: 15 · 2017: 6 · 2016: 11 · 2015: 11 · 2014: 5 · 2013: 7 · 2012: 5
- FWCI
- 3.39
- Type
- journal article
- Language
- en
- Open access
- green
- hdl.handle.net
- Licence
- other-oa
- Locations
- Journal of Crohn s and Colitis (publishedVersion)
- PubMed (publishedVersion)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- Ghent University Academic Bibliography (Ghent University) (submittedVersion)
- Pure Amsterdam UMC (submittedVersion)
- University of Groningen research database (University of Groningen / Centre for Information Technology) (submittedVersion, other-oa)
- University of Groningen research database (University of Groningen / Centre for Information Technology) (submittedVersion)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Inflammatory Bowel Disease
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Keywords
- inflammatory bowel disease, anxiety
- MeSH terms
- Adolescent, Adult, Aged, Anxiety, Depression, Female, Humans, Male, Middle Aged, Quality of Life, Surveys and Questionnaires, Socioeconomic Factors, Inflammatory Bowel Diseases, Multivariate Analysis, Young Adult
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