Depression and inflammatory bowel disease: findings from two nationally representative Canadian surveys.
Abstract
Most studies of depression and inflammatory bowel disease (IBD) have been drawn from clinical populations or from samples selected from the membership of Crohn's and ulcerative colitis community organizations. This study determined the prevalence and correlates of depression in people with IBD or a similar bowel disorder from 2 nationally representative Canadian surveys. In the Canadian Community Health Survey, conducted in 2000 through 2001, there were 3076 respondents who reported that they had "a bowel disorder such as Crohn's disease or colitis" that had lasted >or=6 months and had been diagnosed by a health professional. The National Population Health Survey, conducted from 1996 through 1997, had 1438 respondents who reported that they had such a condition. Within each subsample, bivariate analyses were conducted to compare the depressed and nondepressed individuals. Logistic regression analyses also were conducted using the Canadian Community Health Survey 1.1 data set. The 12-month period prevalence of depression among individuals with IBD and similar bowel disorders was comparable in the 2 data sets (16.3% and 14.7%). Depression rates were higher among female respondents, those without partners, younger respondents, those who reported greater pain, and those who had functional limitations. Seventeen percent of depressed respondents had considered suicide in the past 12 months; an additional 30% had considered suicide at an earlier time. Only 40% of depressed individuals were using antidepressants. Individuals with IBD and similar bowel disorders experience rates of depression that are triple those of the general population. It is important for clinicians to assess depression and suicidal ideation among their patients with active IBD symptoms, particularly among those reporting moderate to severe pain.
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Meta-analyses of controlled trials reported numbers-needed-to-treat of 3 to 4 for symptomatic benefit over placebo in irritable bowel syndrome patients.
“Meta-analyses combining controlled studies have reported numbers-needed-to-treat of 3 to 4 for symptomatic benefit over placebo in IBS patients.8,9”
From Tricyclic Antidepressants for Management of Residual Symptoms in Inflammatory Bowel Disease (2014) · cites this paper as [9]
In Canadian surveys, the 12-month depression incidence rates of people with IBD and similar intestinal disorders were 14.7% and 16.3%, respectively.
“Statistical data indicated that the 12-month depression incidence rates of people with IBD and similar intestinal disorders in the survey mentioned above were 14.7 and 16.3%, respectively.”
From Stress triggers flare of inflammatory bowel disease in children and adults (2019) · cites this paper as [58]
IBD patients showed a three-fold higher incidence of depression than healthy people.
“Furthermore, IBD patients showed a three-fold higher incidence of depression than healthy people (58).”
From Stress triggers flare of inflammatory bowel disease in children and adults (2019) · cites this paper as [58]
A sizeable proportion of individuals with IBD have been identified as experiencing co-morbid anxiety and/or depression.
“In particular, a sizeable proportion of individuals with IBD have been identified as experiencing co-morbid anxiety and/or depression (8, 9).”
From Controversies Revisited: A Systematic Review of the Comorbidity of Depression and Anxiety with Inflammatory Bowel Diseases (2016) · cites this paper as [8]
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- Authors
- Fuller-Thomson, E., & Sulman, J.
- Affiliations
- Mount Sinai Hospital (CA)
- Venue
- Inflammatory Bowel Diseases
- Publisher
- Oxford University Press (OUP)
- Published
- 2006-08
- Volume
- 12
- Issue
- 8
- Pages
- 697-707
- ISSN
- 1078-0998 (ISSN-L)
- OpenAlex
- W2112804198
- Cited by
- 292
- References
- 64
- Citations by year
- 2026: 3 · 2025: 9 · 2024: 14 · 2023: 16 · 2022: 14 · 2021: 23 · 2020: 17 · 2019: 18 · 2018: 18 · 2017: 18 · 2016: 16 · 2015: 22 · 2014: 21 · 2013: 21 · 2012: 7
- FWCI
- 5.30
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Inflammatory Bowel Diseases (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Inflammatory Bowel Disease
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Life Sciences › Neuroscience › Biological Psychiatry › Tryptophan and brain disorders
- Keywords
- depression, inflammatory bowel disease
- MeSH terms
- Adolescent, Adult, Aged, Aged, 80 and over, Antidepressive Agents, Canada, Depression, Female, Health Surveys, Humans, Male, Middle Aged, Pain, Suicide, Inflammatory Bowel Diseases, Prevalence, Logistic Models
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