Systematic review: psychological morbidity in young people with inflammatory bowel disease - risk factors and impacts
Abstract
BACKGROUND: Psychological morbidity in young people aged 10-24 years, with inflammatory bowel disease (IBD) is increased, but risk factors for and impacts of this are unclear. AIM: To undertake a systematic literature review of the risk factors for and impact of psychological morbidity in young people with IBD. METHODS: Electronic searches for English-language articles were performed with keywords relating to psychological morbidity according to DSM-IV and subsequent criteria; young people; and IBD in the MEDLINE, PsychInfo, Web of Science and CINAHL databases for studies published from 1994 to September 2014. RESULTS: One thousand four hundred and forty-four studies were identified, of which 30 met the inclusion criteria. The majority measured depression and anxiety symptoms, with a small proportion examining externalising behaviours. Identifiable risk factors for psychological morbidity included: increased disease severity (r(2) = 0.152, P < 0.001), lower socioeconomic status (r(2) = 0.046, P < 0.001), corticosteroids (P ≤ 0.001), parental stress (r = 0.35, P < 0.001) and older age at diagnosis (r = 0.28, P = 0.0006). Impacts of psychological morbidity in young people with IBD were wide-ranging and included abdominal pain (r = 0.33; P < 0.001), sleep dysfunction (P < 0.05), psychotropic drug use (HR 4.16, 95% CI 2.76-6.27), non-adherence to medication (12.6% reduction) and negative illness perceptions (r = -0.43). CONCLUSIONS: Psychological morbidity affects young people with IBD in a range of ways, highlighting the need for psychological interventions to improve outcomes. Identified risk factors provide an opportunity to develop targeted therapies for a vulnerable group. Further research is required to examine groups under-represented in this review, such as those with severe IBD and those from ethnic minorities.
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The incidence of mental illnesses, especially depression, among young people with IBD is increasing.
“The incidence of mental illnesses, especially depression, among young people with IBD is increasing (67).”
From Stress triggers flare of inflammatory bowel disease in children and adults (2019) · cites this paper as [67]
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- Authors
- Brooks, A. J., Rowse, G., Ryder, A., Peach, E. J., Corfe, B. M., & Lobo, A. J.
- Affiliations
- Royal Hallamshire Hospital (GB)
- University of Sheffield (GB)
- Corresponding author
- Brooks, A. J.
- Venue
- Alimentary Pharmacology & Therapeutics
- Publisher
- Wiley
- Published
- 2016-05-04
- Volume
- 44
- Issue
- 1
- Pages
- 3-15
- ISSN
- 0269-2813 (ISSN-L)
- 1365-2036
- OpenAlex
- W2346716552
- Cited by
- 98
- References
- 62
- Citations by year
- 2026: 3 · 2025: 12 · 2024: 9 · 2023: 11 · 2022: 9 · 2021: 15 · 2020: 10 · 2019: 8 · 2018: 7 · 2017: 10 · 2016: 4
- FWCI
- 1.29
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Alimentary Pharmacology & Therapeutics (publishedVersion)
- PubMed (publishedVersion)
- White Rose Research Online (University of Leeds, The University of Sheffield, University of York) (acceptedVersion)
- Funders
- Crohn's and Colitis UK (SP2012-3)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Inflammatory Bowel Disease
- Health Sciences › Health Professions › Speech and Hearing › Adolescent and Pediatric Healthcare
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Keywords
- inflammatory bowel disease, psychological morbidity, youth, depression, anxiety, risk factors, disease severity, corticosteroids, parental stress, age at diagnosis, socioeconomic status, psychotropic drug use, medication non-adherence, illness perception, sleep disorders, psychological intervention
- MeSH terms
- Anxiety, Depression, Humans, Parents, Risk Factors, Inflammatory Bowel Diseases, Abdominal Pain
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