Cited by 253Inflammatory Bowel DiseaseRheumatoid Arthritis Research and TherapiesTryptophan and brain disorders

The DOI matches its Crossref record; 38 of the 38 references it cites were found in a registry or an index.

The impact of major depressive disorder on the short‐ and long‐term outcome of Crohn's disease treatment with infliximab

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PERSOONS, P., VERMEIRE, S., DEMYTTENAERE, K., FISCHLER, B., VANDENBERGHE, J., VAN OUDENHOVE, L., PIERIK, M., HLAVATY, T., VAN ASSCHE, G., NOMAN, M., RUTGEERTS, P.·2005·Alimentary Pharmacology & Therapeutics

Abstract

Summary: Background: Major depressive disorder is the most common psychiatric diagnosis in Crohn's disease. In other chronic diseases, evidence suggests that depression influences the course of the disease. Strong evidence of such a mediating role of major depressive disorder in Crohn's disease has never been found. Aim: To assess the relationship between major depressive disorder and outcome of treatment of luminal Crohn's disease with infliximab. Methods: In this prospective study, 100 consecutive unselected patients underwent assessment of psychosocial, demographical disease‐related biological and clinical parameters at baseline and at 4 weeks after infliximab. Major depressive disorder was diagnosed using the Patient Health Questionnaire. Subsequently, the patients were followed up clinically until the next flare or during 9 months. Results: The Crohn's disease responded in 75% of the patients, and remission was achieved in 60%. The presence of major depressive disorder at baseline predicted a lower remission rate (OR = 0.166, 95% CI = 0.049–0.567, P = 0.004). At follow‐up, 88% of the patients needed retreatment. At univariate regression analysis, major depressive disorder significantly decreased time to retreatment (P = 0.001). Multivariate Cox regression confirmed major depressive disorder as an independent determinant of active disease both at baseline and at re‐evaluation (hazard ratio = 2.271, 95% CI: 1.36–3.79, P = 0.002). Conclusion: Major depressive disorder is a risk factor for failure to achieve remission with infliximab and for earlier retreatment in patients with active luminal Crohn's disease. Assessment and management of major depressive disorder should be part of the clinical approach to patients with Crohn's disease.

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Metadata

Authors
PERSOONS, P., VERMEIRE, S., DEMYTTENAERE, K., FISCHLER, B., VANDENBERGHE, J., VAN OUDENHOVE, L., PIERIK, M., HLAVATY, T., VAN ASSCHE, G., NOMAN, M., & RUTGEERTS, P.
Affiliations
KU Leuven (BE)
Corresponding author
RUTGEERTS, P.
Venue
Alimentary Pharmacology & Therapeutics
Publisher
Wiley
Published
2005-07
Volume
22
Issue
2
Pages
101-110
ISSN
  • 0269-2813 (ISSN-L)
  • 1365-2036
OpenAlex
W2025629977
Cited by
253
References
0
Citations by year
2026: 4 · 2025: 7 · 2024: 12 · 2023: 12 · 2022: 17 · 2021: 13 · 2020: 9 · 2019: 16 · 2018: 19 · 2017: 18 · 2016: 19 · 2015: 15 · 2014: 18 · 2013: 13 · 2012: 9
FWCI
3.25
Type
journal article
Language
en
Open access
Locations
  • Alimentary Pharmacology & Therapeutics (publishedVersion)
  • PubMed (publishedVersion)
  • Lirias (submittedVersion, other-oa)
Funders
Vlaamse regering
Topics
  • Health Sciences › Medicine › Gastroenterology › Inflammatory Bowel Disease
  • Health Sciences › Medicine › Rheumatology › Rheumatoid Arthritis Research and Therapies
  • Life Sciences › Neuroscience › Biological Psychiatry › Tryptophan and brain disorders
Keywords
major depressive disorder, Crohn's disease, infliximab, treatment response, remission, retreatment, disease flares, psychiatric comorbidity, luminal Crohn's disease, biologic therapy
MeSH terms
Infliximab, Adult, Affective Symptoms, Antibodies, Monoclonal, Anxiety, Crohn Disease, Depressive Disorder, Major, Major Depressive Disorder, Female, Gastrointestinal Agents, Humans, Male, Prospective Studies, Regression Analysis, Risk Factors, Sleep Wake Disorders, Social Support, Multivariate Analysis, Treatment Outcome

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