Relation of Repetitive Thinking Styles with Anxiety and Depression in Patients with Inflammatory Bowel Disease

Background. Inflammatory bowel disease (IBD) patients are not routinely screened for depression and anxiety despite knowledge of an increased prevalence in people with chronic disease and negative effects on quality of life. Methods. Prevalence of anxiety and depression was assessed in IBD outpatients through retrospective chart review. The presence of anxiety and/or depression was determined using the Patient Health Questionnaire-9 and Generalized Anxiety Disorder-7 self-report questionnaires or by diagnosis through psychiatric interview. Patient demographics, disease characteristics, and medication information were also collected. Multivariable analysis was used to determine associations between patient factors and depression and anxiety. Results. 327 patient charts were reviewed. Rates of depression and anxiety were found to be 25.8% and 21.2%, with 30.3% of patients suffering from depression and/or anxiety. Disease activity was found to be significantly associated with depression and/or anxiety (p=0.01). Females were more likely to have anxiety (p=0.01). Conclusion. A significant proportion of IBD patients suffer from depression and/or anxiety. The rates of these mental illnesses would justify screening and referral for psychiatric treatment in clinics treating this population. Patients with active disease are particularly at risk for anxiety and depression.

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Symptoms of anxiety and depression are independently associated with inflammatory bowel disease-related disability

Digestive and Liver Disease ◽

10.1016/j.dld.2017.08.020 ◽

2017 ◽

Vol 49 (12) ◽

pp. 1314-1319 ◽

Cited By ~ 16

Author(s):

Webber Chan ◽

Hang Hock Shim ◽

Miao Shan Lim ◽

Fatimin Leila Bahjin Sawadjaan ◽

Sangeetha Poongunam Isaac ◽

...

Keyword(s):

Inflammatory Bowel Disease ◽

Bowel Disease ◽

Anxiety And Depression ◽

Inflammatory Bowel

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Non-pharmacological Interventions for Anxiety and Depression in Adults With Inflammatory Bowel Disease: A Systematic Review and Meta-Analysis

Frontiers in Psychology ◽

10.3389/fpsyg.2020.538741 ◽

2020 ◽

Vol 11 ◽

Author(s):

Suja P. Davis ◽

Linda P. Bolin ◽

Patricia B. Crane ◽

Jamie Crandell

Keyword(s):

Systematic Review ◽

Inflammatory Bowel Disease ◽

Bowel Disease ◽

Meta Analysis ◽

Anxiety And Depression ◽

Pharmacological Interventions ◽

Inflammatory Bowel

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I am a total failure: associations between beliefs and anxiety and depression in patients with inflammatory bowel disease with poor mental quality of life

Behavioural and Cognitive Psychotherapy ◽

10.1017/s1352465819000444 ◽

2019 ◽

Vol 48 (1) ◽

pp. 91-102 ◽

Cited By ~ 2

Author(s):

Floor Bennebroek Evertsz’ ◽

Mirjam A.G. Sprangers ◽

Laura M. de Vries ◽

Robbert Sanderman ◽

Pieter C.F. Stokkers ◽

...

Keyword(s):

Quality Of Life ◽

Inflammatory Bowel Disease ◽

Depressive Symptoms ◽

Psychiatric Disorders ◽

Bowel Disease ◽

Anxiety And Depression ◽

Illness Beliefs ◽

Dysfunctional Beliefs ◽

Inflammatory Bowel

AbstractBackground:According to cognitive behavioural theory, cognitive factors (i.e. underlying general dysfunctional beliefs and (situation) specific illness beliefs) are theorized to lead to outcomes like anxiety and depression. In clinical practice, general dysfunctional beliefs are generally not tackled directly in short-term-therapy.Aims:The goal of the present study was to investigate the associations of general versus specific illness beliefs on anxiety and depressive symptoms and psychiatric disorders among a subgroup of patients with inflammatory bowel disease (IBD) with poor mental quality of life (QoL).Method:This study concerns cross-sectional data, collected at baseline from a randomized clinical trial. One hundred and eighteen patients, recruited at four Dutch hospitals, with poor QoL (score ≤23 on the mental health subscale of the Short-Form 36-item Health-Survey; SF-36) were included. General dysfunctional beliefs were measured by the Dysfunctional Attitude Scale (DAS), specific illness beliefs by the Illness Perceptions Questionnaire-Revised (IPQ-R), anxiety and depressive symptoms by the Hospital Anxiety and Depression Scale (HADS), and psychiatric disorders by the Structured Clinical Interview for DSM-IV Axis-I Disorders (SCID-I).Results:Univariate analyses showed associations between the level of anxiety and/or depression and general dysfunctional beliefs and four specific illness beliefs (consequences, personal control, emotional representations and treatment control). Among patients with IBD with psychiatric disorders, only the DAS was significantly associated with anxiety and depression (DAS added to IPQ-R and IPQ-R added to DAS).Conclusions:Psychological interventions may have to target general dysfunctional beliefs of patients with IBD with co-morbid psychiatric disorders to be effective. These patients with IBD are especially in need of psychological treatment.

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Risk of Anxiety and Depression in Patients with Inflammatory Bowel Disease: A Nationwide, Population-Based Study

Journal of Clinical Medicine ◽

10.3390/jcm8050654 ◽

2019 ◽

Vol 8 (5) ◽

pp. 654 ◽

Cited By ~ 17

Author(s):

Kookhwan Choi ◽

Jaeyoung Chun ◽

Kyungdo Han ◽

Seona Park ◽

Hosim Soh ◽

...

Keyword(s):

Inflammatory Bowel Disease ◽

General Population ◽

Bowel Disease ◽

Population Based ◽

Anxiety And Depression ◽

Healthcare Insurance ◽

Inflammatory Bowel ◽

One Year ◽

Constant Slope

Background and Aims: Inflammatory bowel disease (IBD) may be associated with anxiety and depression. The aim of this study was to evaluate the incidence of anxiety and depression in patients with IBD compared to the general population. Methods: A nationwide population-based cohort study was conducted using claims data from the National Healthcare Insurance service in Korea. We compared the incidence of anxiety and depression between 15,569 IBD patients and 46,707 non-IBD controls, age and sex matched at a ratio of 1:3. Results: During a mean follow-up of six years, IBD patients experienced significantly more anxiety (12.2% vs. 8.7%; p < 0.001) and depression (8.0% vs. 4.7%; p < 0.001) compared to controls. The curves showing cumulative incidences of anxiety and depression showed a steep rise within one year following a diagnosis of IBD, leading to lines with a constant slope. The hazard ratio (HR) for new onset anxiety following a diagnosis of Crohn’s disease (CD) and ulcerative colitis (UC) was 1.63 and 1.60, respectively, compared to controls (p < 0.001). Compared to controls, the HR for developing depression after a diagnosis of CD and UC was 2.09 and 2.00, respectively (p < 0.001). The risks of anxiety and depression in patients with IBD were higher compared to controls, except in those with diabetes mellitus, hypertension, and dyslipidemia, or who required immunomodulators and biologics within one year of the IBD diagnosis. Conclusions: The risk of anxiety and depression increased after a diagnosis of IBD compared to the general population.

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