Depression, anxiety and stress among patients with inflammatory bowel disease during the COVID-19 pandemic: Australian national survey

BackgroundThe global COVID-19 pandemic has impacted on the mental health of individuals, particularly those with chronic illnesses. We aimed to quantify stress, anxiety and depression among individuals with Inflammatory bowel disease (IBD) in Australia during the pandemic.MethodsAn electronic survey was made available to IBD patients Australia-wide from 17 June to 12 July 2020. Respondents with an underlying diagnosis of IBD and over 18 years of age were included. A validated questionnaire (Depression, Anxiety, Stress Score-21, DASS21) was used to assess depression, anxiety and stress. Data on potential predictors of depression, anxiety and stress were collected.Results352 participated in the survey across Australia. 60.5% of respondents fulfilled DASS criteria for at least moderate depression, anxiety or stress. 45% reported a pre-existing diagnosis of depression and/or anxiety. Over 2/3 of these respondents reported worsening of their pre-existing depression/anxiety due to the current pandemic. Of those without a pre-existing diagnosis of anxiety or depression, high rates of at least moderate to severe depression (34.9%), anxiety (32.0%) and stress (29.7%) were noted. Younger age (OR 0.96, 95% CI 0.94 to 0.98, p<0.001), lack of access to an IBD nurse (OR 1.81, 95% CI 1.03 to 3.19, p=0.04) and lack of education on reducing infection risk (OR 1.99, 95% CI 1.13 to 3.50, p=0.017) were associated with significant stress, anxiety and/or depression.ConclusionHigh prevalence of undiagnosed depression, anxiety and stress was identified among respondents. Improved access to IBD nurse support and greater attention to education are modifiable factors that may reduce depression, anxiety and/or stress among patients with IBD during the pandemic.

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High prevalence of red blood cell alloantibodies in patients with inflammatory bowel disease - a prospective study

Zeitschrift für Gastroenterologie ◽

10.1055/s-0031-1279844 ◽

2011 ◽

Vol 49 (05) ◽

Author(s):

P Papay ◽

K Hackner ◽

H Vogelsang ◽

G Novacek ◽

C Primas ◽

...

Keyword(s):

Inflammatory Bowel Disease ◽

Blood Cell ◽

Prospective Study ◽

Red Blood Cell ◽

Bowel Disease ◽

High Prevalence ◽

Inflammatory Bowel ◽

A Prospective Study

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High prevalence of Escherichia coli belonging to the B2+D phylogenetic group in inflammatory bowel disease

Gut ◽

10.1136/gut.2006.099796 ◽

2007 ◽

Vol 56 (5) ◽

pp. 669-675 ◽

Cited By ~ 253

Author(s):

R. Kotlowski ◽

C. N Bernstein ◽

S. Sepehri ◽

D. O Krause

Keyword(s):

Escherichia Coli ◽

Inflammatory Bowel Disease ◽

Bowel Disease ◽

Phylogenetic Group ◽

High Prevalence ◽

Inflammatory Bowel

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Su1143 Inflammatory Bowel Disease Patients Have a High Prevalence of Anal Human Papillomavirus and Anal Dysplasia

Gastroenterology ◽

10.1016/s0016-5085(13)61510-3 ◽

2013 ◽

Vol 144 (5) ◽

pp. S-410 ◽

Cited By ~ 1

Author(s):

Ross Cranston ◽

Jonathan Baker ◽

Carly Mowrey ◽

Laura Janocko ◽

Shaun Burneisen ◽

...

Keyword(s):

Inflammatory Bowel Disease ◽

Human Papillomavirus ◽

Bowel Disease ◽

Anal Dysplasia ◽

High Prevalence ◽

Inflammatory Bowel

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Bariatric Surgery and Its Complications in Inflammatory Bowel Disease Patients

Inflammatory Bowel Diseases ◽

10.1093/ibd/izz246 ◽

2019 ◽

Author(s):

Amandeep Singh ◽

Brian Koenen ◽

Donald F Kirby

Keyword(s):

Inflammatory Bowel Disease ◽

Bowel Disease ◽

Management Strategies ◽

Bacterial Overgrowth ◽

Small Intestinal Bacterial Overgrowth ◽

Underlying Disease ◽

Life Outcomes ◽

High Prevalence ◽

History Of ◽

Inflammatory Bowel

Abstract Recent data have suggested that bariatric procedures, especially laparoscopic sleeve gastrectomy (SG), are safe and effective weight loss measures in patients with inflammatory bowel disease (IBD). But most of the studies have looked at short-term outcomes, and there is a general lack of awareness of underlying disease processes and baseline comorbidities in IBD patients undergoing bariatric procedures. Postbariatric issues in IBD patients including diarrhea from dumping syndrome, choleretic diarrhea, a high prevalence of small intestinal bacterial overgrowth, gastroesophageal reflux disease, Barrett’s esophagus, stomal ulcerations, stenosis, and renal and gallstones can complicate the natural history of IBD. This could lead to unnecessary hospitalizations, change of medical therapy, and poor surgical and quality of life outcomes. In this review, we will discuss major complications after common bariatric procedures (SG, Roux-en-Y gastric bypass, and gastric banding) and suggest possible management strategies.

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P259 Systematic review of prognostic factors affecting the acquisition of transition readiness skills in patients with inflammatory bowel disease

Journal of Crohn s and Colitis ◽

10.1093/ecco-jcc/jjz203.388 ◽

2020 ◽

Vol 14 (Supplement_1) ◽

pp. S279-S279

Author(s):

L JOHNSON ◽

M Lee ◽

G Jones ◽

A Lobo

Keyword(s):

Inflammatory Bowel Disease ◽

Bowel Disease ◽

Self Efficacy ◽

Self Management ◽

Factors Affecting ◽

Disease Knowledge ◽

Transition Readiness ◽

Modifiable Factors ◽

Inflammatory Bowel ◽

Readiness Skills

Abstract Background Around 25% of patients with inflammatory bowel disease (IBD) are diagnosed before the age of 20, meaning transition from paediatric to adult healthcare is inevitable for some. Good transition is important to maintain quality of care, and poor transition can result in adverse outcomes such as clinic and medication non-adherence. Certain skills are required in order for someone to be ready to transition, and the aim of this study was to identify modifiable and non-modifiable factors affecting the development of these skills in young people with IBD. Methods This review was registered on the PROSERO database (CRD42019152272) and conducted in line with PRISMA guidelines. Studies were included if they (1) explored factors affecting the acquisition of transition readiness skills in IBD patients 2) were written in English (3) were published since 1999. The databases MEDLINE, CINAHL and PsychINFO were searched from September - October 2019. Bias was assessed using the Quality in Prognostic Studies tool. Results Searches identified 822 papers and 27 full texts were retrieved. Sixteen papers were included in the final review, reporting on 1770 patients ranging from 10–29 years of age. Fourteen studies were cross-sectional and two longitudinal. Six assessed transition readiness, five self-management, two disease knowledge, one medication knowledge, one health literacy, and one both disease knowledge and self-management. Modifiable factors found were increased provider-communication about transition, transition duration, and health care satisfaction. Participant self-efficacy was found to be significant for three studies, and increased parent autonomy granting was related to higher disease knowledge in one study. Non-modifiable factors identified were age, sex, socioeconomic score, participant educational level and ethnicity. Nine studies showed increased age as a positive prognostic factor, and two additional papers found an effect for certain domains assessed. Four studies showed higher scores for females, and one study demonstrated higher self-rated self-efficacy scores for males. Disease-related non-modifiable factors identified were IBD family history, age at diagnosis, and absence from school. Conclusion This study identified five potentially modifiable factors. Strategies or interventions to address these in the IBD population transitioning to adult care might lead to improved experience and outcomes. This review also identified eight non-modifiable factors. This may allow healthcare and allied professionals to identify those at an increased risk of not developing the necessary competencies for transition and adapting the way in which they approach transition for each individual.

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