Do Inflammatory Bowel Disease patients with anxiety and depressive symptoms receive the care they need?

Inflammatory Bowel Disease (IBD) patients with anxiety and/or depressive symptoms may not receive the care they need. Provision of care requires insight into the factors affecting these psychiatric symptoms. The study was designed to examine the extent to which: (1) IBD patients with anxiety and/or...

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Bibliographic Details
Published inJournal of Crohn's and colitis Vol. 6; no. 1; pp. 68 - 76
Main Authors Bennebroek Evertsz', F, Thijssens, N A M, Stokkers, P C F, Grootenhuis, M A, Bockting, C L H, Nieuwkerk, P T, Sprangers, M A G
Format Journal Article
LanguageEnglish
Published England 01.02.2012
Subjects
Adolescent
Adult
Aged
Anxiety - therapy
Depression - therapy
Female
Humans
Inflammatory Bowel Diseases - psychology
Male
Middle Aged
Multivariate Analysis
Quality of Life
Socioeconomic Factors
Surveys and Questionnaires
Young Adult
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Summary:Inflammatory Bowel Disease (IBD) patients with anxiety and/or depressive symptoms may not receive the care they need. Provision of care requires insight into the factors affecting these psychiatric symptoms. The study was designed to examine the extent to which: (1) IBD patients with anxiety and/or depressive symptoms receive mental treatment and (2) clinical and socio-demographic variables are associated with these symptoms. 231 adult IBD patients (79% response rate), attending a tertiary care center, completed standardized measures on anxiety and depressive symptoms (HADS), quality of life (SF-12) and mental health care use (TIC-P). Diagnosis and disease activity were determined by the gastroenterologist. 43% had high levels of anxiety and/or depressive symptoms, indicative of a psychiatric disorder (HADS ≥ 8), of whom 18% received psychological treatment and 21% used psychotropic medication. In multivariate analysis, high disease activity was associated with anxiety (OR=2.72 | p<0.03) and depression (OR=3.36 | p<0.01), while Crohn's disease was associated with anxiety (OR=2.60 | p<0.03). Despite high levels of anxiety and depressive symptoms and poor quality of life, psychiatric complaints in IBD patients were undertreated. Screening for and treatment of psychiatric symptoms should become an integral part of IBD medical care.
Bibliography:ObjectType-Article-1
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ISSN:1873-9946
1876-4479
DOI:10.1016/j.crohns.2011.07.006