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Symptoms of depression and anxiety are independently associated with clinical recurrence of inflammatory bowel disease

Mikocka-Walus, Antonina, Pittet, Valerie, Rossel, Jean-Benoit and von Känel, Roland 2016, Symptoms of depression and anxiety are independently associated with clinical recurrence of inflammatory bowel disease, Clinical gastroenterology and hepatology, vol. 14, no. 6, pp. 829-835.e1, doi: 10.1016/j.cgh.2015.12.045.


Title Symptoms of depression and anxiety are independently associated with clinical recurrence of inflammatory bowel disease
Author(s) Mikocka-Walus, AntoninaORCID iD for Mikocka-Walus, Antonina orcid.org/0000-0003-4864-3956
Pittet, Valerie
Rossel, Jean-Benoit
von Känel, Roland
Journal name Clinical gastroenterology and hepatology
Volume number 14
Issue number 6
Start page 829
End page 835.e1
Total pages 7
Publisher Elsevier
Place of publication Amsterdam, The Netherlands
Publication date 2016-06
ISSN 1542-7714
Keyword(s) CD
HADS
mental health
UC
Summary BACKGROUND & AIMS: We examined the relationship between symptoms of depression and anxiety and clinical recurrence of inflammatory bowel disease (IBD) in a large patient cohort. We considered the progression of depression and anxiety over time. METHODS: We collected clinical and treatment data on 2007 adult participants of the Swiss IBD study (56% with Crohn's disease [CD], 48% male) performed in Switzerland from 2006 through 2015. Depression and anxiety symptoms were quantified by using the Hospital Anxiety and Depression Scale. The relationship between depression and anxiety scores and clinical recurrence was analyzed by using survival-time techniques. RESULTS: We found a significant association between symptoms of depression and clinical recurrence over time (for all patients with IBD, P = .000001; for subjects with CD, P = .0007; for subjects with ulcerative colitis, P = .005). There was also a significant relationship between symptoms of anxiety and clinical recurrence over time in all subjects with IBD (P = .0014) and in subjects with CD (P = .031) but not ulcerative colitis (P = .066). CONCLUSIONS: In an analysis of a large cohort of subjects with IBD, we found a significant association between symptoms of depression or anxiety and clinical recurrence. Patients with IBD should therefore be screened for clinically relevant levels of depression and anxiety and referred to psychologists or psychiatrists for further evaluation and treatment.
Language eng
DOI 10.1016/j.cgh.2015.12.045
Field of Research 110307 Gastroenterology and Hepatology
111714 Mental Health
1103 Clinical Sciences
Socio Economic Objective 920105 Digestive System Disorders
HERDC Research category C1.1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2016, AGA Institute
Persistent URL http://hdl.handle.net/10536/DRO/DU:30090101

Document type: Journal Article
Collection: School of Psychology
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