Depression and anxiety in inflammatory bowel disease: A review of comorbidity and management

Graff, Lesley A; Walker, John R.; Bernstein, Çharles N.

doi:10.1002/ibd.20873

Cited by 511 publications

(411 citation statements)

References 136 publications

(123 reference statements)

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“…It has been demonstrated that IBD may affect all of patients' life domains, from work and household tasks to the quality of intimate relationships (Graff et al, 2006;Irvine, 2008). Even during periods of remission, patients' wellbeing and psychological functioning tend to be poorer in comparison with the normal population (Blondel-Kucharski et al, 2001;Graff et al, 2009). Impaired quality of life in IBD is associated with more relapses and additional medical complications, intensifying the disease process in a cycle of inflammation and psychological suffering (e.g., Levenstein, 2004;Simren et al, 2002).…”

Section: What Does This Study Add?mentioning

confidence: 99%

The longitudinal effects of emotion regulation on physical and psychological health: A latent growth analysis exploring the role of cognitive fusion in inflammatory bowel disease

Trindade

Ferreira

Pinto‐Gouveia

2017

British J Health Psychol

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Objective. This study thus aims to test differences between patients with inflammatory bowel disease (IBD) regarding IBD symptomatology, cognitive fusion, and psychological and physical health, as well as to explore whether the maladaptive emotion regulation process of cognitive fusion longitudinally impacts on the baseline and evolution of these outcomes over a period of 18 months.Design and methods. Participants include 116 IBD patients with a mean age of 36.76 (SD = 11.39) of both genders (69.83% females) that completed the self-report measures of interest in three different times, equally spaced 9 months apart, over a period of 18 months. Latent growth curve models were conducted using structural equation modelling to estimate the growth trajectory of the variables in study.Results. Inflammatory bowel disease symptomatology and cognitive fusion's levels were negatively associated with psychological health and physical health's baseline levels. Furthermore, IBD symptomatology did not influence the growth of psychological health, while cognitive fusion did (b = .30, p = .007). The same result was found for physical health (b = .26, p = .024). These findings indicate that individuals with higher levels of cognitive fusion present lower levels of psychological health and physical health that tend to further decrease over the time through the effects of this maladaptive emotion regulation process.Conclusions. This study implies that it is of crucial importance to include psychotherapeutic interventions in the health care of patients with IBD. If successful, these interventions could represent decreases in the cost of IBD treatment and in the use of drugs with adverse side effects, in addition to improving patients' mental health and quality of life. Further implications for clinical and research work are discussed. Statement of contributionWhat is already known on this subject?Research has demonstrated the impact of emotion regulation on both physical and mental health. Nevertheless, the longitudinal effects of the specific emotion regulation process of cognitive fusion on physical and psychological health have never been explored.

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Section: What Does This Study Add?mentioning

confidence: 99%

The longitudinal effects of emotion regulation on physical and psychological health: A latent growth analysis exploring the role of cognitive fusion in inflammatory bowel disease

Trindade

Ferreira

Pinto‐Gouveia

2017

British J Health Psychol

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“…Depression and anxiety are common in patients with inflammatory bowel disease (IBD) [1][2][3] . Perceived stress, major life events, and severity of depressive symptoms increase risk of Crohn's disease (CD) and ulcerative colitis (UC) [4][5][6] .…”

Section: Introductionmentioning

confidence: 99%

“…However, the few studies that have previously examined the effect of psychiatric co-morbidity on disease activity, in particular, on the subsequent course of CD and UC, have several limitations including reliance on symptombased disease activity indices that often correlate poorly with objective disease activity and short duration of follow-up 2,6,7,[17][18][19][20] . In addition, while a wealth of literature exists regarding the healthcare costs associated with anxiety and depression in a primary care population or in other chronic diseases including asthma, congestive heart failure, and chronic obstructive pulmonary disease, limited data exists for IBD patients 11,[21][22][23][24][25][26][27][28] .…”

Section: Introductionmentioning

confidence: 99%

“…The aims of our study were as follows - (1) to examine the frequency of depression and anxiety (prior to surgery or hospitalization) in a large multi-institution electronic medical record (EMR) based cohort of CD and UC patients; (2) to define the independent effect of psychiatric co-morbidity on risk of subsequent surgery or hospitalization in CD and UC; and (3) to identify the effect of depression and anxiety on healthcare utilization in our cohort. We hypothesize that psychiatric co-morbidity is an independent risk factor for more aggressive disease behavior in CD and UC.…”

Section: Introductionmentioning

confidence: 99%

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221 Psychiatric Co-Morbidity Is Associated With Increased Risk of Surgery in Crohns Disease

Ananthakrishnan¹,

Gainer²,

Cai³

et al. 2013

Gastroenterology

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“…심지어 증상이 완화되는 관해기 동안에도 재발에 대한 두려움으로 여전 히 삶의 활기나 활력이 저하되고 직장이나 사회생활에 어려움을 느끼고 있었다 (Graff, Walker, & Bernstein, 2009;Tanaka & Kazuma, 2005). 심리사회적 요인 중에는 우울 수준이 높을 때 삶의 질이 현저히 저하되었는데, 우울증상은 첫 발병 후부터 재발까지의 기간이 짧을 때 심했다 (Mittermaier et al, 2004).…”

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Factors related to Quality of Life of Patients with Ulcerative Colitis

Yoo

Chung

Cho

2014

Korean J Adult Nurs

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Purpose:The purpose of this study was to identify factors related to the quality of life of patients with ulcerative colitis. Methods: A total 116 patients with ulcerative colitis were asked on general characteristics, illness-related characteristics, depression, and quality of life. The collected data were analyzed by t-test, ANOVA, and stepwise multiple regression. Results: As for depression the 81.03% were normal, the 8.62% were mild depression, the 6.90% were moderated depression, and the 3.45% were severe. As for quality of life, the social functions was highest, followed by intestine-related symptoms, systemic symptoms, and emotional functions. Quality of life was positively correlated to subjective health status, age, and body mass index, and negatively to depression. Main factors affecting the quality of life included depression, subjective health status, physician's global assessment, age, days of loss in social life, and present abdominal pain. Conclusion: Physical and psychosocial health problems related to ulcerative colitis affected the quality of life of the patients. Further research is warranted for developing educational programs and psychosocial strategies in order to efficiently handle the illness. -64-754-3887, Fax: +82-64-702-2686, E-mail: ohcho@jejunu.ac.kr Received: Jul 11, 2013 / Revised: Mar 19, 2014 / Accepted: Mar 26, 2014 This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/ by-nc/3.0), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

show abstract

Depression and anxiety in inflammatory bowel disease: A review of comorbidity and management

Cited by 511 publications

References 136 publications

The longitudinal effects of emotion regulation on physical and psychological health: A latent growth analysis exploring the role of cognitive fusion in inflammatory bowel disease

The longitudinal effects of emotion regulation on physical and psychological health: A latent growth analysis exploring the role of cognitive fusion in inflammatory bowel disease

221 Psychiatric Co-Morbidity Is Associated With Increased Risk of Surgery in Crohns Disease

Factors related to Quality of Life of Patients with Ulcerative Colitis

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