Physicians inconsistently screen for depression in Inflammatory Bowel Disease patients

Barocas, Joshua A.; Dougherty, Timothy; Adham, Kasra; Borum, Marie

doi:10.1097/00054725-200912002-00094

Cited by 2 publications

(4 citation statements)

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“…These findings confirm a well-known general lack of patient knowledge and are consistent with previous studies showing poor disease awareness [18,24,25]. On one hand, limited knowledge may be related to inadequate physician performance when addressing the needs of IBD patients, with a lack of adherence to the guidelines [26][27][28][29]. On the other hand, as reported by a recent qualitative survey, some IBD patients claimed they did not need additional medical information as they already felt secure and trusted their physician.…”

Section: Discussionsupporting

confidence: 88%

Patients’ perceptions of surgery for inflammatory bowel disease

et al. 2021

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Aim Surgery is indicated in selected patients with inflammatory bowel disease (IBD). However, due to a negative perception, surgery may be delayed, leading to possible unfavourable outcomes. The aim of this work was to investigate patients’ perceptions of surgery and the impact on reported outcomes. Method An international multilingual online survey was used to query IBD patients’ experiences of surgery, information sources, expectations and concerns, quality of life (QoL) and feelings. Results The survey was completed by 425 of 510 participants. Crohn's disease was more frequent (61%) than ulcerative colitis (36%). Most patients primarily learned about surgery from their gastroenterologist and were informed of the risks and benefits by the surgeon. In almost one‐third of patients indication for surgery was not a shared decision between gastroenterologist and surgeon. Seventy per cent of patients naïve to surgery were not aware of any surgical options. The majority of patients (80%) perceived surgery as the last option after many medical treatments rather than an alternative therapeutic option (20%). Sixteen per cent of patients obtained their primary information from the Internet, while 82.4% used the Internet to obtain additional information. Fear of surgical complications was cited by 73% of patients, while relief from symptoms was indicated by 31%. Most patients coped with their stoma better than expected or as they expected. Negative feelings decreased after surgery, while a lasting improvement in positive feelings and QoL was reported. Conclusion Despite the negative perception of surgery and the delayed involvement of surgeons as a source of information and in the decision‐making process, the majority of respondents experienced positive outcomes from surgery, including improvement QoL and acceptance of the stoma.

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Section: Discussionsupporting

confidence: 88%

Patients’ perceptions of surgery for inflammatory bowel disease

et al. 2021

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“…Several disease-specific unmet needs for patients with IBD were identified. These included inconsistent screening for depression [88] and a lack of reimbursement for mentalhealth care [86]. In addition, evidence from a large cohort study found that IBD patients with psychological comorbidities reported that they were not consulting a mental-health professional or that they did not receive mental-health care when they felt it was needed [8].…”

Section: Discussionmentioning

confidence: 99%

“…Overall, 18 studies investigated the economic burden of anxiety or depression in patients with IBD, in terms of hospital admissions, emergency department visits, and use of mentalhealth services [8,12,16,20,44,48,57,64,[80][81][82][83][84][85][86][87][88][89]. No studies were identified that investigated the cost of non-pharmacologic interventions in patients with IBD and anxiety or depression.…”

Section: Economic Burdenmentioning

confidence: 99%

“…For the NPHS cohort, 21.4% of patients with IBD and depression (vs 11.3% of those without) reported that they did not receive healthcare when they felt it was needed [8]. A review of medical records of consecutive IBD patients attending an urban university gastroenterology practice in the US (n = 207) found that screening for depression was inconsistent; documented in 32.4% of patients while neither documented nor addressed in 67.6% of patients with IBD [88]. A pilot study of pediatric patients attending a multidisciplinary IBD clinic in the US (n = 40) found that 35% of claims for psychology care were not reimbursed [86].…”

Section: Use Of Mental-health Servicesmentioning

confidence: 99%

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Burden of comorbid anxiety and depression in patients with inflammatory bowel disease: a systematic literature review

Dubinsky

Dotan

Rubin

et al. 2021

Expert Review of Gastroenterology & Hepatology

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Introduction Patients with inflammatory bowel disease (IBD), including Crohn's disease and ulcerative colitis, often have comorbid anxiety and depression that affects their quality of life (QoL) and management of their IBD. Areas covered A systematic literature review (SLR) was conducted to identify articles and conference abstracts on comorbid anxiety and depression in IBD patients using MEDLINE ® and Embase ® (January 2003 − June 2018). The impact of these psychological comorbidities on QoL and economic burden was examined. Non-pharmacologic interventions and disease-specific unmet clinical needs associated with these comorbidities were also evaluated. Expert opinion There is evidence that individual and group-based cognitive behavioral therapy can reduce rates of anxiety and depression in adults and adolescents with IBD. Patients with IBD and anxiety or depression had an increased risk of hospitalization, emergency department visits, readmission, and used outpatient services more often than people without these conditions. Several disease-specific unmet clinical needs for IBD patients were identified. These included lack of reimbursement for mentalhealth care, inconsistent screening for psychological comorbidities and patients not consulting mentalhealth professionals when needed. IBD patients may benefit from integrated medical and psychological treatment, and should be considered for behavioral treatment. Plain Language Summary Background People with IBD may have mental-health conditions, such as anxiety and depression. These conditions can affect people's quality of life and how they manage their IBD. What did this review look at?We found 79 publications on anxiety or depression in people with IBD, published between January 2003 and June 2018.In people with IBD and anxiety or depression, researchers looked at:the impact on health-related quality of life and healthcare utilization, including access to and reimbursement for mental-health services how effective interventions that do not involve the use of medicines were (known as non-pharmacologic therapy). What were the main findings from this review? People with IBD and anxiety or depression were more likely to be admitted to hospital and visit emergency departments than people without these conditions.Access to mental-health care varied and some people with IBD were not screened for depression. Individual and group-based talking therapy (known as cognitive behavioral therapy) reduced rates of anxiety and depression in some people with IBD. What were the main conclusions from this review?We found evidence that people with IBD and anxiety or depression may benefit from certain nonpharmacologic interventions. However, many people with IBD and anxiety or depression did not have access to mental-health services.Healthcare professionals should address gaps in patient care to improve outcomes in people with IBD and anxiety or depression. See Additional file 1 for an infographic plain language summary.

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Physicians inconsistently screen for depression in Inflammatory Bowel Disease patients

Cited by 2 publications

References 0 publications

Patients’ perceptions of surgery for inflammatory bowel disease

Patients’ perceptions of surgery for inflammatory bowel disease

Burden of comorbid anxiety and depression in patients with inflammatory bowel disease: a systematic literature review

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