Prevalence of mental health disorders in inflammatory bowel disease: an Australian outpatient cohort
Authors Tribbick D, Salzberg M, Ftanou M, Connell W, Macrae F, Kamm M, Bates G, Cunningham G, Austin D, Knowles S
Received 14 February 2015
Accepted for publication 3 April 2015
Published 17 July 2015 Volume 2015:8 Pages 197—204
Checked for plagiarism Yes
Review by Single-blind
Peer reviewer comments 3
Editor who approved publication: Professor Andreas M Kaiser
Davina Tribbick,1 Michael Salzberg,2,3 Maria Ftanou,2,4 William R Connell,5 Finlay Macrae,6,7 Michael A Kamm,5,6,8 Glen W Bates,1 Georgina Cunningham,5 David W Austin,9 Simon R Knowles1–3,6,7
1Faculty of Life and Social Sciences, Swinburne University of Technology, Melbourne, VIC, Australia; 2Department of Psychiatry, St Vincent's Hospital, Melbourne, VIC, Australia; 3Department of Psychiatry, The University of Melbourne, Melbourne, VIC, Australia; 4Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, VIC, Australia; 5Department of Gastroenterology, St Vincent's Hospital, Melbourne, VIC, Australia; 6Colorectal Medicine and Genetics, The Royal Melbourne Hospital, Melbourne, VIC, Australia; 7Department of Medicine, University of Melbourne, Melbourne, VIC, Australia; 8Imperial College, London, UK; 9Department of Psychology, Deakin University, Melbourne, VIC, Australia
Background: This study aimed to characterize prevalence of anxiety and depressive conditions and uptake of mental health services in an Australian inflammatory bowel disease (IBD) outpatient setting.
Methods: Eighty-one IBD patients (39 males, mean age 35 years) attending a tertiary hospital IBD outpatient clinic participated in this study. Disease severity was evaluated according to the Manitoba Index. Diagnosis of an anxiety or depressive condition was based upon the Mini-International Neuropsychiatric Interview and the Hospital Anxiety and Depression Scale.
Results: Based on Hospital Anxiety and Depression Scale subscale scores >8 and meeting Mini-International Neuropsychiatric Interview criteria, 16 (19.8%) participants had at least one anxiety condition, while nine (11.1%) had a depressive disorder present. Active IBD status was associated with higher prevalence rates across all anxiety and depressive conditions. Generalized anxiety was the most common (12 participants, 14.8%) anxiety condition, and major depressive disorder (recurrent) was the most common depressive condition reported (five participants, 6.2%). Seventeen participants (21%) reported currently seeking help for mental health issues while 12.4% were identified has having at least one psychological condition but not seeking treatment.
Conclusion: We conclude that rates of anxiety and depression are high in this cohort, and that IBD-focused psychological services should be a key component of any holistic IBD service, especially for those identified as having active IBD.
Keywords: inflammatory bowel disease, psychological conditions, disease activity
This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution - Non Commercial (unported, v3.0) License. By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms.Download Article [PDF] View Full Text [HTML][Machine readable]