Anxiety and Depression Profile Is Associated With Eating Disorders in Patients With Irritable Bowel Syndrome
Objective: To compare the prevalence of anxiety and depression states and eating disorders (EDs) between patients with irritable bowel syndrome (IBS) and healthy volunteers without IBS.Methods: IBS patients according to Rome III criteria referred to our tertiary care center for therapeutic managemen...
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Frontiers Media S.A.
2020-01-01
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Series: | Frontiers in Psychiatry |
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Online Access: | https://www.frontiersin.org/article/10.3389/fpsyt.2019.00928/full |
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author | Chloé Melchior Chloé Melchior Charlotte Desprez Charlotte Desprez Ghassan Riachi Anne-Marie Leroi Anne-Marie Leroi Anne-Marie Leroi Pierre Déchelotte Pierre Déchelotte Najate Achamrah Najate Achamrah Philippe Ducrotté Philippe Ducrotté Marie-Pierre Tavolacci Marie-Pierre Tavolacci Guillaume Gourcerol Guillaume Gourcerol |
author_facet | Chloé Melchior Chloé Melchior Charlotte Desprez Charlotte Desprez Ghassan Riachi Anne-Marie Leroi Anne-Marie Leroi Anne-Marie Leroi Pierre Déchelotte Pierre Déchelotte Najate Achamrah Najate Achamrah Philippe Ducrotté Philippe Ducrotté Marie-Pierre Tavolacci Marie-Pierre Tavolacci Guillaume Gourcerol Guillaume Gourcerol |
author_sort | Chloé Melchior |
collection | DOAJ |
description | Objective: To compare the prevalence of anxiety and depression states and eating disorders (EDs) between patients with irritable bowel syndrome (IBS) and healthy volunteers without IBS.Methods: IBS patients according to Rome III criteria referred to our tertiary care center for therapeutic management and matched volunteers without IBS were prospectively included. EDs were screened by Sick, Control, One stone, Fat, Food—French version (SCOFF-F) questionnaire. IBS symptom severity (IBS symptom severity score), stool consistency (Bristol stool scale), anxiety and depression levels (Hospital Anxiety and Depression scale), and quality of life (validated Gastrointestinal Quality of Life Index) were assessed by validated self-questionnaires.Results: IBS (228) patients and healthy volunteers (228) were included. Mean age was 42.5 ± 13.9 years with mainly women (76.7%). Among IBS patients, 25.4% had positive SCOFF-F compared to 21.1% of volunteers. IBS patients more frequently had a lower body mass index (BMI) than volunteers (p < 0.0001). IBS patients with ED had poorer quality of life and more stressful life events (p = 0.02) than IBS patients without ED. The prevalence of anxiety and depression was significantly higher in IBS patients with ED than in volunteers without ED, respectively (19.0% vs 1.9%, p=0.00, and 60.3% vs 19.7%, p < 0.0001).Conclusions: The prevalence of ED assessed with positive SCOFF-F questionnaire was not significantly different between IBS patients and healthy volunteers. The combination of IBS and ED was associated with higher levels of anxiety or depression and poorer quality of life. |
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format | Article |
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institution | Directory Open Access Journal |
issn | 1664-0640 |
language | English |
last_indexed | 2024-04-12T01:30:31Z |
publishDate | 2020-01-01 |
publisher | Frontiers Media S.A. |
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series | Frontiers in Psychiatry |
spelling | doaj.art-352d02486c9b4f98a486549894f683062022-12-22T03:53:30ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402020-01-011010.3389/fpsyt.2019.00928485642Anxiety and Depression Profile Is Associated With Eating Disorders in Patients With Irritable Bowel SyndromeChloé Melchior0Chloé Melchior1Charlotte Desprez2Charlotte Desprez3Ghassan Riachi4Anne-Marie Leroi5Anne-Marie Leroi6Anne-Marie Leroi7Pierre Déchelotte8Pierre Déchelotte9Najate Achamrah10Najate Achamrah11Philippe Ducrotté12Philippe Ducrotté13Marie-Pierre Tavolacci14Marie-Pierre Tavolacci15Guillaume Gourcerol16Guillaume Gourcerol17INSERM U1073, UNIROUEN, Normandie University, Rouen, FranceDepartment of Gastroenterology, Rouen University Hospital, Rouen, FranceINSERM U1073, UNIROUEN, Normandie University, Rouen, FranceDepartment of Physiology, Rouen University Hospital, Rouen, FranceDepartment of Gastroenterology, Rouen University Hospital, Rouen, FranceINSERM U1073, UNIROUEN, Normandie University, Rouen, FranceDepartment of Physiology, Rouen University Hospital, Rouen, FranceINSERM CIC-CRB 1404, Rouen University Hospital, Rouen, FranceINSERM U1073, UNIROUEN, Normandie University, Rouen, FranceDepartment of Nutrition, Rouen University Hospital, Rouen, FranceINSERM U1073, UNIROUEN, Normandie University, Rouen, FranceDepartment of Nutrition, Rouen University Hospital, Rouen, FranceINSERM U1073, UNIROUEN, Normandie University, Rouen, FranceDepartment of Gastroenterology, Rouen University Hospital, Rouen, FranceINSERM U1073, UNIROUEN, Normandie University, Rouen, FranceINSERM CIC-CRB 1404, Rouen University Hospital, Rouen, FranceINSERM U1073, UNIROUEN, Normandie University, Rouen, FranceDepartment of Physiology, Rouen University Hospital, Rouen, FranceObjective: To compare the prevalence of anxiety and depression states and eating disorders (EDs) between patients with irritable bowel syndrome (IBS) and healthy volunteers without IBS.Methods: IBS patients according to Rome III criteria referred to our tertiary care center for therapeutic management and matched volunteers without IBS were prospectively included. EDs were screened by Sick, Control, One stone, Fat, Food—French version (SCOFF-F) questionnaire. IBS symptom severity (IBS symptom severity score), stool consistency (Bristol stool scale), anxiety and depression levels (Hospital Anxiety and Depression scale), and quality of life (validated Gastrointestinal Quality of Life Index) were assessed by validated self-questionnaires.Results: IBS (228) patients and healthy volunteers (228) were included. Mean age was 42.5 ± 13.9 years with mainly women (76.7%). Among IBS patients, 25.4% had positive SCOFF-F compared to 21.1% of volunteers. IBS patients more frequently had a lower body mass index (BMI) than volunteers (p < 0.0001). IBS patients with ED had poorer quality of life and more stressful life events (p = 0.02) than IBS patients without ED. The prevalence of anxiety and depression was significantly higher in IBS patients with ED than in volunteers without ED, respectively (19.0% vs 1.9%, p=0.00, and 60.3% vs 19.7%, p < 0.0001).Conclusions: The prevalence of ED assessed with positive SCOFF-F questionnaire was not significantly different between IBS patients and healthy volunteers. The combination of IBS and ED was associated with higher levels of anxiety or depression and poorer quality of life.https://www.frontiersin.org/article/10.3389/fpsyt.2019.00928/fullhealthy volunteersquality of lifeRome III criteriabody mass index (BMI)stressful life eventsvalidated self-questionnaires |
spellingShingle | Chloé Melchior Chloé Melchior Charlotte Desprez Charlotte Desprez Ghassan Riachi Anne-Marie Leroi Anne-Marie Leroi Anne-Marie Leroi Pierre Déchelotte Pierre Déchelotte Najate Achamrah Najate Achamrah Philippe Ducrotté Philippe Ducrotté Marie-Pierre Tavolacci Marie-Pierre Tavolacci Guillaume Gourcerol Guillaume Gourcerol Anxiety and Depression Profile Is Associated With Eating Disorders in Patients With Irritable Bowel Syndrome Frontiers in Psychiatry healthy volunteers quality of life Rome III criteria body mass index (BMI) stressful life events validated self-questionnaires |
title | Anxiety and Depression Profile Is Associated With Eating Disorders in Patients With Irritable Bowel Syndrome |
title_full | Anxiety and Depression Profile Is Associated With Eating Disorders in Patients With Irritable Bowel Syndrome |
title_fullStr | Anxiety and Depression Profile Is Associated With Eating Disorders in Patients With Irritable Bowel Syndrome |
title_full_unstemmed | Anxiety and Depression Profile Is Associated With Eating Disorders in Patients With Irritable Bowel Syndrome |
title_short | Anxiety and Depression Profile Is Associated With Eating Disorders in Patients With Irritable Bowel Syndrome |
title_sort | anxiety and depression profile is associated with eating disorders in patients with irritable bowel syndrome |
topic | healthy volunteers quality of life Rome III criteria body mass index (BMI) stressful life events validated self-questionnaires |
url | https://www.frontiersin.org/article/10.3389/fpsyt.2019.00928/full |
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