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...

Full description

Bibliographic Details
Main Authors: Chloé Melchior, Charlotte Desprez, Ghassan Riachi, Anne-Marie Leroi, Pierre Déchelotte, Najate Achamrah, Philippe Ducrotté, Marie-Pierre Tavolacci, Guillaume Gourcerol
Format: Article
Language:English
Published: Frontiers Media S.A. 2020-01-01
Series:Frontiers in Psychiatry
Subjects:
Online Access:https://www.frontiersin.org/article/10.3389/fpsyt.2019.00928/full
_version_ 1811198397439279104
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.
first_indexed 2024-04-12T01:30:31Z
format Article
id doaj.art-352d02486c9b4f98a486549894f68306
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.
record_format Article
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
work_keys_str_mv AT chloemelchior anxietyanddepressionprofileisassociatedwitheatingdisordersinpatientswithirritablebowelsyndrome
AT chloemelchior anxietyanddepressionprofileisassociatedwitheatingdisordersinpatientswithirritablebowelsyndrome
AT charlottedesprez anxietyanddepressionprofileisassociatedwitheatingdisordersinpatientswithirritablebowelsyndrome
AT charlottedesprez anxietyanddepressionprofileisassociatedwitheatingdisordersinpatientswithirritablebowelsyndrome
AT ghassanriachi anxietyanddepressionprofileisassociatedwitheatingdisordersinpatientswithirritablebowelsyndrome
AT annemarieleroi anxietyanddepressionprofileisassociatedwitheatingdisordersinpatientswithirritablebowelsyndrome
AT annemarieleroi anxietyanddepressionprofileisassociatedwitheatingdisordersinpatientswithirritablebowelsyndrome
AT annemarieleroi anxietyanddepressionprofileisassociatedwitheatingdisordersinpatientswithirritablebowelsyndrome
AT pierredechelotte anxietyanddepressionprofileisassociatedwitheatingdisordersinpatientswithirritablebowelsyndrome
AT pierredechelotte anxietyanddepressionprofileisassociatedwitheatingdisordersinpatientswithirritablebowelsyndrome
AT najateachamrah anxietyanddepressionprofileisassociatedwitheatingdisordersinpatientswithirritablebowelsyndrome
AT najateachamrah anxietyanddepressionprofileisassociatedwitheatingdisordersinpatientswithirritablebowelsyndrome
AT philippeducrotte anxietyanddepressionprofileisassociatedwitheatingdisordersinpatientswithirritablebowelsyndrome
AT philippeducrotte anxietyanddepressionprofileisassociatedwitheatingdisordersinpatientswithirritablebowelsyndrome
AT mariepierretavolacci anxietyanddepressionprofileisassociatedwitheatingdisordersinpatientswithirritablebowelsyndrome
AT mariepierretavolacci anxietyanddepressionprofileisassociatedwitheatingdisordersinpatientswithirritablebowelsyndrome
AT guillaumegourcerol anxietyanddepressionprofileisassociatedwitheatingdisordersinpatientswithirritablebowelsyndrome
AT guillaumegourcerol anxietyanddepressionprofileisassociatedwitheatingdisordersinpatientswithirritablebowelsyndrome