Prevalence of mental health disorders in inflammatory bowel disease: an Australian outpatient cohort
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, Australi...
| Main Authors: | , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Dove Medical Press
2015-07-01
|
| Series: | Clinical and Experimental Gastroenterology |
| Online Access: | http://www.dovepress.com/prevalence-of-mental-health-disorders-in-inflammatory-bowel-disease-an-peer-reviewed-article-CEG |
| _version_ | 1818855016612495360 |
|---|---|
| author | Tribbick D Salzberg M Ftanou M Connell WR Macrae F Kamm MA Bates GW Cunningham G Austin DW Knowles SR |
| author_facet | Tribbick D Salzberg M Ftanou M Connell WR Macrae F Kamm MA Bates GW Cunningham G Austin DW Knowles SR |
| author_sort | Tribbick D |
| collection | DOAJ |
| description | 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 |
| first_indexed | 2024-12-19T08:01:54Z |
| format | Article |
| id | doaj.art-db5d1bd217bc427d8a3f27954963b584 |
| institution | Directory Open Access Journal |
| issn | 1178-7023 |
| language | English |
| last_indexed | 2024-12-19T08:01:54Z |
| publishDate | 2015-07-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Clinical and Experimental Gastroenterology |
| spelling | doaj.art-db5d1bd217bc427d8a3f27954963b5842022-12-21T20:29:50ZengDove Medical PressClinical and Experimental Gastroenterology1178-70232015-07-012015default19720422671Prevalence of mental health disorders in inflammatory bowel disease: an Australian outpatient cohortTribbick DSalzberg MFtanou MConnell WRMacrae FKamm MABates GWCunningham GAustin DWKnowles SRDavina 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 activityhttp://www.dovepress.com/prevalence-of-mental-health-disorders-in-inflammatory-bowel-disease-an-peer-reviewed-article-CEG |
| spellingShingle | Tribbick D Salzberg M Ftanou M Connell WR Macrae F Kamm MA Bates GW Cunningham G Austin DW Knowles SR Prevalence of mental health disorders in inflammatory bowel disease: an Australian outpatient cohort Clinical and Experimental Gastroenterology |
| title | Prevalence of mental health disorders in inflammatory bowel disease: an Australian outpatient cohort |
| title_full | Prevalence of mental health disorders in inflammatory bowel disease: an Australian outpatient cohort |
| title_fullStr | Prevalence of mental health disorders in inflammatory bowel disease: an Australian outpatient cohort |
| title_full_unstemmed | Prevalence of mental health disorders in inflammatory bowel disease: an Australian outpatient cohort |
| title_short | Prevalence of mental health disorders in inflammatory bowel disease: an Australian outpatient cohort |
| title_sort | prevalence of mental health disorders in inflammatory bowel disease an australian outpatient cohort |
| url | http://www.dovepress.com/prevalence-of-mental-health-disorders-in-inflammatory-bowel-disease-an-peer-reviewed-article-CEG |
| work_keys_str_mv | AT tribbickd prevalenceofmentalhealthdisordersininflammatoryboweldiseaseanaustralianoutpatientcohort AT salzbergm prevalenceofmentalhealthdisordersininflammatoryboweldiseaseanaustralianoutpatientcohort AT ftanoum prevalenceofmentalhealthdisordersininflammatoryboweldiseaseanaustralianoutpatientcohort AT connellwr prevalenceofmentalhealthdisordersininflammatoryboweldiseaseanaustralianoutpatientcohort AT macraef prevalenceofmentalhealthdisordersininflammatoryboweldiseaseanaustralianoutpatientcohort AT kammma prevalenceofmentalhealthdisordersininflammatoryboweldiseaseanaustralianoutpatientcohort AT batesgw prevalenceofmentalhealthdisordersininflammatoryboweldiseaseanaustralianoutpatientcohort AT cunninghamg prevalenceofmentalhealthdisordersininflammatoryboweldiseaseanaustralianoutpatientcohort AT austindw prevalenceofmentalhealthdisordersininflammatoryboweldiseaseanaustralianoutpatientcohort AT knowlessr prevalenceofmentalhealthdisordersininflammatoryboweldiseaseanaustralianoutpatientcohort |