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Published on: September 22, 2019
[Depression, gender and systemic manifestations in chronic inflammatory bowel diseases]
Juan Carlos Fernández1, Miguel A Simón, Ana M Bueno
1Unviersidad de A Coruña, A Coruña, Spain.
Insights
Depression is higher in inflammatory bowel disease patients with systemic manifestations, especially men. This highlights the need for targeted psychological support for these individuals.
Area of Science:
- Gastroenterology and Psychiatry
- Investigates the interplay between chronic inflammatory bowel diseases (IBD) and mental health.
Context:
- Inflammatory Bowel Diseases (IBD), including Crohn's disease and ulcerative colitis, often present with systemic and extraintestinal manifestations.
- The psychological impact of chronic illness, particularly depression, requires further investigation in relation to disease characteristics and patient demographics.
Purpose:
- To examine the relationship between depression, gender, and systemic manifestations in patients with chronic inflammatory bowel diseases.
- To determine if gender influences the association between systemic manifestations and depression in IBD.
Summary:
- A study involving 106 IBD patients (Crohn's disease and ulcerative colitis) assessed depression using the Beck Depression Inventory.
- Results indicated significant effects of systemic manifestations and a significant interaction between systemic manifestations and gender on depression levels.
- Depression was notably higher in IBD patients with systemic manifestations, with a particular emphasis on male patients.
Impact:
- Findings underscore the importance of recognizing and addressing psychological distress, specifically depression, in IBD patients experiencing systemic manifestations.
- Suggests a need for tailored psychological interventions for IBD patients, particularly men with extraintestinal involvement, to improve overall management and quality of life.
Abstract:
The purpose of this study was to assess the relation between depression, gender and systemic manifestations in chronic inflammatory bowel diseases. With this aim, 106 patients (57 with Crohn disease and 49 with ulcerative colitis) were divided into 4 groups: men with extraintestinal manifestations (n= 10), men without extraintestinal manifestations (n= 36), women with extraintestinal manifestations (n= 15), and women without extraintestinal manifestations (n= 45). Depression was assessed with the Beck Depression Inventory. The results reveal significant effects both in the systemic manifestations factor (F= 28,33; p<0.01), and in the interaction between systemic manifestations and gender (F= 5,2; p<0.05); the gender factor, in contrast, was nonsignificant (F= 0,28; p>0.05). The finding of higher levels of depression in patients with systemic manifestations, particularly in men, underlines the need for psychological intervention aimed at detection and effective treatment.
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