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Psychological factors associated with inflammatory bowel disease
1Department of Gastroenterology, Western General Hospital, The Univesity of Edinburgh, Crewe Road South, Edinburgh EH4 2XU, UK.
Background:
Both depression and anxiety are identified as significant experiences in inflammatory bowel disease (IBD); whether these are a consequence of the disease or an active contributor to the disease remains controversial. This review aimed to identify and critique recent evidence regarding mental health in IBD.
Sources Of Data:
PubmedⓇ, OvidⓇ, EmbaseⓇ, EBSCO PsychInfo and Google-Scholar were searched within the last 5 years (2016-2020).
Areas Of Agreement:
Overall, both depression and anxiety affect disease activity, relapse and healthcare utilization.
Areas Of Controversy:
There is some controversy on whether depression and anxiety affect IBD outcomes differently depending on IBD subtype.
Growing Points:
The data support the need for depression and anxiety assessment to be incorporated in the routine management of IBD patients; prompt psychiatric and psychological management may ultimately reduce disease activity, relapses and healthcare costs.
Areas Timely For Developing Research:
More longitudinal research may further enlighten the role of depression and anxiety in IBD. Similarly, randomized controlled trials to investigate and clarify the effect of psychiatric/psychological management on IBD outcomes.
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