open access

Vol 2, No 1 (2017)
Original article
Published online: 2017-09-21
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Depressive and anxiety symptoms among patients with inflammatory bowel diseases

Joanna Bielińska1, Ariel Liebert2, Natalia Lesiewska3, Maciej Bieliński3, Artur Mieczkowski3, Paulina Sopońska-Brzoszczyk3, Bartosz Brzoszczyk3, Dominika Długosz3, Wojciech Guenter3, Alina Borkowska3, Maria Kłopocka2
·
Medical Research Journal 2017;2(1):6-12.
Affiliations
  1. Chair of Vascular and Internal Diseases, Nicolaus Copernicus University in Toruń, Collegium Medicum in Bydgoszcz, Poland
  2. Nicolaus Copernicus University in Toruń, Collegium Medicum in Bydgoszcz, Poland
  3. Nicolaus Copernicus University in Toruń, Collegium Medicum in Bydgoszcz, Poland

open access

Vol 2, No 1 (2017)
ORIGINAL ARTICLES
Published online: 2017-09-21

Abstract

Introduction. This study was conducted on a population of patients with inflammatory bowel disease (IBD) and was based on an assessment of the prevalence and severity of depression and anxiety symptoms in various clinical aspects. The psychological features of IBD patients are very important in the perception of symptoms, but crucial as triggers of IBD or as a releasing factor for IBD symptoms recurrence.

Methods. The study included 130 patients with IBD, including 68 with Crohn’s disease (CD) and 62 with ulcerative colitis (UC). The severity of anxiety and depression symptoms were examined by the Hospital Anxiety and Depression Scale (HADS). Patients were also subjected to assessment of anthropometric attributes, clinical factors, quality of life, and symptoms of the disease, with dedicated clinical scales.

Results. The occurrence of significant symptoms of anxiety was estimated at 45.5% in patients with CD and 30.5% in the UC patients. Significant depressive symptoms related to 20.5% of people with CD and 17.5% of patients with UC. The parameters of anxiety and depression showed significant associations with parameters of quality of life, BMI, and the scales describing the exacerbation of the diseases.

Conclusions. The analyses did not reveal significant differences in the severity and prevalence of symptoms of anxiety and depression in subgroups with IBD. The expansion of relevant symptoms of anxiety and depression in this population was greater than in the general population. In addition, there was a significant correlation between parameters of HADS and clinical factors.

Abstract

Introduction. This study was conducted on a population of patients with inflammatory bowel disease (IBD) and was based on an assessment of the prevalence and severity of depression and anxiety symptoms in various clinical aspects. The psychological features of IBD patients are very important in the perception of symptoms, but crucial as triggers of IBD or as a releasing factor for IBD symptoms recurrence.

Methods. The study included 130 patients with IBD, including 68 with Crohn’s disease (CD) and 62 with ulcerative colitis (UC). The severity of anxiety and depression symptoms were examined by the Hospital Anxiety and Depression Scale (HADS). Patients were also subjected to assessment of anthropometric attributes, clinical factors, quality of life, and symptoms of the disease, with dedicated clinical scales.

Results. The occurrence of significant symptoms of anxiety was estimated at 45.5% in patients with CD and 30.5% in the UC patients. Significant depressive symptoms related to 20.5% of people with CD and 17.5% of patients with UC. The parameters of anxiety and depression showed significant associations with parameters of quality of life, BMI, and the scales describing the exacerbation of the diseases.

Conclusions. The analyses did not reveal significant differences in the severity and prevalence of symptoms of anxiety and depression in subgroups with IBD. The expansion of relevant symptoms of anxiety and depression in this population was greater than in the general population. In addition, there was a significant correlation between parameters of HADS and clinical factors.

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Keywords

depression, anxiety, inflammatory bowel disease, Crohn’s disease, ulcerative colitis

About this article
Title

Depressive and anxiety symptoms among patients with inflammatory bowel diseases

Journal

Medical Research Journal

Issue

Vol 2, No 1 (2017)

Article type

Original article

Pages

6-12

Published online

2017-09-21

Page views

884

Article views/downloads

1103

DOI

10.5603/MRJ.2017.0002

Bibliographic record

Medical Research Journal 2017;2(1):6-12.

Keywords

depression
anxiety
inflammatory bowel disease
Crohn’s disease
ulcerative colitis

Authors

Joanna Bielińska
Ariel Liebert
Natalia Lesiewska
Maciej Bieliński
Artur Mieczkowski
Paulina Sopońska-Brzoszczyk
Bartosz Brzoszczyk
Dominika Długosz
Wojciech Guenter
Alina Borkowska
Maria Kłopocka

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