scholarly journals Prevalence of mental health disorders in inflammatory bowel disease: an Australian outpatient cohort

2015 ◽  
pp. 197 ◽  
Author(s):  
Simon Knowles ◽  
Davina Tribbick ◽  
Michael Salzberg ◽  
Maria Ftanou ◽  
William Connell ◽  
...  
Keyword(s):  
Mental Health ◽  
Inflammatory Bowel Disease ◽  
Bowel Disease ◽  
Mental Health Disorders ◽  
Inflammatory Bowel ◽  
Health Disorders

Crohn's and colitis: New research offers insights into caring for young people

2020 ◽  
Vol 1 (5) ◽  
pp. 217-218
Author(s):  
Pamela Qualter ◽  
Bernie Carter
Keyword(s):  
Mental Health ◽  
Inflammatory Bowel Disease ◽  
Young People ◽  
Social Interactions ◽  
Bowel Disease ◽  
Disease Symptoms ◽  
Health And Wellbeing ◽  
Close Friendships ◽  
Inflammatory Bowel ◽  
New Research

The unpredictable nature of inflammatory bowel disease symptoms and stigma can affect young people's ability to form close friendships and affect their social interactions. New research shows the importance of addressing the mental health and wellbeing of young people with Crohn's disease and colitis.

scholarly journals Mental Health Costs of Inflammatory Bowel Diseases

2020 ◽  
Vol 27 (1) ◽  
pp. 40-48 ◽  
Author(s):  
Eva Szigethy ◽  
Sean M Murphy ◽  
Orna G Ehrlich ◽  
Nicole M Engel-Nitz ◽  
Caren A Heller ◽  
...  
Keyword(s):  
Mental Health ◽  
Inflammatory Bowel Disease ◽  
Bowel Disease ◽  
Claims Data ◽  
The United States ◽  
Cost Of Care ◽  
Medical Utilization ◽  
Administrative Claims ◽  
Inflammatory Bowel ◽  
Ed Visits

Abstract Background Mental health diagnoses (MHDs) were identified as significant drivers of inflammatory bowel disease (IBD)-related costs in an analysis titled “Cost of Care Initiative” supported by the Crohn’s & Colitis Foundation. In this subanalysis, we sought to characterize and compare IBD patients with and without MHDs based on insurance claims data in terms of demographic traits, medical utilization, and annualized costs of care. Methods We analyzed the Optum Research Database of administrative claims from years 2007 to 2016 representing commercially insured and Medicare Advantage insured IBD patients in the United States. Inflammatory bowel disease patients with and without an MHD were compared in terms of demographics (age, gender, race), insurance type, IBD-related medical utilization (ambulatory visits, emergency department [ED] visits, and inpatient hospitalizations), and total IBD-related costs. Only patients with costs >$0 in each of the utilization categories were included in the cost estimates. Results Of the total IBD study cohort of 52,782 patients representing 179,314 person-years of data, 22,483 (42.6%) patients had at least 1 MHD coded in their claims data with a total of 46,510 person-years in which a patient had a coded MHD. The most commonly coded diagnostic categories were depressive disorders, anxiety disorders, adjustment disorders, substance use disorders, and bipolar and related disorders. Compared with patients without an MHD, a significantly greater percentage of IBD patients with MHDs were female (61.59% vs 48.63%), older than 75 years of age (9.59% vs 6.32%), white (73.80% vs 70.17%), and significantly less likely to be younger than 25 years of age (9.18% vs 11.39%) compared with those without mental illness (P < 0.001). Patients with MHDs had significantly more ED visits (14.34% vs 7.62%, P < 0.001) and inpatient stays (19.65% vs 8.63%, P < 0.001) compared with those without an MHD. Concomitantly, patients with MHDs had significantly higher ED costs ($970 vs $754, P < 0.001) and inpatient costs ($39,205 vs $29,550, P < 0.001) compared with IBD patients without MHDs. Patients with MHDs also had significantly higher total annual IBD-related surgical costs ($55,693 vs $40,486, P < 0.001) and nonsurgical costs (medical and pharmacy) ($17,220 vs $11,073, P < 0.001), and paid a larger portion of the total out-of-pocket cost for IBD services ($1017 vs $905, P < 0.001). Conclusion Patients whose claims data contained both IBD-related and MHD-related diagnoses generated significantly higher costs compared with IBD patients without an MHD diagnosis. Based on these data, we speculate that health care costs might be reduced and the course of patients IBD might be improved if the IBD-treating provider recognized this link and implemented effective behavioral health screening and intervention as soon as an MHD was suspected during management of IBD patients. Studies investigating best screening and intervention strategies for MHDs are needed.

scholarly journals Spiritual Well-Being and Mental Health Outcomes in Adolescents With or Without Inflammatory Bowel Disease

2009 ◽  
Vol 44 (5) ◽  
pp. 485-492 ◽  
Author(s):  
Sian Cotton ◽  
Ian Kudel ◽  
Yvonne Humenay Roberts ◽  
Harini Pallerla ◽  
Joel Tsevat ◽  
...  
Keyword(s):  
Mental Health ◽  
Inflammatory Bowel Disease ◽  
Health Outcomes ◽  
Bowel Disease ◽  
Well Being ◽  
Mental Health Outcomes ◽  
Spiritual Well Being ◽  
Inflammatory Bowel

Disparities in the Integration of Mental Health Treatment in Inflammatory Bowel Disease (IBD) Patient Care

2017 ◽  
Vol 152 (5) ◽  
pp. S746-S747 ◽  
Author(s):  
Sarah Quinton ◽  
Alyse Bedell ◽  
Meredith Craven ◽  
Livia Guadagnoli ◽  
Tiffany Taft
Keyword(s):  
Mental Health ◽  
Inflammatory Bowel Disease ◽  
Patient Care ◽  
Bowel Disease ◽  
Mental Health Treatment ◽  
Health Treatment ◽  
Inflammatory Bowel

Fatigue, Physical Activity, and Mental Health in People Living With Inflammatory Bowel Disease, Fibromyalgia, and in Healthy Controls

2020 ◽  
Vol 43 (2) ◽  
pp. 172-185
Author(s):  
Lisa S. Olive ◽  
Catherine A. Emerson ◽  
Eliza Cooper ◽  
Emily M. Rosenbrock ◽  
Antonina A. Mikocka-Walus
Keyword(s):  
Mental Health ◽  
Physical Activity ◽  
Inflammatory Bowel Disease ◽  
Bowel Disease ◽  
Healthy Controls ◽  
Inflammatory Bowel

scholarly journals DEDICATED PSYCHIATRY CLINIC FOR INFLAMMATORY BOWEL DISEASE PATIENTS HAS A POSITIVE IMPACT ON DEPRESSION SCORES

2021 ◽  
Author(s):  
Kaleb Bogale ◽  
Sanjay Yadav ◽  
August Stuart ◽  
Allen R. Kunselman ◽  
Shannon Dalessio ◽  
...  
Keyword(s):  
Mental Health ◽  
Inflammatory Bowel Disease ◽  
Bowel Disease ◽  
Depression Score ◽  
Control Group ◽  
Study Cohort ◽  
Psychiatry Clinic ◽  
Tertiary Center ◽  
Inflammatory Bowel ◽  
The Impact

BACKGROUND: Psychiatric disorders, including anxiety and depression, are significantly more common in patients with inflammatory bowel disease. We established an integrated psychiatry clinic for IBD patients at our tertiary center IBD clinic to provide patients with critical, but frequently unavailable, coordinated mental health services. We undertook this study to evaluate the impact of this service on psychiatric outcomes, quality of life, and symptom experience. METHODS: We performed a longitudinal prospective study comparing patients who had been cared for at our integrated IBD-psychiatry clinic to those who had not. We abstracted demographic and clinical information as well as contemporaneous responses to validated surveys. RESULTS: Thirty-six patients cared for in the IBD-psychiatry clinic were compared to a control cohort of thirty-five IBD patients. There was a significant reduction in the HADS depression score over time in the study cohort (p=0.001), though not in the HADS anxiety score. When compared to the control group, the study cohort showed a significant reduction in the HADS depression score. No significant differences were observed in the HBI, SCCAI or SIBDQ. CONCLUSIONS: This is the first study to evaluate the impact of an integrated psychiatry clinic for IBD patients. Unlike their control counterparts, individuals treated in this clinic had a significant reduction in mean HADS depression score. Larger scale studies are necessary to verify these findings. However, this study suggests that use of an integrated psychiatry-IBD clinic model can result in improvement in mental health outcomes, even in the absence of significant changes in IBD activity.

Physical Activity in Patients With Inflammatory Bowel Disease: A Narrative Review

2021 ◽  
Author(s):  
Maitreyi Raman ◽  
Vidya Rajagopalan ◽  
Sandeep Kaur ◽  
Raylene A Reimer ◽  
Christopher Ma ◽  
...  
Keyword(s):  
Mental Health ◽  
Physical Activity ◽  
Inflammatory Bowel Disease ◽  
Bowel Disease ◽  
Significant Proportion ◽  
Patient Reported Outcome Measures ◽  
Small Sample ◽  
Case Control Studies ◽  
Patient Reported ◽  
Inflammatory Bowel

Abstract Background Despite advancement in the treatment of inflammatory bowel disease (IBD), induction and maintenance of remission remain challenging to achieve in many patients and a significant proportion of patients with IBD experience mental health conditions, including anxiety, depression, and fatigue, which impair their quality of life (QoL). We aim to describe the available evidence regarding the effects of physical activity (PA) on the onset of IBD, its disease course, and important patient-reported outcome measures (PROMs), such as QoL, fatigue, and mental health. Methods A literature search was performed using electronic databases to identify original articles that assessed the effects of PA in patients with IBD using PROMs. Results Prospective cohort and case-control studies demonstrate inverse relationships between PA and new-onset IBD in Crohn’s disease but not in ulcerative colitis; however, they have small sample sizes and caution must be taken in considering associations versus causation. Small randomized controlled trials suggest promise for PA and beneficial outcomes, such as maintenance of clinical remission and improvement in QoL, fatigue, depression, and anxiety. However, these studies were small and underpowered, and limited by outcome measurements and durations of follow-up. Conclusions Physicians may consider discussing PA interventions with their patients on an individual basis, especially if they report impaired QoL, fatigue, depression, or anxiety, until disease-specific guidelines are available. Including PA as part of a primary prevention strategy in high-risk patients could be considered.

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