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 13 December 2017

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News

Measuring severity of anxiety and depression in IBD

The latest issue of the Inflammatory Bowel Diseases reports a low concordance between patients and male gastroenterologists in measuring severity of anxiety and depression in patients with inflammatory bowel disease.

News image

Studies have indicated that anxiety and depression are significant contributors to reporting of increased disease activity in patients with inflammatory bowel disease (IBD). 

Thus, for the appropriate clinical management of these patients, it is important that gastroenterologists are able to recognize these conditions. 

Drs Neha Janmohamed and Hillary Steinhart examined the level of agreement between gastroenterologists and patients with IBD for the presence of clinically significant anxiety and depression.

Before consultation, patients completed the Hospital Anxiety and Depression Survey. 

After the consultation, the gastroenterologist recorded whether they believed the patient was anxious and depressed and if so, whether any further action had been taken.

In only 50% of cases further action was taken by gastroenterologists during consultation for distressed patients
Inflammatory Bowel Diseases
The research team reported that 75 patients participated in this study, with a response rate of 88%. 

Self-reported questionnaires indicated that 31% and 11% of patients were identified as probable for having anxiety and depression, respectively. 

The team noted that the level of agreement between the patient and gastroenterologist as to the presence of anxiety or depression was fair to moderate. 

The researchers found that in only 50% of cases was further action taken by gastroenterologists during consultation for distressed patients, mostly in the form of a patient discussion.

Dr Janmohamed's team concludes, "Agreement between gastroenterologists and IBD patients regarding the presence of clinically significant anxiety or depression was low, with no further action taken after consultation for 50% of patients who were identified by gastroenterologists as being anxious or depressed."

"This study highlights the need for educating gastroenterologists to improve their ability to identify IBD patient distress."

Inflamm Bowel Dis 2017: 23(7): 1168–1173
06 July 2017

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