Literature DB >> 22281460

The role of antidepressants in the management of inflammatory bowel disease (IBD): a short report on a clinical case-note audit.

Antonina A Mikocka-Walus1, Andrea L Gordon, Benjamin J Stewart, Jane M Andrews.   

Abstract

OBJECTIVE: This study sought to determine the frequency of use and types of antidepressants used in IBD patients and to collect data with respect to any effect of antidepressants on the course of IBD in a usual care setting.
METHOD: A case-note audit was conducted at an IBD Service in a public tertiary hospital. Included patients were those diagnosed with IBD by a gastroenterologist; and have had contact with the IBD Service in the last 6months. Descriptive statistics were used to summarise the data.
RESULTS: Overall, 313 patients were eligible and 287 had complete data. Overall, 51 (17.8%) patients were currently taking antidepressants and 71 (24.7%) previously received antidepressants. Eighty-three (28.9%) patients had used an antidepressant at some time. In terms of disease activity while on antidepressants, the majority of patients had inactive disease but presented with what were thought by their clinicians to be functional symptoms.
CONCLUSION: Antidepressants are commonly prescribed in IBD patients. In our cohort, they appear to be mostly used for functional symptoms. The current data do not allow us to judge whether they improve IBD disease activity. Targeted studies are needed to answer this question and to improve practice and patient outcomes.
Copyright © 2011 Elsevier Inc. All rights reserved.

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Year:  2011        PMID: 22281460     DOI: 10.1016/j.jpsychores.2011.06.006

Source DB:  PubMed          Journal:  J Psychosom Res        ISSN: 0022-3999            Impact factor:   3.006


  15 in total

Review 1.  Antidepressants in inflammatory bowel disease.

Authors:  Antonina Mikocka-Walus; Alexander C Ford; Douglas A Drossman
Journal:  Nat Rev Gastroenterol Hepatol       Date:  2020-02-18       Impact factor: 46.802

Review 2.  ACG Clinical Guideline: Preventive Care in Inflammatory Bowel Disease.

Authors:  Francis A Farraye; Gil Y Melmed; Gary R Lichtenstein; Sunanda V Kane
Journal:  Am J Gastroenterol       Date:  2017-01-10       Impact factor: 10.864

3.  Randomized efficacy trial of two psychotherapies for depression in youth with inflammatory bowel disease.

Authors:  Eva Szigethy; Simona I Bujoreanu; Ada O Youk; John Weisz; David Benhayon; Diane Fairclough; Peter Ducharme; Joseph Gonzalez-Heydrich; David Keljo; Arvind Srinath; Athos Bousvaros; Margaret Kirshner; Melissa Newara; David Kupfer; David R DeMaso
Journal:  J Am Acad Child Adolesc Psychiatry       Date:  2014-05-10       Impact factor: 8.829

4.  Tricyclic antidepressants for management of residual symptoms in inflammatory bowel disease.

Authors:  Heba N Iskandar; Benjamin Cassell; Navya Kanuri; C Prakash Gyawali; Alexandra Gutierrez; Themistocles Dassopoulos; Matthew A Ciorba; Gregory S Sayuk
Journal:  J Clin Gastroenterol       Date:  2014 May-Jun       Impact factor: 3.062

Review 5.  Psychiatric comorbidity in the treatment of patients with inflammatory bowel disease.

Authors:  Branislav R Filipovic; Branka F Filipovic
Journal:  World J Gastroenterol       Date:  2014-04-07       Impact factor: 5.742

6.  Adjuvant therapy with antidepressants for the management of inflammatory bowel disease.

Authors:  Antonina Mikocka-Walus; Stephanie L Prady; Justyna Pollok; Adrian J Esterman; Andrea L Gordon; Simon Knowles; Jane M Andrews
Journal:  Cochrane Database Syst Rev       Date:  2019-04-12

7.  A magic pill? A qualitative analysis of patients' views on the role of antidepressant therapy in inflammatory bowel disease (IBD).

Authors:  Antonina A Mikocka-Walus; Andrea L Gordon; Benjamin J Stewart; Jane M Andrews
Journal:  BMC Gastroenterol       Date:  2012-07-20       Impact factor: 3.067

8.  Cognitive-behavioural therapy has no effect on disease activity but improves quality of life in subgroups of patients with inflammatory bowel disease: a pilot randomised controlled trial.

Authors:  Antonina Mikocka-Walus; Peter Bampton; David Hetzel; Patrick Hughes; Adrian Esterman; Jane M Andrews
Journal:  BMC Gastroenterol       Date:  2015-05-02       Impact factor: 3.067

9.  Association between antidepressant medication use and steroid dependency in patients with ulcerative colitis: a population-based study.

Authors:  Jonathan Blackwell; Christopher Alexakis; Sonia Saxena; Hanna Creese; Alex Bottle; Irene Petersen; Matthew Hotopf; Richard C G Pollok
Journal:  BMJ Open Gastroenterol       Date:  2021-05

10.  The effects of psychiatric treatment on depression, anxiety, quality of life, and sexual dysfunction in patients with inflammatory bowel disease.

Authors:  O Yanartas; H T Kani; E Bicakci; I Kilic; M Banzragch; C Acikel; O Atug; K Kuscu; N Imeryuz; H Akin
Journal:  Neuropsychiatr Dis Treat       Date:  2016-03-24       Impact factor: 2.570

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