A Multidisciplinary Approach to Biopsychosocial Care for Adults With Inflammatory Bowel Disease: A Pilot Study

Lee, Chang Kyun; Melmed, Gil Y.; Mann, Amy; Danovitch, Itai; Hedrick, Rebecca; McGovern, Dermot; Targan, Stephan; Shih, David Q.; Vasiliauskas, Eric; IsHak, Waguih William; Feldman, Edward J.

doi:10.1093/ibd/izy215

Cited by 7 publications

(2 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…These results strongly suggest that complex biopsychosocial care should be provided as early as possible, particularly in patients with both psychological disorders and poor HRQL. 46 To accomplish this goal, it is imperative to implement an adequate screening process in routine practice. 47,48 We also found that the IBDQ score had significant negative correlations with the Mayo score, CRP level, and white blood cell count, but a positive association with the hemoglobin level (all p<0.05).…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Unmet Psychosocial Needs of Patients with Newly Diagnosed Ulcerative Colitis: Results from the Nationwide Prospective Cohort Study in Korea

et al. 2020

Self Cite

View full text Add to dashboard Cite

Background/Aims: Limited data are available regarding psychosocial distress at the time of diagnosis of ulcerative colitis (UC). We investigated the psychosocial burden and factors related to poor health-related quality of life (HRQL) among patients newly diagnosed with moderate-to-severe UC who were affiliated with the nationwide prospective cohort study. Methods: Within the first 4 weeks of UC diagnosis, all patients were assessed using the Hospital Anxiety and Depression Scale (HADS), Work Productivity and Activity Impairment questionnaire, Inflammatory Bowel Disease Questionnaire (IBDQ), and 12-Item Short Form (SF-12) health survey. A multiple linear regression model was used to identify factors associated with HRQL. Results: Between August 2014 and February 2017, 355 patients completed questionnaires. Significant mood disorders requiring psychological interventions, defined by a HADS score ≥11, were identified in 16.7% (anxiety) and 20.6% (depression) of patients. Patients with severe disease were more likely to have presenteeism, loss of work productivity, and activity loss than those with moderate disease (all p<0.05). Significant mood disorders had the strongest negative relationship with total IBDQ score, which indicates disease-specific HRQL (β coefficient:-22.1 for depression and-40.0 for anxiety, p<0.001). The scores of all SF-12 dimensions, which indicate general HRQL, were remarkably decreased in the study population compared indirectly with previously reported scores in the general population. The Mayo score, C-reactive protein level, and white blood cell count showed significant negative associations with the IBDQ score (p<0.05). Conclusions: Psychosocial screening and timely interventions should be incorporated into the initial care of patients newly diagnosed with UC.

show abstract

Section: Discussionmentioning

confidence: 99%