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A comparative study of depression, anxiety, loneliness, well-being and self-esteem among patients with and without Inflammatory Bowel Disease

Published online by Cambridge University Press:  27 August 2024

V. Efstathiou
Affiliation:
1Psychology Department, National and Kapodistrian University of Athens
I. Theodoridou
Affiliation:
2Second Department of Psychiatry, National and Kapodistrian University of Athens, “Attikon” University General Hospital, Athens, Greece
A. Karvouni
Affiliation:
2Second Department of Psychiatry, National and Kapodistrian University of Athens, “Attikon” University General Hospital, Athens, Greece
E. Kaloudi
Affiliation:
2Second Department of Psychiatry, National and Kapodistrian University of Athens, “Attikon” University General Hospital, Athens, Greece
P. Bali
Affiliation:
2Second Department of Psychiatry, National and Kapodistrian University of Athens, “Attikon” University General Hospital, Athens, Greece
A. Papadopoulou*
Affiliation:
2Second Department of Psychiatry, National and Kapodistrian University of Athens, “Attikon” University General Hospital, Athens, Greece
*
*Corresponding author.

Abstract

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Introduction

Individuals diagnosed with Inflammatory bowel disease (IBD) often experience recurring and painful symptoms, which can significantly affect their daily life, while hospitalization and/or surgery may be needed when they present complications. During the course of the disease, IBD patients may experience feelings of anxiety and/or depression and present decreased well-being.

Objectives

The aim of the present study was to investigate depression, anxiety, loneliness, well-being and self-esteem in patients with IBD in comparison to individuals without IBD (healthy controls), while taking into consideration demographic and clinical parameters

Methods

The study included 164 participants and in particular 98 patients with IBD and 66 healthy controls matched for sex and age. All participants completed Hospital Anxiety and Depression Scale (HADS) to assess depression and anxiety, UCLA Loneliness Scale to assess feelings of loneliness, Mental Health Continuum Short Form (MHC-SF) to assess well-being and Rosenberg Self-esteem Scale (RSES) to assess self-esteem, while socio-demographic and clinical data were additionally recorded.

Results

According to the results, statistically significant differences were observed in all psychological parameters with IBD patients presenting higher depression (p<0.001), higher anxiety (p=0.002), higher loneliness (p=0.002), lower well-being (p=0.019) and lower self-esteem (p<0.001) compared to healthy controls. Among IBD patients, higher well-being was independently associated with higher self-esteem and lower anxiety, but not with depression, loneliness or patients’ sex and age.

Conclusions

The findings highlight the importance of investigating and timely detecting psychological symptoms among patients with IBD, with a view to providing them an integrative physical and mental health care.

Disclosure of Interest

None Declared

Type
Abstract
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2024. Published by Cambridge University Press on behalf of European Psychiatric Association
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