Hostname: page-component-cd9895bd7-dzt6s Total loading time: 0 Render date: 2025-01-05T18:17:20.531Z Has data issue: false hasContentIssue false
  • English
  • Français

Epidemiology of depression and distress in patients with inflammatory bowel disease (IBD) and validation of an indicator scale of perceived stress for psychosocial impairments

Published online by Cambridge University Press:  16 April 2020

J. Hardt ,
S. Conrad ,
C. Muche-Borowski  and
H. Raspe
J. Hardt
Affiliation:
Institute of Social Medicine, University of Luebeck, University Medical Centre, Lübeck, Germany Section of Occupational Health Research, Institute for Safety Engineering (IST), FB D, University of Wuppertal (BUW), Wuppertal, Germany
S. Conrad
Affiliation:
Institute of Social Medicine, University of Luebeck, University Medical Centre, Lübeck, Germany Evidence-based Medicine and Guidelines, Agency for Quality in Medicine (AQuMed/ÄZQ), Berlin, Germany
C. Muche-Borowski
Affiliation:
Institute of Social Medicine, University of Luebeck, University Medical Centre, Lübeck, Germany Association of the Scientific Medical Societies in Germany (AWMF), Düsseldorf and Berlin, Germany
H. Raspe
Affiliation:
Institute of Social Medicine, University of Luebeck, University Medical Centre, Lübeck, Germany Population-based Medicine, University of Luebeck, University Medical Centre, Lübeck, Germany

Abstract

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.
Background

Previous studies showed associations of stress and episodes of active disease [1,2]. We reported survey data on psychosocial problems of IBD patients [3]. This study investigates associations of stress with health impairments and analyses a scale of perceived stress as an indicator for psychosocial impairments (construct/criterion validity) [4].

Methods

In a multiregional German survey in 2005, 1083 patients with Crohn's disease (CD) and ulcerative colitis were recruited (gastroenterological practices, university outpatient clinics, patient organization). The questionnaire incorporated WHO's ICF [5] and established items and scales (i.a. HADS [6]). Scale construction followed item response theory analysing psychometric properties.

Results

Of the survey responders (58% CD, 65% female, mean age 42yrs), ⅓ reported severe fatigue. Clinically relevant anxiety was observed in 24%, depression in 29% of men and 21% of women. With three items we constructed a scale with good psychometric properties. Three groups (low, moderate, high perceived stress) were identified, differing substantially in reported anxiety/depression and the GIBDI disease activity score.

Conclusions

IBD patients report multiple psychosocial impairments. The scale of perceived stress may identify IBD patients with high demand for psychosocial attendance, if confirmed in independent samples. For enhanced secondary prevention [7] we propose integration of this psychosocial indicator into the diagnostic process.

Type
W09-01
Information
European Psychiatry , Volume 26 , Issue S2: Abstracts of the 19th European Congress of Psychiatry , March 2011 , pp. 2217 - 2218
Copyright
Copyright © European Psychiatric Association 2011

References

Hoffmann, J.C.Preiss, J.C.Autschbach, F. et al. Clinical practice guideline on diagnosis and treatment of Crohn's disease. [Article in German]. Z Gastroenterol 2008; 46(9):1094–114610.1055/s-2008-1027796CrossRefGoogle ScholarPubMed
Hoffmann, C.Zeitz, M.Bischoff, S.C. et al. Diagnosis and therapy of ulcerative colitis: results of an evidence based consensus conference by the German society of Digestive and Metabolic Diseases and the competence network on inflammatory bowel disease. [Article in German] Z Gastroenterol 2004; Sep 42(9):979–98310.1055/s-2004-813510CrossRefGoogle ScholarPubMed
Hardt, J.Muche-Borowski, C.Conrad, S.Balzer, K.Boke-meyer, B.Raspe, H.Inflammatory bowel diseases as multi-focal disorders: results from a multi-regional survey on bodily and psychosocial problems in IBD patients. [Article in German]. Z Gastroenterol 2010; Mar 48(3):381–39110.1055/s-0028-1109524CrossRefGoogle ScholarPubMed
Hardt, J.Balzer, K.Muche-Borowski, C.Raspe, H.Examination of a short scale on perceived stress in patients with inflammatory bowel disease. [Article in German]. Zbl Arbeitsmed 2010; 60: 318–31910.1007/BF03344308CrossRefGoogle Scholar
World Health Organization International classification of functioning, disability, and health: ICF. Geneva: World Health Organization: 2001Google Scholar
Herrmann, C.Buss, U.Snaith, R.P.HADS-D Hospital Anxiety and Depression Scale - German Version. A Questionnaire for measuring anxiety and depression in somatic medicine. Test documentation and manual. [Manual in German]. Bern: Huber, 1995Google Scholar
Raspe, H.Conrad, S.Muche-Borowski, C.Evidence-based and consented pathways for patients with inflammatory bowel diseases (IBD). [Article in German]. Z Gastroenterol 2009; Jun 47(6):541–56210.1055/s-0028-1109323CrossRefGoogle ScholarPubMed
Submit a response

Comments

No Comments have been published for this article.