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Depression, anxiety and stress among patients with inflammatory bowel disease during the COVID-19 pandemic: Australian national survey
BACKGROUND: The global COVID-19 pandemic has impacted on the mental health of individuals, particularly those with chronic illnesses. We aimed to quantify stress, anxiety and depression among individuals with Inflammatory bowel disease (IBD) in Australia during the pandemic. METHODS: An electronic s...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BMJ Publishing Group
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7883604/ https://www.ncbi.nlm.nih.gov/pubmed/33579729 http://dx.doi.org/10.1136/bmjgast-2020-000581 |
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author | Cheema, Madiha Mitrev, Nikola Hall, Leanne Tiongson, Maria Ahlenstiel, Golo Kariyawasam, Viraj |
author_facet | Cheema, Madiha Mitrev, Nikola Hall, Leanne Tiongson, Maria Ahlenstiel, Golo Kariyawasam, Viraj |
author_sort | Cheema, Madiha |
collection | PubMed |
description | BACKGROUND: The global COVID-19 pandemic has impacted on the mental health of individuals, particularly those with chronic illnesses. We aimed to quantify stress, anxiety and depression among individuals with Inflammatory bowel disease (IBD) in Australia during the pandemic. METHODS: An electronic survey was made available to IBD patients Australia-wide from 17 June to 12 July 2020. Respondents with an underlying diagnosis of IBD and over 18 years of age were included. A validated questionnaire (Depression, Anxiety, Stress Score-21, DASS21) was used to assess depression, anxiety and stress. Data on potential predictors of depression, anxiety and stress were collected. RESULTS: 352 participated in the survey across Australia. 60.5% of respondents fulfilled DASS criteria for at least moderate depression, anxiety or stress. 45% reported a pre-existing diagnosis of depression and/or anxiety. Over 2/3 of these respondents reported worsening of their pre-existing depression/anxiety due to the current pandemic. Of those without a pre-existing diagnosis of anxiety or depression, high rates of at least moderate to severe depression (34.9%), anxiety (32.0%) and stress (29.7%) were noted. Younger age (OR 0.96, 95% CI 0.94 to 0.98, p<0.001), lack of access to an IBD nurse (OR 1.81, 95% CI 1.03 to 3.19, p=0.04) and lack of education on reducing infection risk (OR 1.99, 95% CI 1.13 to 3.50, p=0.017) were associated with significant stress, anxiety and/or depression. CONCLUSION: High prevalence of undiagnosed depression, anxiety and stress was identified among respondents. Improved access to IBD nurse support and greater attention to education are modifiable factors that may reduce depression, anxiety and/or stress among patients with IBD during the pandemic. |
format | Online Article Text |
id | pubmed-7883604 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-78836042021-02-16 Depression, anxiety and stress among patients with inflammatory bowel disease during the COVID-19 pandemic: Australian national survey Cheema, Madiha Mitrev, Nikola Hall, Leanne Tiongson, Maria Ahlenstiel, Golo Kariyawasam, Viraj BMJ Open Gastroenterol Inflammatory Bowel Disease BACKGROUND: The global COVID-19 pandemic has impacted on the mental health of individuals, particularly those with chronic illnesses. We aimed to quantify stress, anxiety and depression among individuals with Inflammatory bowel disease (IBD) in Australia during the pandemic. METHODS: An electronic survey was made available to IBD patients Australia-wide from 17 June to 12 July 2020. Respondents with an underlying diagnosis of IBD and over 18 years of age were included. A validated questionnaire (Depression, Anxiety, Stress Score-21, DASS21) was used to assess depression, anxiety and stress. Data on potential predictors of depression, anxiety and stress were collected. RESULTS: 352 participated in the survey across Australia. 60.5% of respondents fulfilled DASS criteria for at least moderate depression, anxiety or stress. 45% reported a pre-existing diagnosis of depression and/or anxiety. Over 2/3 of these respondents reported worsening of their pre-existing depression/anxiety due to the current pandemic. Of those without a pre-existing diagnosis of anxiety or depression, high rates of at least moderate to severe depression (34.9%), anxiety (32.0%) and stress (29.7%) were noted. Younger age (OR 0.96, 95% CI 0.94 to 0.98, p<0.001), lack of access to an IBD nurse (OR 1.81, 95% CI 1.03 to 3.19, p=0.04) and lack of education on reducing infection risk (OR 1.99, 95% CI 1.13 to 3.50, p=0.017) were associated with significant stress, anxiety and/or depression. CONCLUSION: High prevalence of undiagnosed depression, anxiety and stress was identified among respondents. Improved access to IBD nurse support and greater attention to education are modifiable factors that may reduce depression, anxiety and/or stress among patients with IBD during the pandemic. BMJ Publishing Group 2021-02-12 /pmc/articles/PMC7883604/ /pubmed/33579729 http://dx.doi.org/10.1136/bmjgast-2020-000581 Text en © Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. http://creativecommons.org/licenses/by-nc/4.0/ http://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/. |
spellingShingle | Inflammatory Bowel Disease Cheema, Madiha Mitrev, Nikola Hall, Leanne Tiongson, Maria Ahlenstiel, Golo Kariyawasam, Viraj Depression, anxiety and stress among patients with inflammatory bowel disease during the COVID-19 pandemic: Australian national survey |
title | Depression, anxiety and stress among patients with inflammatory bowel disease during the COVID-19 pandemic: Australian national survey |
title_full | Depression, anxiety and stress among patients with inflammatory bowel disease during the COVID-19 pandemic: Australian national survey |
title_fullStr | Depression, anxiety and stress among patients with inflammatory bowel disease during the COVID-19 pandemic: Australian national survey |
title_full_unstemmed | Depression, anxiety and stress among patients with inflammatory bowel disease during the COVID-19 pandemic: Australian national survey |
title_short | Depression, anxiety and stress among patients with inflammatory bowel disease during the COVID-19 pandemic: Australian national survey |
title_sort | depression, anxiety and stress among patients with inflammatory bowel disease during the covid-19 pandemic: australian national survey |
topic | Inflammatory Bowel Disease |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7883604/ https://www.ncbi.nlm.nih.gov/pubmed/33579729 http://dx.doi.org/10.1136/bmjgast-2020-000581 |
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