The effects of psychiatric treatment on depression, anxiety, quality of life, and sexual dysfunction in patients with inflammatory bowel disease
O Yanartas,1 HT Kani,2 E Bicakci,3 I Kilic,4 M Banzragch,3 C Acikel,5 O Atug,3 K Kuscu,1 N Imeryuz,3 H Akin31Department of Psychiatry, 2Department of Internal Medicine, 3Department of Gastroenterology, 4Department of Internal Medicine, Marmara University School of Medicine, Istanbul, 5Department of...
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Dove Medical Press
2016-03-01
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| Series: | Neuropsychiatric Disease and Treatment |
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| Online Access: | https://www.dovepress.com/the-effects-of-psychiatric-treatment-on-depression-anxiety-quality-of--peer-reviewed-fulltext-article-NDT |
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| author | Yanartas Kani HT Bicakci E Kilic I Banzragch M Acikel C Atug O Kuscu K Imeryuz N Akin H |
| author_facet | Yanartas Kani HT Bicakci E Kilic I Banzragch M Acikel C Atug O Kuscu K Imeryuz N Akin H |
| author_sort | Yanartas |
| collection | DOAJ |
| description | O Yanartas,1 HT Kani,2 E Bicakci,3 I Kilic,4 M Banzragch,3 C Acikel,5 O Atug,3 K Kuscu,1 N Imeryuz,3 H Akin31Department of Psychiatry, 2Department of Internal Medicine, 3Department of Gastroenterology, 4Department of Internal Medicine, Marmara University School of Medicine, Istanbul, 5Department of Public Health, Gulhane Military Medical Academy, Ankara, TurkeyObjective: Depression and anxiety are common disorders in inflammatory bowel disease (IBD). Our aim is to prospectively determine the effect of psychiatric treatment on scores for depression, anxiety, quality of life (QoL), and sexual dysfunction in an outpatient population diagnosed with IBD and also anxiety and/or depression disorder.Patients and methods: Patients who scored higher than the cutoff point on the Hospital Anxiety Depression Scale were referred for further structured psychiatric evaluation and determination of the need for psychiatric drug treatment. Patients who underwent drug therapy completed Short Form-36 (SF-36) and the Arizona Sexual Experience Scale at baseline and after 6 months of follow-up.Results: Major depressive disorder and generalized anxiety disorder were the most common diagnoses. After 6 months, 47 patients had completely adhered to drug treatment (group A), whereas 20 were nonadherent (group B). In group A, all domains of SF-36, Arizona Sexual Experience Scale, depression/anxiety scores, and Crohn’s disease activity index were statistically improved after treatment when compared with the baseline. In group B, the three domains of SF-36, platelet count, and mean corpuscular volume were worse between baseline and at 6 months.Conclusion: In IBD patients having any psychiatric disorder, 6 months of antidepressant drug treatment is associated with an improvement in depression, anxiety, QoL, and sexual functioning scores, as well as an improvement in Crohn’s disease activity index. On the other hand, insufficient psychiatric treatment seems to be related to a poor QoL.Keywords: anxiety, depression, sexual dysfunction, psychiatric treatment, inflammatory bowel disease |
| format | Article |
| id | doaj-art-a6670ae2f4ef41489de294c1892e7f72 |
| institution | OA Journals |
| issn | 1178-2021 |
| language | English |
| publishDate | 2016-03-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Neuropsychiatric Disease and Treatment |
| spelling | doaj-art-a6670ae2f4ef41489de294c1892e7f722025-08-20T02:24:17ZengDove Medical PressNeuropsychiatric Disease and Treatment1178-20212016-03-01Volume 12Issue 167368326160The effects of psychiatric treatment on depression, anxiety, quality of life, and sexual dysfunction in patients with inflammatory bowel diseaseYanartas0Kani HTBicakci EKilic IBanzragch MAcikel C1Atug OKuscu KImeryuz NAkin HDepartment of PsychiatryBiostatisticsO Yanartas,1 HT Kani,2 E Bicakci,3 I Kilic,4 M Banzragch,3 C Acikel,5 O Atug,3 K Kuscu,1 N Imeryuz,3 H Akin31Department of Psychiatry, 2Department of Internal Medicine, 3Department of Gastroenterology, 4Department of Internal Medicine, Marmara University School of Medicine, Istanbul, 5Department of Public Health, Gulhane Military Medical Academy, Ankara, TurkeyObjective: Depression and anxiety are common disorders in inflammatory bowel disease (IBD). Our aim is to prospectively determine the effect of psychiatric treatment on scores for depression, anxiety, quality of life (QoL), and sexual dysfunction in an outpatient population diagnosed with IBD and also anxiety and/or depression disorder.Patients and methods: Patients who scored higher than the cutoff point on the Hospital Anxiety Depression Scale were referred for further structured psychiatric evaluation and determination of the need for psychiatric drug treatment. Patients who underwent drug therapy completed Short Form-36 (SF-36) and the Arizona Sexual Experience Scale at baseline and after 6 months of follow-up.Results: Major depressive disorder and generalized anxiety disorder were the most common diagnoses. After 6 months, 47 patients had completely adhered to drug treatment (group A), whereas 20 were nonadherent (group B). In group A, all domains of SF-36, Arizona Sexual Experience Scale, depression/anxiety scores, and Crohn’s disease activity index were statistically improved after treatment when compared with the baseline. In group B, the three domains of SF-36, platelet count, and mean corpuscular volume were worse between baseline and at 6 months.Conclusion: In IBD patients having any psychiatric disorder, 6 months of antidepressant drug treatment is associated with an improvement in depression, anxiety, QoL, and sexual functioning scores, as well as an improvement in Crohn’s disease activity index. On the other hand, insufficient psychiatric treatment seems to be related to a poor QoL.Keywords: anxiety, depression, sexual dysfunction, psychiatric treatment, inflammatory bowel diseasehttps://www.dovepress.com/the-effects-of-psychiatric-treatment-on-depression-anxiety-quality-of--peer-reviewed-fulltext-article-NDTAnxietyDepressionSexual DysfunctionPsychiatric TreatmentInflammatory Bowel Disease. |
| spellingShingle | Yanartas Kani HT Bicakci E Kilic I Banzragch M Acikel C Atug O Kuscu K Imeryuz N Akin H The effects of psychiatric treatment on depression, anxiety, quality of life, and sexual dysfunction in patients with inflammatory bowel disease Neuropsychiatric Disease and Treatment Anxiety Depression Sexual Dysfunction Psychiatric Treatment Inflammatory Bowel Disease. |
| title | The effects of psychiatric treatment on depression, anxiety, quality of life, and sexual dysfunction in patients with inflammatory bowel disease |
| title_full | The effects of psychiatric treatment on depression, anxiety, quality of life, and sexual dysfunction in patients with inflammatory bowel disease |
| title_fullStr | The effects of psychiatric treatment on depression, anxiety, quality of life, and sexual dysfunction in patients with inflammatory bowel disease |
| title_full_unstemmed | The effects of psychiatric treatment on depression, anxiety, quality of life, and sexual dysfunction in patients with inflammatory bowel disease |
| title_short | The effects of psychiatric treatment on depression, anxiety, quality of life, and sexual dysfunction in patients with inflammatory bowel disease |
| title_sort | effects of psychiatric treatment on depression anxiety quality of life and sexual dysfunction in patients with inflammatory bowel disease |
| topic | Anxiety Depression Sexual Dysfunction Psychiatric Treatment Inflammatory Bowel Disease. |
| url | https://www.dovepress.com/the-effects-of-psychiatric-treatment-on-depression-anxiety-quality-of--peer-reviewed-fulltext-article-NDT |
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