Review Article

Clinical and Translational Considerations for Understanding Depression and Anxiety in Patients with Inflammatory Bowel Disease

Table 1

The prevalence of depression and anxiety in various IBD cohorts.

ReferenceDepression and/or anxiety (%)Diagnosis timelineAssessment methodDiagnosis settingStudy typePatient sample size

Lewis et al. [5]Depression: 11.2%
Anxiety: 16.9%
Current and lifetimeSCIDN/ACohort study242
Byrne et al. [6]Depression: 25.8%
Anxiety: 21.2%
D and/or A: 30.3%
CurrentPHQ-9 and GAD-7 or diagnosis resulting from psychiatric interviewTertiary care academic hospitalRetrospective chart review327
Blackwell et al. [7]Depression: UC, 3.7%, CD, 3.7%5 years prior to IBD diagnosisUK read codesPrimary careRetrospective chart reviewUC: 10,829
CD: 15,360
Stobaugh et al. [9]Depression: 0.97%LifetimeICD-9 codesHospitalSampling frame from the NIS100,687
Calixto et al. [10]Depression (moderate): 55% anxiety (moderate): 41%CurrentHADSTertiary care centerCross-sectional study120
Mikocka-Walus et al. [11]Depression: 20.2%
Anxiety: 37.5%
CurrentHADSMixed: hospitals and private practiceProspective cohort study2007
Ishak et al. [12]Depression: 7.3%
Anxiety: 18.2%
CurrentPROMIS GHS, PROMIS-29, SF-12, WHODAS 2.0Tertiary care centerCross-sectional study110
Bennebroek Evertsz et al. [14]Depression: 6.3%
Anxiety: 17.5%
CurrentHADS and SF-12Tertiary care centerProspective cohort study231
Knowles et al. [15]Mental health issue (mild to severe): 51.8%CurrentK10OnlineCross-sectional study, online336

IBD: inflammatory bowel disease; D: depression; A: anxiety; PHQ: Patient Health Questionnaire; GAD: general anxiety disorder; UK: United Kingdom; CAT-MH: Computerized Adaptive Testing for Mental Health; ICD-9: International Classification of Diseases, Ninth Revision; HADS: Hospital Anxiety and Depression Scale; PROMIS GHS: Patient-Reported Outcomes Measurement Information System Global Health Survey; WHODAS: WHO Disability Assessment Schedule; SCID: Structured Clinical Interview for Axis I Disorders; NIS: Nationwide Inpatient Sample; GHS: Global Health Scale; SF: Short Form Health Survey; K10: Kessler Psychological Distress Scale.