Hinnant Laurie, Rios Villacorta Nicholas, Chen Eliza, Bacchus Donna, Dotson Jennifer, Greywoode Ruby, Keefer Laurie, Lupe Stephen, Maggs Leah, Meek Garrett, Szigethy Eva, Tomasino Kathryn, Ehrlich Orna G, Ehle Sylvia
Health Practice Area, RTI International, Research Triangle Park, NC, USA.
College of Nursing and Health Innovation, University of Texas at Arlington, Arlington, TX, USA.
Inflamm Bowel Dis. 2025 May 12;31(5):1248-1255. doi: 10.1093/ibd/izae151.
Studies have found a higher risk of comorbid anxiety and depression among patients with inflammatory bowel disease (IBD) compared with healthy individuals. If left untreated, comorbid depression and anxiety in patients with IBD can lead to poorer health outcomes and an increased healthcare utilization. The goal of this work was to develop a consensus statement to begin to address patient and provider needs and responsibilities related to screening and treatment of depression and anxiety symptoms among patients with IBD.
A literature scan was conducted to gather evidence-based background information and recommendations on the screening, diagnosis, and treatment of anxiety and depression in patients with IBD. This was followed by the engagement of a panel of IBD and mental health experts and patient advocates using a modified Delphi process to synthesize the literature and distill the information into a core set of statements to support provider actions and care delivery.
Six statements were distilled from the literature and consensus process that link to the general management, screening, and treatment of anxiety and depression in patients with IBD.
Mental healthcare and support for IBD patients is critical; the statements included in this article represent practical considerations for IBD healthcare professionals in addressing key issues on provider awareness, knowledge and behaviors, screening and treatment resources, and patient education.
研究发现，与健康个体相比，炎症性肠病（IBD）患者合并焦虑和抑郁的风险更高。如果不进行治疗，IBD患者的合并抑郁和焦虑会导致更差的健康结果以及医疗资源利用增加。这项工作的目标是制定一份共识声明，以开始满足患者和医疗服务提供者在IBD患者抑郁和焦虑症状筛查及治疗方面的需求与责任。
进行文献检索以收集关于IBD患者焦虑和抑郁筛查、诊断及治疗的循证背景信息和建议。随后，采用改良的德尔菲法，让一组IBD和心理健康专家以及患者权益倡导者参与进来，综合文献并将信息提炼成一组核心声明，以支持医疗服务提供者的行动和护理提供。
从文献和共识过程中提炼出六条声明，这些声明与IBD患者焦虑和抑郁的总体管理、筛查及治疗相关。
IBD患者的心理保健和支持至关重要；本文中的声明代表了IBD医疗专业人员在解决医疗服务提供者的意识、知识和行为、筛查及治疗资源以及患者教育等关键问题时的实际考量。
