Journal article
Psychological distress is highly prevalent in inflammatory bowel disease: A survey of psychological needs and attitudes
JGH Open, Vol.4(2), pp.166-171
2020
Abstract
Background and Aim: Data on patient needs and access to psychological services in inflammatory bowel disease (IBD) are scarce. This study aimed to describe the levels of distress and the needs, attitudes, and access to psychological services for people within Australia against established Australian IBD Standards. Methods: An online cross-sectional survey was conducted with Australians ≥16 years old recruited via Crohn's & Colitis Australia membership, public and private clinics, and the Royal Flying Doctor Service. K10 was used to measure psychological distress. The Chi-square test was used to compare those with and without distress on key variables. Results: Overall, 731 respondents provided complete data (71.5% female, mean age 46.5 years). Overall, 50% of respondents reported distress; only 15.2% were currently seeing a mental health practitioner; only 16.1% were asked about their mental health by their IBD specialist or IBD nurse; and only 12.2% reported access to a mental health practitioner as part of their IBD service. Those with psychological distress were significantly less satisfied with their IBD care; more commonly hospitalized; had an active disease, fistula or perianal disease, pain, or fatigue; and were receiving steroids, opioids, or antidepressants (all P < 0.05). As many as 68.2% of those with severe distress were not seeing a mental health practitioner. Conclusions: The integrated biopsychosocial model of health care, with regular mental health screening and good access to mental health professionals, is requested by people living with IBD to improve their outcomes.
Details
- Title
- Psychological distress is highly prevalent in inflammatory bowel disease: A survey of psychological needs and attitudes
- Authors
- Antonina Mikocka‐Walus (Corresponding Author) - Deakin UniversityWayne Massuger (Author) - Crohn's & Colitis AustraliaSimon R Knowles (Author) - Swinburne University of TechnologyGregory T Moore (Author) - Monash UniversityStephanie Buckton (Author) - Sunshine Coast University HospitalWilliam Connell (Author) - St Vincent HospitalPaul Pavli (Author) - Canberra HospitalLeanne Raven (Author) - University of the Sunshine CoastJane M Andrews (Author) - Royal Adelaide Hospital
- Publication details
- JGH Open, Vol.4(2), pp.166-171
- Publisher
- Wiley-Blackwell Publishing Asia
- Date published
- 2020
- DOI
- 10.1002/jgh3.12236
- ISSN
- 2397-9070
- Copyright note
- Copyright © 2019 The Authors. JGH Open: An open access journal of gastroenterology and hepatology published by Journal of Gastroenterology and Hepatology Foundation and John Wiley & Sons Australia, Ltd. This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
- Organisation Unit
- University of the Sunshine Coast, Queensland
- Language
- English
- Record Identifier
- 99451334802621
- Output Type
- Journal article
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- Domestic collaboration
- Web Of Science research areas
- Gastroenterology & Hepatology
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