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Mental health evaluation of patients with Inflammatory Bowel Disease and psychiatric comorbidities during the COVID-19 pandemic

Published online by Cambridge University Press:  01 September 2022

S. Vanzetto ,
M. Vismara ,
A. Frediani ,
N. Cassina ,
G. Maconi ,
M. Bosi ,
C. Viganò  and
B. Dell’Osso
S. Vanzetto*
Affiliation:
Luigi Sacco University Hospital, Psychiatry 2 Unit, ASST FBF-Sacco, University Of Milan, Milan, Italy
M. Vismara
Affiliation:
Luigi Sacco University Hospital, Psychiatry 2 Unit, ASST FBF-Sacco, University Of Milan, Milan, Italy “Aldo Ravelli” Center for Nanotechnology and Neurostimulation”, University Of Milan, Milan, Italy
A. Frediani
Affiliation:
Luigi Sacco University Hospital, Psychiatry 2 Unit, ASST FBF-Sacco, University Of Milan, Milan, Italy
N. Cassina
Affiliation:
Luigi Sacco University Hospital, Psychiatry 2 Unit, ASST FBF-Sacco, University Of Milan, Milan, Italy
G. Maconi
Affiliation:
Gastroenterology Unit, Department of Biomedical and Clinical Sciences, “l. Sacco” Hospital, Milan, Italy
M. Bosi
Affiliation:
Luigi Sacco University Hospital, Psychiatry 2 Unit, ASST FBF-Sacco, University Of Milan, Milan, Italy
C. Viganò
Affiliation:
Luigi Sacco University Hospital, Psychiatry 2 Unit, ASST FBF-Sacco, University Of Milan, Milan, Italy
B. Dell’Osso
Affiliation:
Luigi Sacco University Hospital, Psychiatry 2 Unit, ASST FBF-Sacco, University Of Milan, Milan, Italy “Aldo Ravelli” Center for Nanotechnology and Neurostimulation”, University Of Milan, Milan, Italy Department of Psychiatry and Behavioral Sciences, Stanford University, Milan, Italy “Centro per lo studio dei meccanismi molecolari alla base delle patologie neuro-psico-geriatriche”, University Of Milan, Milan, Italy
*
*Corresponding author.

Abstract

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Introduction

The mental health of subjects with chronic medical illnesses, such as Inflammatory Bowel Disease (IBD- Crohn’s Disease and Ulcerative Colitis), is typically compromised and the current COVID-19 pandemic might have additionally increased this burden.

Objectives

The aim of the present study was to investigate, during the COVID-19 pandemic, if the presence of a comorbid psychiatric disorder has played a role as an aggravating factor on mental health in patients with IBD.

Methods

Twenty Five patients with psychiatric comorbidities (PC+) and twenty five without (PC-) comparable for age and gender, were recruited at the Gastroenterology department at Sacco University Hospital in Milan. Participants were assessed a psychiatric evaluation, collecting socio-demographic variables and measures of anxiety and depression [on the Hospital Anxiety Depression Scale (HADS)], sleep patterns [on the Insomnia Severity Index (ISI)] and general health status [on the Short Form Health Survey 36 (SF-36)].

Comparative statistical analyses were performed with t test with Bonferroni correction.

Results

PC+ (n=25) showed more severe anxiety and depressive symptoms compared with PC- (n=25) (p <.001) and worse sleep pattern (p<.05). With respect to general health status, PC+ showed reduced physical activities (p<.05), social activities (p<.05), mental health (p<.01) and role limitations due to physical health (p<.05).

Conclusions

The present findings showed a worse mental health in subjects with IBD and psychiatric comorbidities during Covid-19 pandemic, highlighting the importance of screening and treatment of psychiatric symptoms disorders in these patients.

Disclosure

No significant relationships.

Keywords

Psychiatric comorbiditiesInflammatory Bowel DiseaseMental health evaluationCovid-19 pandemic
Type
Abstract
Information
European Psychiatry , Volume 65 , Special Issue S1: Abstracts of the 30th European Congress of Psychiatry , June 2022 , pp. S289 - S290
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2022. Published by Cambridge University Press on behalf of the European Psychiatric Association
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