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Does Psychological Status Influence Clinical Outcomes In Patients With Inflammatory Bowel Disease (Ibd) And Other Chronic Gastroenterological Diseases: An Observational Cohort Prospective Study, Antonina A. Mikocka-Walus, Deborah Turnbull, Nicole T. Moulding, Ian G. Wilson, Gerald J. Holtmann, Jane M. Andrews
Does Psychological Status Influence Clinical Outcomes In Patients With Inflammatory Bowel Disease (Ibd) And Other Chronic Gastroenterological Diseases: An Observational Cohort Prospective Study, Antonina A. Mikocka-Walus, Deborah Turnbull, Nicole T. Moulding, Ian G. Wilson, Gerald J. Holtmann, Jane M. Andrews
Ian G Wilson
Background: Whether there is a temporal relationship between psychological problems and clinical outcomes in patients with diseases of the digestive tract has not been widely researched. Thus, our aims were 1) To observe and compare prospectively clinical outcomes in relation to psychological co-morbidity in patients with inflammatory bowel disease (IBD), irritable bowel syndrome (IBS) and chronic hepatitis C (HCV) and, 2) To test the hypothesis that patients with psychological co-morbidities are less likely to have a satisfactory response to standard treatment at 12 months. Methods: Overall, 139 patients were enrolled in this observational cohort prospective study. Over the ensuing year, …
Psychological Problems In Gastroenterology Outpatients: A South Australian Experience. Psychological Co-Morbidity In Ibd, Ibs And Hepatitis C, Antonina A. Mikocka-Walus, Deborah Turnbull, Jane M. Andrews, Nicole T. Moulding, Ian G. Wilson, Hugh Aj Harley, David J. Hetzel, Gerald J. Holtmann
Psychological Problems In Gastroenterology Outpatients: A South Australian Experience. Psychological Co-Morbidity In Ibd, Ibs And Hepatitis C, Antonina A. Mikocka-Walus, Deborah Turnbull, Jane M. Andrews, Nicole T. Moulding, Ian G. Wilson, Hugh Aj Harley, David J. Hetzel, Gerald J. Holtmann
Ian G Wilson
Background: In independent studies, IBD, IBS and HCV have each been associated with a substantially increased risk of psychological problems such as depression and anxiety and impairment of quality of life compared to the general healthy population. However, the relative psychological burden for each of these diagnoses is unknown as it has never been compared contemporaneously at one institution. Current local data are therefore needed to enable an evidence-based allocation of limited clinical psychological resources. Methods: Overall, 139 outpatients (64 IBD, 41 HCV, and 34 IBS) were enrolled in this cross-sectional study. The HADS, SCL90, SF-12 and appropriate disease-specific activity …