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Full-Text Articles in Medicine and Health Sciences
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, …
Controversies Surrounding The Comorbidity Of Depression And Anxiety In Inflammatory Bowel Disease Patients: A Literature Review, Antonina Mikocka-Walus, Deborah Turnbull, Nicole Moulding, Ian Wilson, Jane Andrews, Gerald Holtmann
Controversies Surrounding The Comorbidity Of Depression And Anxiety In Inflammatory Bowel Disease Patients: A Literature Review, Antonina Mikocka-Walus, Deborah Turnbull, Nicole Moulding, Ian Wilson, Jane Andrews, Gerald Holtmann
Ian G Wilson
Psychological disorders are highly prevalent in patients with inflammatory bowel disease (IBD). Anxiety and depression are known to independently affect quality of life and may additionally impair quality of life in IBD over and above the IBD itself. Some researchers have further proposed that anxiety and depression may influence the clinical course of IBD. However, despite the potential for anxiety and depression to play an important role in the clinical picture of IBD, there is little prospective well-controlled research in this area. Probably because of this lack of clear data, researchers dispute the actual role of these psychological disorders in …
A 5-Year Follow-Up Of General Practice Patients Experiencing Depression, Ian Wilson, Katherine Duszynski, Andrea Mant
A 5-Year Follow-Up Of General Practice Patients Experiencing Depression, Ian Wilson, Katherine Duszynski, Andrea Mant
Ian G Wilson
Background. Depression is a common disease in primary care and produces significant morbidity in the community. Little is known about the outcomes of depression in general practice. Objectives. This research set out to explore both the longitudinal management and outcomes of depression as seen in general practice. Methods. The Medic-GP database is a collection of the medical records of 50 000 people seen in nine Australian general practices. It was used to follow the management of depressed patients over 4-5 years. Records from 1994-1995 were searched for depression or similar words. Individual records of patients whose notes mentioned depression were …
"It Doesn't Do Any Harm, But Patients Feel Better": A Qualitative Exploratory Study On Gastroenterologists' Perspectives On The Role Of Antidepressants In Inflammatory Bowel Disease, Antonina Mikocka-Walus, Deborah Turnbull, Nicole Moulding, Ian Wilson, Jane Andrews, Gerald Holtmann
"It Doesn't Do Any Harm, But Patients Feel Better": A Qualitative Exploratory Study On Gastroenterologists' Perspectives On The Role Of Antidepressants In Inflammatory Bowel Disease, Antonina Mikocka-Walus, Deborah Turnbull, Nicole Moulding, Ian Wilson, Jane Andrews, Gerald Holtmann
Ian G Wilson
Background: Interest in psychological factors in patients with inflammatory bowel disease (IBD) has increased in recent years. It has even been proposed that treating psychological co-morbidities with antidepressants may control disease activity and improve quality of life. Despite this, there is no data on gastroenterologists' attitudes to, and experiences with, antidepressant therapy in patients with IBD. Methods: We conducted semi-structured interviews with 18 gastroenterologists associated with metropolitan teaching hospitals. Qualitative content analysis was used to examine their responses. Results: Seventy-eight percent of gastroenterologists had treated IBD patients with antidepressants for pain, depression and/or anxiety, and insomnia. Antidepressants were reported to …
Helping Families Of Patients With A Mental Illness., Ian Wilson
Helping Families Of Patients With A Mental Illness., Ian Wilson
Ian G Wilson
BACKGROUND: Families with a mentally ill member face a number of difficulties and issues. OBJECTIVE: This paper follows on from an earlier paper which examined the impact of mental illness on family members. Here the author explores some of the ethical and procedural difficulties in dealing with families and offers simple suggestions to general practitioners to help patients and families. DISCUSSION: Family members often approach GPs for help when a relative develops a mental illness. Generally family members will seek information and help, not only to deal with their own distress, but to help in dealing with the patient's actions …
Psychological Comorbidity And Complexity Of Gastrointestinal Symptoms In Clinically Diagnosed Irritable Bowel Syndrome Patients, Antonina Mikocka-Walus, Deborah Turnbull, Nicole Moulding, Ian Wilson, Jane Andrews, Gerald Holtmann
Psychological Comorbidity And Complexity Of Gastrointestinal Symptoms In Clinically Diagnosed Irritable Bowel Syndrome Patients, Antonina Mikocka-Walus, Deborah Turnbull, Nicole Moulding, Ian Wilson, Jane Andrews, Gerald Holtmann
Ian G Wilson
Background and Aim: The prevalence of psychological disorders is high in patients with irritable bowel syndrome (IBS) but their role in symptom reporting is uncertain. It is thus interesting whether the number of functional gastrointestinal disorders (FGID) determines the load of psychological comorbidity. The Rome III criteria have not been used to evaluate such a relationship as yet. Moreover, not many studies have examined the sensitivity of the Rome III criteria in detecting IBS. Our aims were therefore: (i) to determine whether those IBS participants with more FGID had a tendency to greater psychological comorbidity than those with fewer FGID; …