Research Article

The Effect of Antidepressants on the Course of Inflammatory Bowel Disease

Table 1

Baseline demographic, disease-related, and psychological characteristics of patients with IBD according to use of antidepressants.

Prescribed Antidepressants at Baseline (n = 54) Not prescribed Antidepressants at Baseline (n = 288) P value

Mean age in years (SD) 47.1 (13.8)39.6 (16.2)0.001

Mean duration of follow-up in days (SD) for each endpoint
Glucocorticosteroid prescription or flare of disease activity648.3 (409)502.9 (361.8)0.02
Escalation of medical therapy in response to uncontrolled disease activity664.0 (399.1)531.0 (345.3)0.03
Hospitalisation due to disease activity (%)841.4 (284.1)733.2 (252.1)0.01
Intestinal resection (%)861.4 (265.6)770.7 (218.1)0.02

Female gender () 47 (87.0)158 (54.9)<0.001

Caucasian ethnicity () 51 (96.2)267 (93.7)0.47

Married or co-habiting () 27 (50.9)165 (58.3)0.32

University/postgraduate () 16 (29.6)102 (36.0)0.37

Mean BMI (SD) 28.0 (6.2)25.6 (5.3)0.01

Tobacco user () 14 (25.9)48 (16.8)0.11

Alcohol user () 31 (57.4)200 (69.9)0.07

Crohn’s disease () 20 (37.0)118 (41.0)0.59

5-ASA use () 27 (50.0)124 (43.1)0.35

Immunosuppressant use () 16 (29.6)117 (40.6)0.13

Biologic use () 6 (11.1)63 (21.9)0.07

Glucocorticosteroid use () 5 (9.3)26 (9.0)0.96

HBI/SCCAI <5 () 23 (45.1)159 (58.7)0.07

HADS anxiety scores at baseline ()
Normal16 (29.6)167 (58.6)
Borderline abnormal10 (18.5)10 (18.5)
Abnormal28 (51.9)69 (24.2)<0.001

HADS depression scores at baseline ()
Normal29 (53.7)230 (80.1)
Borderline abnormal11 (20.4)35 (12.2)
Abnormal14 (25.9)22 (7.7)<0.001

PHQ-15 somatisation scores at baseline ()
Mild0 (0)50 (18.8)
Low8 (15.7)83 (31.2)
Medium20 (39.2)78 (29.3)
High23 (45.1)55 (20.7)<0.001

Independent samples t-test for continuous data and χ2 for comparison of categorical data.