Research Article

The Effect of Antidepressants on the Course of Inflammatory Bowel Disease

Table 3

Effect of antidepressant or SSRI use on subsequent IBD activity based on univariate cox regression analysis.

Glucocorticosteroid prescription or flare of disease activityEscalation of Medical Therapy in Response to Uncontrolled Disease ActivityHospitalisation due to Disease ActivityIntestinal resection
Hazard ratio  
(95 CI)
P valueHazard ratio  
(95 CI)
P valueHazard ratio
(95 CI)
P valueHazard ratio  
(95 CI)
P value

Antidepressant use:  
all patients
0.76
(0.47-1.22)
0.250.59
(0.35-1.00)
0.050.59
(0.231.50)
0.261.15
(0.373.53)
0.81

Antidepressant use: normal anxiety and depression scores at baseline 0.77
(0.38-1.54)
0.770.72
(0.36-1.44)
0.351.01
(0.352.93)
0.982.15
(0.558.50)
0.27

Antidepressant use: abnormal anxiety or depression scores at baseline 0.63
(0.32-1.23)
0.170.47
(0.21-1.05)
0.070.20
(0.031.57)
0.130.37
(0.053.04)
0.36

SSRI use: all patients 0.74
(0.41-1.31)
0.300.47
(0.24-0.93)
0.030.35
(0.081.46)
0.150.86
(0.193.85)
0.84

SSRI use: normal anxiety and depression scores at baseline 0.76
(0.31-1.91)
0.560.49
(0.18-1.37)
0.180.87
(0.203.75)
0.862.39
(0.4712.2)
0.29

SSRI use: abnormal anxiety or depression scores at baseline 0.58
(0.27-1.26)
0.170.43
(0.17-1.11)
0.080.03
(0.0010.1)
0.240.03
(0.0073.9)
0.39