TY - JOUR
T1 - Beyond Depression and Anxiety in IBD
T2 - Forging a Path Towards Emotional Healing
AU - Chester, Maia A.
AU - Keefer, Laurie
N1 - Publisher Copyright:
© 2024 Wolters Kluwer Health. All rights reserved.
PY - 2024
Y1 - 2024
N2 - Inflammatory Bowel Diseases (IBD) are chronic, often debilitating diseases characterized by inflammation of the digestive tract. IBDs affect up to 1% of the world's population and tend to be diagnosed in the second and third decades of life. In addition to physical burdens, IBDs have significant psychological manifestations stemming from bidirectional inflammatory and coping pathways and thus, are best understood from a biopsychosocial perspective. Though previous IBD literature has predominantly focused on traditional psychological comorbidities, such as anxiety and depression, recent studies have uncovered adjustment disorders, post-traumatic stress, and disordered eating as prevalent manifestations of the disease. This review will summarize the rates and postulated biopsychosocial mechanisms underlying these conditions to frame how cultivating resilience can protect against IBD symptoms and help forge a path towards emotional healing. We will also provide guidance to aid clinicians in screening for thes conditions and creating a trauma-informed healthcare environment.
AB - Inflammatory Bowel Diseases (IBD) are chronic, often debilitating diseases characterized by inflammation of the digestive tract. IBDs affect up to 1% of the world's population and tend to be diagnosed in the second and third decades of life. In addition to physical burdens, IBDs have significant psychological manifestations stemming from bidirectional inflammatory and coping pathways and thus, are best understood from a biopsychosocial perspective. Though previous IBD literature has predominantly focused on traditional psychological comorbidities, such as anxiety and depression, recent studies have uncovered adjustment disorders, post-traumatic stress, and disordered eating as prevalent manifestations of the disease. This review will summarize the rates and postulated biopsychosocial mechanisms underlying these conditions to frame how cultivating resilience can protect against IBD symptoms and help forge a path towards emotional healing. We will also provide guidance to aid clinicians in screening for thes conditions and creating a trauma-informed healthcare environment.
KW - Anxiety
KW - brain-gut behavior therapies
KW - depression
KW - emotional healing
KW - IBD
KW - medical trauma
UR - http://www.scopus.com/inward/record.url?scp=85207727558&partnerID=8YFLogxK
U2 - 10.14309/ajg.0000000000003125
DO - 10.14309/ajg.0000000000003125
M3 - Review article
C2 - 39382574
AN - SCOPUS:85207727558
SN - 0002-9270
JO - American Journal of Gastroenterology
JF - American Journal of Gastroenterology
M1 - 10.14309/ajg.0000000000003125
ER -