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Depressive and Anxiety Disorders in Patients with Inflammatory Bowel Diseases: Are There Any Gender Differences?

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  • Elia Fracas

    (Department of Pathophysiology and Transplantation, University of Milan, 20122 Milan, Italy)

  • Andrea Costantino

    (Department of Pathophysiology and Transplantation, University of Milan, 20122 Milan, Italy
    Division of Gastroenterology and Endoscopy, Foundation IRCCS Ca’ Granda Ospedale Maggiore Policlinico, 20122 Milan, Italy)

  • Maurizio Vecchi

    (Department of Pathophysiology and Transplantation, University of Milan, 20122 Milan, Italy
    Division of Gastroenterology and Endoscopy, Foundation IRCCS Ca’ Granda Ospedale Maggiore Policlinico, 20122 Milan, Italy)

  • Massimiliano Buoli

    (Department of Pathophysiology and Transplantation, University of Milan, 20122 Milan, Italy
    Department of Neurosciences and Mental Health, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, 20122 Milan, Italy)

Abstract

Gender differences were identified in the frequency and clinical presentations of inflammatory bowel disease (IBD) and depressive and anxiety disorders, which are more common in IBD patients than in the general population. The present manuscript provides a critical overview of gender differences in the frequency and clinical course of mood and anxiety disorders in IBD patients, with the aim of helping clinicians provide individualized management for patients. All of the included studies found that IBD patients reported a higher frequency of depressive and anxiety disorders than the general population. These findings should encourage healthcare providers to employ validated tools to monitor the mental health of their IBD patients, such as the Patient Health Questionnaire (PHQ-9). In addition, most studies confirm that women with IBD are more likely than men to develop affective disorders and show that up to 65% of women with IBD have depressive and anxiety disorders. Women with IBD require close mental health monitoring and ultimately a multidisciplinary approach involving mental health professionals. Drug treatment in women should be individualized and medications that may affect mental health (e.g., corticosteroids) should be thoroughly reconsidered. Further data are needed to ensure individualized treatment for IBD patients in a framework of precision medicine.

Suggested Citation

  • Elia Fracas & Andrea Costantino & Maurizio Vecchi & Massimiliano Buoli, 2023. "Depressive and Anxiety Disorders in Patients with Inflammatory Bowel Diseases: Are There Any Gender Differences?," IJERPH, MDPI, vol. 20(13), pages 1-12, June.
    • Handle: RePEc:gam:jijerp:v:20:y:2023:i:13:p:6255-:d:1183004
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    References listed on IDEAS

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    1. Valérie Pittet & Carla Vaucher & Florian Froehlich & Bernard Burnand & Pierre Michetti & Michel H Maillard & On behalf of the Swiss IBD Cohort Study Group, 2017. "Patient self-reported concerns in inflammatory bowel diseases: A gender-specific subjective quality-of-life indicator," PLOS ONE, Public Library of Science, vol. 12(2), pages 1-16, February.
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