Risk Factors for Depression Identified in Adolescent IBD

Article excerpt

SALT LAKE CITY -- Watch for signs of depression in adolescents with inflammatory bowel disease, especially if they are older, have more severe disease, are on steroids, or report family conflict, Dr. Eva Szigethy said.

A study of 141 adolescents with Crohn's disease and 52 with ulcerative colitis seen in a pediatric gastroenterology clinic used a slew of assessment tools to measure disease severity, screen for depression, and assess psychosocial factors in the patients' lives. A total of 43 patients with a Child Depression Inventory score of 9 or greater (suggesting increased risk for depression) underwent a comprehensive psychiatric evaluation using the Kiddie Schedule for Affective Disorders and Schizophrenia.

Of the 43, 2 had major depression, 14 had minor depression, and 27 had depressive symptoms, Dr. Szigethy said at a poster presentation at the annual meeting of the North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition.

Patients who self-reported poor family functioning, poor personal health, or poor physical functioning were more likely to be depressed. The patients on steroids--especially higher doses--had more depression. Disease severity and older age were risk factors for depression, she and her associates reported. …