Evidence map›Paper›PMID 30630948›Full record

ArticleGut2019

Inflammatory bowel disease and new-onset psychiatric disorders in pregnancy and post partum: a population-based cohort study.

Simone N Vigod, Paul Kurdyak, Hilary K Brown, Geoffrey C Nguyen, Laura E Targownik, Cynthia H Seow, M Ellen Kuenzig, Eric I Benchimol

Abstract read
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In one paragraph

Article in Gut, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 1 pooled it
5.5field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 1 synthesis or guideline pooled it, 54 citations in OpenAlex.

  1. Pooled it
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  14. Review
  15. Inflammatory bowel disease in pregnancy and breastfeeding.Nature reviews. Gastroenterology & hepatology · 2023
    Review
  16. Article
  17. Review
  18. Sex- and gender-related differences in inflammatory bowel diseases.Frontiers in gastroenterology (Lausanne, Switzerland) · 2023
    Review
  19. Review
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 7 institutions in 1 country.

Simone N VigodWomen's College Hospital and Research Institute, Toronto, Ontario, Canada.
Paul KurdyakDepartment of Psychiatry, University of Toronto, Toronto, Ontario, Canada.
Hilary K BrownICES, Toronto, Ontario, Canada.
Geoffrey C NguyenInstitute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada.
Laura E TargownikUniversity of Manitoba IBD Clinical and Research Centre, Winnipeg, Manitoba, Canada.
Cynthia H SeowDepartment of Medicine, University of Calgary, Calgary, Alberta, Canada.
M Ellen KuenzigICES, Toronto, Ontario, Canada.ORCID 0000-0002-3984-8426
Eric I BenchimolICES, Toronto, Ontario, Canada.ORCID 0000-0001-8855-3598
University of Toronto · CACentre for Addiction and Mental Health · CAChildren's Hospital of Eastern Ontario · CAMount Sinai Hospital · CAUniversity of Calgary · CAUniversity of Manitoba · CAUniversity of Ottawa · CA

Funding

CIHR
6 · The paper itself

Abstract

objectivePatients with inflammatory bowel disease (IBD) have an elevated risk of mental illness. We determined the incidence and correlates of new-onset mental illness associated with IBD during pregnancy and post partum.

designThis cohort study using population-based health administrative data included all women with a singleton live birth in Ontario, Canada (2002-2014). The incidence of new-onset mental illness from conception to 1-year post partum was compared between 3721 women with and 798 908 without IBD, generating adjusted HRs (aHR). Logistic regression was used to identify correlates of new-onset mental illness in the IBD group.

resultsAbout 22.7% of women with IBD had new-onset mental illness versus 20.4% without, corresponding to incidence rates of 150.2 and 132.8 per 1000 patient-years (aHR 1.12, 95% CI 1.05 to 1.20), or one extra case of new-onset mental illness per 43 pregnant women with IBD. The risk was elevated in the post partum (aHR 1.20, 95% CI 1.09 to 1.31), but not during pregnancy, and for Crohn's disease (aHR 1.12, 95% CI 1.02 to 1.23), but not ulcerative colitis. The risk was specifically elevated for a new-onset mood or anxiety disorder (aHR 1.14, 95% CI 1.04 to 1.26) and alcohol or substance use disorders (aHR 2.73, 95% CI 1.42 to 5.26). Predictors of a mental illness diagnosis were maternal age, delivery year, medical comorbidity, number of prenatal visits, family physician obstetrical care and infant mortality.

conclusionWomen with IBD were at an increased risk of new-onset psychiatric diagnosis in the postpartum period, but not during pregnancy. Providers should look to increase opportunities for prevention, early identification and treatment accordingly.

Indexed as

AdultCohort StudiesColitis, UlcerativeCrohn DiseaseFemaleHumansIncidenceInflammatory Bowel DiseasesMental DisordersOntarioPredictive Value of TestsPregnancyPregnancy ComplicationsPrenatal CarePuerperal DisordersSeverity of Illness Indexepidemiologyinflammatory bowel diseasepsychology

Identifiers

PMID30630948
OpenAlexW2908716248

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.