Evidence map›Paper›PMID 35244961›Full record

ArticleAlimentary pharmacology & therapeutics2022

Antidepressant medication use in Inflammatory Bowel Disease: a nationally representative population-based study.

Nishani Jayasooriya, Jonathan Blackwell, Sonia Saxena, Alex Bottle, Irene Petersen, Hanna Creese, Matthew Hotopf, Richard C G Pollok, POP-IBD study group

Open access · hybridAbstract read
In one paragraph

Article in Alimentary pharmacology & therapeutics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 2 pooled it
4.1field-weighted citation impact, top 5% 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

14 citing papers in PubMed, 2 syntheses or guidelines pooled it, 26 citations in OpenAlex.

  1. Pooled it
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  4. Dissociable control of depression and visceral pain by the pICNeuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2026
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 4 institutions in 2 countries.

Nishani JayasooriyaDepartment of Gastroenterology, St George's Healthcare NHS Trust, St George's University, London, UK.ORCID 0000-0003-1343-2446
Jonathan BlackwellDepartment of Gastroenterology, St George's Healthcare NHS Trust, St George's University, London, UK.ORCID 0000-0003-4278-3720
Sonia SaxenaSchool of Public Health, Imperial College London, London, UK.ORCID 0000-0003-3787-2083
Alex BottleSchool of Public Health, Imperial College London, London, UK.ORCID 0000-0001-9978-2011
Irene PetersenDepartment of Primary Care and Population Health, University College London, London, UK.ORCID 0000-0002-0037-7524
Hanna CreeseSchool of Public Health, Imperial College London, London, UK.ORCID 0000-0003-0431-7753
Matthew HotopfInstitute of Psychiatry Psychology & Neuroscience, King's College London, London, UK.ORCID 0000-0002-3980-4466
Richard C G PollokDepartment of Gastroenterology, St George's Healthcare NHS Trust, St George's University, London, UK.ORCID 0000-0001-6452-6763
POP-IBD study group
Imperial College London · GBSt George's, University of London · GBAarhus University · DKKing's College London · GB

Funding

Wellcome Trust
6 · The paper itself

Abstract

backgroundDespite high rates of depression and anxiety, little is known about the use of antidepressants amongst individuals diagnosed with inflammatory bowel disease (IBD).

aimsTo evaluate temporal trends in the use of antidepressants; rates of antidepressant initiation and adherence of antidepressant use to international guidelines amongst individuals with IBD.

methodsThis is a study of 14,525 incident IBD cases from 2004 to 2016 compared with 58,027 controls matched 1:4 for age and sex from the Clinical Practice Research Datalink. After excluding tricyclic antidepressants, we performed a Cox regression analysis to determine the risk associated with antidepressant use and logistic regression analysis to determine risk associated with antidepressant undertreatment.

resultsAntidepressant use amongst individuals with IBD increased by 51% during the 12-year study period, who were 34% more likely to initiate antidepressants in the year after IBD diagnosis compared with controls (aHR:1.34, 95% CI 1.21-1.49). In those with IBD starting antidepressants, 67% received treatment lasting less than the duration recommended in international guidelines, of which 34% were treated for 1 month or less. 18-24 year olds were twice as likely to discontinue treatment within 1 month compared with those aged 40-60 years (aHR:2.03, 95% CI 1.40-2.95). Socioeconomic deprivation was also associated with early treatment discontinuation (aHR:1.40, 95% CI 1.07-1.83).

conclusionsIn the year following IBD diagnosis individuals are significantly more likely to start antidepressants compared with controls, but treatment duration fell short of recommendations in the majority. Better integration of services may benefit individuals with IBD and psychiatric comorbidity.

Indexed as

Colitis, UlcerativeInflammatory Bowel DiseasesAntidepressive AgentsAnxietyChronic DiseaseComorbidityDepressionHumansAntidepressive Agentsantidepressant medicationantidepressantsanxietyclinical practice research datalinkCrohn’s diseasedepressionincidenceinflammatory bowel diseaseulcerative colitis

Identifiers

PMID35244961
PMCPMC9311162
OpenAlexW4214884215

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.