Evidence map›Paper›PMID 41487772›Full record

ArticleCureus2025

Inflammatory Bowel Disease and Mental Health: The Complex Relationship Between Gut and Brain.

Talal Zahid, Sohail Wahid, Salman Idrees Bhutta, Mohamed Bashir, Vikram Kumar, Mohamed Abdelfattah, Omar Saafan, Ali Javeed, Abdul Hadi Hasan, Neil Russel Dsouza and 1 more

Abstract read
In one paragraph

Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Talal ZahidInternal Medicine, Faisalabad Medical University, Faisalabad, PAK.
Sohail WahidGastroenterology, Gomal Medical College, Dera Ismail Khan, PAK.
Salman Idrees BhuttaGastroenterology, Aberdeen Royal Infirmary Hospital NHS, Aberdeen, GBR.
Mohamed BashirInternal Medicine, Scarborough General Hospital, Scarborough, GBR.
Vikram KumarInternal Medicine, Liaquat University of Medical and Health Sciences, Jamshoro, PAK.
Mohamed AbdelfattahInternal Medicine, Scarborough General Hospital, Scarborough, GBR.
Omar SaafanInternal Medicine, York and Scarborough Teaching Hospitals HNS Foundation Trust, Scarborough, GBR.
Ali JaveedInternal Medicine, York and Scarborough Teaching Hospitals NHS Foundation Trust, Scarborough, GBR.
Abdul Hadi HasanInternal Medicine, York and Scarborough Teaching Hospitals NHS Foundation Trust, Scarborough, GBR.
Neil Russel DsouzaInternal Medicine, Scarborough General Hospital, Scarborough, GBR.
Fatima AliGeneral Medicine, Scarborough General Hospital, Scarborough, GBR.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe study sought to determine the association between IBD severity and mental health impact as measured by anxiety, depression, and QOL in our Pakistani patients. DESIGN AND

methodsA cross-sectional study was conducted with 400 IBD patients from clinics and community healthcare centres in Faisalabad, Dera Ismail Khan, and Karachi. Data were collected using the Short IBD Questionnaire (SIBDQ) and Hospital Anxiety and Depression Scale (HADS). Spearman correlations, chi-square tests, Mann-Whitney U, Kruskal-Wallis, and multiple regression analyses (SPSS v26) were performed.

resultsOf 400 participants, 240 (60%) were female, and most were aged 25-34 years (126, 31%). A total of 190 (47%) scored ≥11 on the HADS, indicating clinically significant anxiety or depression. SIBDQ and HADS scores were negatively correlated (ρ = -0.33, 95% CI -0.40 to -0.26, p < 0.001). Multiple regression showed that higher HADS scores were predicted by greater disease severity (B = 0.19, 95% CI 0.08-0.29, p = 0.001), female gender (B = 0.89, 95% CI 0.25-1.53, p = 0.007), younger age (B = -0.21, 95% CI -0.37 to -0.05, p = 0.011), disease activity (B = 0.44, 95% CI 0.14-0.74, p = 0.004), IBD type (B = 0.53, 95% CI 0.16-0.90, p = 0.006), and family history (B = 0.69, 95% CI 0.08-1.30, p = 0.026). Patients with severe IBD had the highest rates of clinically significant anxiety or depression (62% vs 43% in moderate and 10% in normal; χ²(4) = 81.9, p < 0.001). Females and younger participants reported greater disease severity and mental health burden (p < 0.01).

conclusionsAnxiety and depression are prevalent among Pakistani IBD patients, particularly in women, younger adults, and those with severe disease. These findings highlight the need for integrated gastroenterology-psychiatry care with routine mental health screening and psychosocial support to improve long-term outcomes and quality of life.

Indexed as

anxietydepressiongut heathinflammatory bowel diseasequality of life

Identifiers

PMID41487772
PMCPMC12757812

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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.