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IBD-related mental health disorders: where do we go from here?
  1. David Augusto Gomez1,
  2. Muhammad Ahmad-Waqar2,
  3. Matthew James Brookes3,4,
  4. Aditi Kumar5
  1. 1 Department of Medicine, Wye Valley NHS Trust, Hereford, UK
  2. 2 Department of Gastroenterology, The Royal Wolverhampton NHS Trust, Wolverhampton, UK
  3. 3 Department of Gastroenterology, New Cross Hospital, Wolverhampton, UK
  4. 4 Research Institute in Healthcare Science (RIHS), University of Wolverhampton, Wolverhampton, UK
  5. 5 Department of Gastroenterology, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK
  1. Correspondence to Dr Aditi Kumar, Department of Gastroenterology, University Hospitals Birmingham NHS Foundation Trust, Birmingham, Birmingham, UK; aditikumar{at}


Inflammatory bowel disease is a complex and debilitating disease which is known to cause mental burden for patients. Even though few studies look at mental health disease in this cohort of patients, there is growing evidence of a correlation between disease activity and prevalence of mental health conditions such as anxiety, depression and post-traumatic stress disorder. In this literature review, the relationship between inflammatory bowel disease and mental health disorders is explored, with an emphasis on recognition, screening and therapeutic options and special considerations for these complex comorbidities. The relationship between medical and psychological disease is not often considered and less well understood and there is a need for further research in these fields. Patients would have much to gain both medically and psychologically from a multidisciplinary approach to this chronic disease association.

  • IBD
  • psychological stress
  • psychology
  • inflammatory bowel disease
  • surgery for IBD

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  • Contributors DAG wrote the main draft of the manuscript with support from MA-W. AK and MJB developed the concept of the study and provided critical revisions of the manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests MJB has received grants and travel expenses from Vifor International, Norgine and Tillotts Pharma, outside of the submitted work. DAG, MA-W and AK have nothing to declare.

  • Provenance and peer review Not commissioned; externally peer reviewed.