Patients with IBD, ‘high social risk’ are inadequately screened for mental health

January 31, 2023

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Jordan AA, et al. Poster 012: Do Providers Fail to Recognize Anxiety in Socially Vulnerable Patients with Inflammatory Bowel Disease?; Presented at: Crohn’s and Colitis Congress; January 19-21, 2023; Denver.

Jordan reports no relevant financial disclosures.

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DENVER – Depression was associated with higher social risk among people with inflammatory bowel disease and was largely influenced by socioeconomic and minority status, according to data from the Crohn’s and Colitis Congress.

“Like their chronic disease counterparts, patients with IBD have higher rates of anxiety and depression than the general population,” Ariel A. Jordan, MD, An internist at the University of Michigan told Helio. “We are increasingly recognizing IBD as a chronic disease affecting patients from diverse backgrounds, significantly affected by social determinants of health.”

Ariel Jordan Quotes

In a retrospective study, Jordan and colleagues evaluated the relationship between social determinants of health, the CDC’s Social Vulnerability Index (SVI), and comorbid depression or anxiety among 14,920 patients with IBD.

The researchers reported lower rates of screening for both depression (17% vs. 9.9%) and anxiety (9.2% vs. 5.8%) in patients with high social risk compared with low social risk. Of the 8,089 patients included in the regression model, 21% had anxiety and 20% depression, with a reported mean SVI of 0.36.

Study results showed that patients with depression (AOR = 1.37; 95% CI, 1.09-1.71) compared to patients with anxiety (AOR = 0.89; 95% CI, 0.71-1.11) had higher socioeconomic status. showed higher overall SVI compared to (aOR = 7.81). ; 95% CI, 1.29-2.47) and minority/language subdomains (aOR = 1.26; 95% CI, 1.02-1.55) among risk social determinants.

Although anxiety was not associated with increased social risk, it was higher among individuals with higher scores on the minority/language subdomain (aOR = 1.45; 95% CI, 1.19–1.77).

“Our big takeaway is that it appears that patients with high social risk are not being screened [for mental health] So are patients with low social risk, which is unfortunate because all IBD patients should have an annual mental health screening,” Jordan said. “I think this is the first step for data providers to remove barriers and biases around mental health screening and awareness.”

He added, “Ultimately, we hope this work will bring patients at high societal risk to the forefront with unique challenges beyond their IBD, so we as providers can work to ensure all patients are receiving equal health care.”

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