title: Gut feelings 2. Mind, mood and gut in inflammatory bowel disease: approaches to psychiatric care.
abstract: OBJECTIVE
  The authors aim to provide a clinically-focused summary of psychiatric complications of inflammatory bowel disease (IBD), and give treatment recommendations.A narrative review of literature drawn from PubMed and Medline.
  
  
  CONCLUSIONS
  IBD is a chronic, debilitating and potentially body integrity altering condition with significant morbidity and a slight increase in mortality. Co-morbidity with anxiety and depression is common. Onset in the younger years can disturb development. Psychotherapy may be most useful for addressing fatigue, pain and assisting with coping. There is a lack of evidence to guide treatment of depression in this population.
authors.affiliation: Psychiatry Advanced Trainee, Gastroenterology and Hepatology Unit, Canberra Hospital, Garran, ACT, and; Academic Unit of Psychiatry and Addiction Medicine, Australian National University Medical School, Garran, ACT, Australia philip.keightley@act.gov.au.
authors.forename: Philip
authors.initials: P
authors.lastname: Keightley
authors.affiliation: Senior Specialist, Gastroenterology and Hepatology Unit, Canberra Hospital, Garran, ACT, and; Professor, Australian National University Medical School, Canberra, ACT, Australia.
authors.forename: Paul
authors.initials: P
authors.lastname: Pavli
authors.affiliation: Clinical Nurse Consultant Inflammatory Bowel Disease, Gastroenterology and Hepatology Unit, Canberra Hospital, Garran, ACT, Australia.
authors.forename: Jan
authors.initials: J
authors.lastname: Platten
authors.affiliation: Associate Professor and Senior Staff Specialist Neuropsychiatrist, Deputy Head, Academic Unit Psychiatry and Addiction Medicine, Australian National University Medical School, Garran, ACT, Australia.
authors.forename: Jeffrey Cl
authors.initials: JC
authors.lastname: Looi
mesh_terms: D015897:Comorbidity; D006801:Humans; D015212:Inflammatory Bowel Diseases / Q000453:epidemiology / Q000628:therapy*; D001523:Mental Disorders / Q000453:epidemiology / Q000628:therapy*
keywords: Crohn’s disease; depression; inflammatory bowel disease; mental health; psychiatry; ulcerative colitis