title: Unrevealed Depression Involves Dysfunctional Coping Strategies in Crohn's Disease Patients in Clinical Remission.
abstract: Background and Aims. This study investigated the proportion of CD patients in clinical remission with clinical depression, and coping strategies in those with severe depressive disorders. Materials and Methods. One hundred consecutive CD patients in clinical remission were screened for anxiety and depression by using Hospital Anxiety and Depression Scale and patients with depressive symptoms were further investigated by means of Cognitive Behavioural Assessment 2.0 and Beck Depression Inventory (BDI). Afterwards the coping strategies were assessed through the Brief-COPE questionnaire. Results. Twenty-one patients had anxious symptoms and 16 had depressive symptoms with or without anxiety. Seven of these patients (43.8%) showed significant depressive symptoms. Compared to patients without psychiatric disorders, these patients showed significant lower score in "positive reframing" (p: 0.017) and in "planning" (p: 0.046) and higher score in "use of instrumental social support" (p < 0.001), in "denial" scale (p: 0.001), and in "use of emotional social support" (p: 0.003). Conclusions. Depressed CD patients in clinical remission may have dysfunctional coping strategies, meaning that they may not be able to implement functional strategies to manage at best stress related with their disease.
authors.affiliation: Psychiatry Unit, Department of Biomedical and Clinical Sciences, L. Sacco University Hospital, Via G.B. Grassi 74, 20157 Milan, Italy.
authors.forename: Caterina
authors.initials: C
authors.lastname: Viganò
authors.affiliation: Psychiatry Unit, Department of Biomedical and Clinical Sciences, L. Sacco University Hospital, Via G.B. Grassi 74, 20157 Milan, Italy.
authors.forename: Roberta
authors.initials: R
authors.lastname: Calzolari
authors.affiliation: Psychiatry Unit, Department of Biomedical and Clinical Sciences, L. Sacco University Hospital, Via G.B. Grassi 74, 20157 Milan, Italy.
authors.forename: Paola Marianna
authors.initials: PM
authors.lastname: Marinaccio
authors.affiliation: Gastroenterology Unit, Department of Biomedical and Clinical Sciences, L. Sacco University Hospital, Via G.B. Grassi 74, 20157 Milan, Italy.
authors.forename: Cristina
authors.initials: C
authors.lastname: Bezzio
authors.affiliation: Gastroenterology Unit, Department of Biomedical and Clinical Sciences, L. Sacco University Hospital, Via G.B. Grassi 74, 20157 Milan, Italy.
authors.forename: Federica
authors.initials: F
authors.lastname: Furfaro
authors.affiliation: Psychiatry Unit, Department of Biomedical and Clinical Sciences, L. Sacco University Hospital, Via G.B. Grassi 74, 20157 Milan, Italy.
authors.forename: Gabriella
authors.initials: G
authors.lastname: Ba
authors.affiliation: Gastroenterology Unit, Department of Biomedical and Clinical Sciences, L. Sacco University Hospital, Via G.B. Grassi 74, 20157 Milan, Italy.
authors.forename: Giovanni
authors.initials: G
authors.lastname: Maconi
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