{"id":1926,"date":"2011-10-01T01:00:00","date_gmt":"2011-10-01T00:00:00","guid":{"rendered":"https:\/\/angh.net\/abstracts\/facteurs-associes-a-la-depression-et-a-lanxiete-au-cours-des-maladies-inflammatoires-chroniques-de-lintestin-etude-derivee-de-lenquete-isseo\/"},"modified":"2018-10-20T18:40:01","modified_gmt":"2018-10-20T16:40:01","slug":"facteurs-associes-a-la-depression-et-a-lanxiete-au-cours-des-maladies-inflammatoires-chroniques-de-lintestin-etude-derivee-de-lenquete-isseo","status":"publish","type":"post","link":"https:\/\/angh.net\/abstracts\/facteurs-associes-a-la-depression-et-a-lanxiete-au-cours-des-maladies-inflammatoires-chroniques-de-lintestin-etude-derivee-de-lenquete-isseo\/","title":{"rendered":"Facteurs associ\u00e9s \u00e0 la d\u00e9pression et \u00e0 l’anxi\u00e9t\u00e9 au cours des maladies inflammatoires chroniques de l’intestin: \u00e9tude d\u00e9riv\u00e9e de l’enqu\u00eate ISSEO"},"content":{"rendered":"

2011<\/strong><\/p>\n

St\u00e9phane Nahon (1), Pierre Lahmek (1, 2), Christelle Durance (3), Alain Olympie (3), Bruno Lesgourgues (1), Jean-Pierre Gendre (3), Jean-Fr\u00e9d\u00e9ric Colombel (3, 4)
\n1)Centre Hospitalier Le Raincy-Montfermeil, 2)Centre Hospitalier Emile Roux, AP-HP, 3)Association Fran\u00e7ois Aupetit, 4)CHRU de Lille<\/em><\/p>\n

Gastroent\u00e9rologie <\/strong>– \u00a02011-05-13 –\u00a0CO –<\/p>\n

________________________________<\/p>\n

But : Au cours des maladies chroniques, la d\u00e9pression et l’anxi\u00e9t\u00e9 peuvent \u00eatre la cons\u00e9quence de la maladie elle-m\u00eame et de facteurs psycho-sociaux. Le but de ce travail \u00e9tait d’\u00e9tudier les caract\u00e9ristiques de la maladie et les facteurs psycho-sociaux associ\u00e9s \u00e0 l’anxi\u00e9t\u00e9 et \u00e0 la d\u00e9pression dans une large cohorte de malade atteints de MICI. Patients et m\u00e9thodes : de Novembre 2008 \u00e0 juin 2009, 1663 malades atteints de MICI ont r\u00e9pondu \u00e0 un questionnaire concernant les caract\u00e9ristiques de leur maladie, les facteurs socio-\u00e9conomiques et psychologiques associ\u00e9s \u00e0 l’observance th\u00e9rapeutique (observatoire ISSEO). Dans cette pr\u00e9sente \u00e9tude, nous avons \u00e9tudi\u00e9 les caract\u00e9ristiques de la MICI (localisation, s\u00e9v\u00e9rit\u00e9, traitements) et les facteurs psycho-sociaux (statuts professionnel et marital, score de pr\u00e9carit\u00e9 EPICES) associ\u00e9s \u00e0 la d\u00e9pression et \u00e0 l’anxi\u00e9t\u00e9. L’anxi\u00e9t\u00e9 et la d\u00e9pression \u00e9taient \u00e9valu\u00e9es par le questionnaire HAD (Hospital Anxiety and Depression scale).
\nR\u00e9sultats
\nCentre quatre-vingt un malades (11%) \u00e9taient d\u00e9pressifs. Ces malades avaient : une maladie plus s\u00e9v\u00e8re (p=0.007) et un niveau de pr\u00e9carit\u00e9 plus \u00e9lev\u00e9 (p<0.0001) et \u00e9taient plus souvent : en pouss\u00e9e (p<0.0001) et en longue maladie ou invalidit\u00e9 (p<0.0001). Il n'existait pas de diff\u00e9rence concernant le sexe, l'\u00e2ge, la consommation de tabac, le type de MICI, la pr\u00e9sence d'une atteinte ano-p\u00e9rin\u00e9ale, un ant\u00e9c\u00e9dent chirurgical, le type de traitement (cortico\u00efdes, immunosuppresseurs, anti-TNF), l'appartenance \u00e0 une association de malades et l'observance au traitement. Six cent soixante-dix neuf malades (41%) \u00e9taient anxieux. Ces malades \u00e9taient plus souvent : jeunes (p=0.01), de sexe f\u00e9minin (p=0.04), fumeurs (p=0.004), en pouss\u00e9e (p<0.0001), en longue maladie ou invalidit\u00e9 (p<0.0001), moins observants au traitement (p<0.0001), pr\u00e9caires (p<0.0001), trait\u00e9s par cortico\u00efdes (p=0.009). Il n'existait pas de diff\u00e9rence concernant le type de MICI, la pr\u00e9sence d'une atteinte ano-p\u00e9rin\u00e9ale, le traitement par immunosuppresseurs ou anti-TNF et l'appartenance \u00e0 une association de malades.
\nConclusion : l'anxi\u00e9t\u00e9 est fr\u00e9quente au cours des MICI alors que la d\u00e9pression est plus rare. Un encadrement psychologique para\u00eet particuli\u00e8rement utile chez les malades ayant une maladie s\u00e9v\u00e8re et en pouss\u00e9e ainsi que chez ceux en condition de pr\u00e9carit\u00e9 socio-\u00e9conomique.<\/p>\n","protected":false},"excerpt":{"rendered":"

2011 St\u00e9phane Nahon (1), Pierre Lahmek (1, 2), Christelle Durance (3), Alain Olympie (3), Bruno Lesgourgues (1), Jean-Pierre Gendre (3), Jean-Fr\u00e9d\u00e9ric Colombel (3, 4) 1)Centre Hospitalier Le Raincy-Montfermeil, 2)Centre Hospitalier Emile Roux, AP-HP, 3)Association Fran\u00e7ois Aupetit, 4)CHRU de Lille Gastroent\u00e9rologie – \u00a02011-05-13 –\u00a0CO – ________________________________ But : Au cours des maladies chroniques, la d\u00e9pression et […]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[4],"tags":[22],"class_list":["post-1926","post","type-post","status-publish","format-standard","hentry","category-gastroenterologie","tag-22"],"yoast_head":"\nFacteurs associ\u00e9s \u00e0 la d\u00e9pression et \u00e0 l'anxi\u00e9t\u00e9 au cours des maladies inflammatoires chroniques de l'intestin: \u00e9tude d\u00e9riv\u00e9e de l'enqu\u00eate ISSEO - 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