Risk of Mental Health Conditions in Children and Young Adults With Inflammatory Bowel Disease and Influence on Health
NCT ID: NCT05206734
Last Updated: 2025-06-15
Study Results
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View full resultsBasic Information
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COMPLETED
19469 participants
OBSERVATIONAL
2022-01-05
2023-08-15
Brief Summary
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Detailed Description
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Stream 1 primary objective is to compare the prevalence and cumulative incidence of mental health conditions in children, adolescents and young adults (aged 5-25 years) with a diagnosis of Inflammatory Bowel Disease (IBD), compared to matched population controls without a diagnosis of IBD. The secondary objective is to determine the severity of mental health outcomes in those with and without a diagnosis of IBD.
Stream 2 primary objective is to determine the impact of mental health conditions in children, adolescents and young adults (aged 5-25 years) diagnosed with IBD on quality-of-life indicators, such as records for absence from work or school, unemployment, sleep disturbance and substance abuse.
The secondary objectives are to compare indicators of IBD severity, such as medication use, surgical intervention, nutritional supplement prescriptions and markers of nutritional status including underweight or growth retardation,and healthcare resource utilisation.These impacts and indicators will be assessed using participants that have been diagnosed with IBD, comparing those with the presence of a mental health condition to those without a mental health condition.
Conditions
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Study Design
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COHORT
RETROSPECTIVE
Study Groups
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IBD Cases
All incident cases of Inflammatory Bowel Disease (IBD); comprising of Ulcerative Colitis, Crohn's Disease and IBD Unclassified in children, adolescents and young adults up to their 25th birthday. Cases will be defined based on an algorithm using diagnostic codes from the electronic medical record (EMR).
No specific intervention
Observational analysis of usual care only.
Matched Controls
People without a diagnosis in their electronic medical record (ERM) of Inflammatory Bowel Disease, matched on age group, sex, ethnicity (consistent with UK census categories: White, Asian, Black, Mixed, Other), index of multiple deprivation based on postcode, and by practice where numbers allow.
No specific intervention
Observational analysis of usual care only.
IBD cases with mental health condition
A subset of the IBD cases comprising of those participants with the presence of a mental health condition at the same date as their IBD diagnosis. Mental health defined by the diagnosis of any of depression (recurrent depressive disorder or depressive episode), non-phobia-related anxiety disorder (AD), eating disorders, body image disorder, attention-deficit disorder, behavioural disorders, adjustment disorder, acute stress disorder, schizophrenia, bipolar disorder or post-traumatic stress disorder
No specific intervention
Observational analysis of usual care only.
IBD cases without mental health condition
A subset of the IBD cases comprising of those participants with the absence of a mental health condition at the same date as their IBD diagnosis. Mental health defined by the diagnosis of any of depression (recurrent depressive disorder or depressive episode), non-phobia-related anxiety disorder (AD), eating disorders, body image disorder, attention-deficit disorder, behavioural disorders, adjustment disorder, acute stress disorder, schizophrenia, bipolar disorder or post-traumatic stress disorder
No specific intervention
Observational analysis of usual care only.
Interventions
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No specific intervention
Observational analysis of usual care only.
Eligibility Criteria
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Inclusion Criteria
* Registration with a general practices (GP) contributing routinely collected electronic healthcare data to the Optimum Patient Care Research Database (OPCRD) for more than 6 months during the follow up period
* A recorded diagnosis of IBD in the clinical record (cases)
Exclusion Criteria
5 Years
25 Years
ALL
Yes
Sponsors
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Optimum Patient Care
OTHER
Momentum Data
INDUSTRY
Responsible Party
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Principal Investigators
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Andrew McGovern, MD
Role: PRINCIPAL_INVESTIGATOR
Momentum Data
Locations
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Momentum Data Ltd
London, , United Kingdom
Countries
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References
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Cooney R, Barrett K, Russell RK. Impact of mental health comorbidity in children and young adults with inflammatory bowel disease: a UK population-based cohort study. BMJ Open. 2024 Feb 28;14(2):e080408. doi: 10.1136/bmjopen-2023-080408.
Cooney R, Tang D, Barrett K, Russell RK. Children and Young Adults With Inflammatory Bowel Disease Have an Increased Incidence and Risk of Developing Mental Health Conditions: A UK Population-Based Cohort Study. Inflamm Bowel Dis. 2024 Aug 1;30(8):1264-1273. doi: 10.1093/ibd/izad169.
Provided Documents
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Document Type: Study Protocol and Statistical Analysis Plan
Other Identifiers
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P043
Identifier Type: -
Identifier Source: org_study_id
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