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Does Improving Depression Symptoms in Young Adults With Inflammatory Bowel Disease Alter Their Microbiome?
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Davies, Julie M.
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Univ Queensland, Mater Res, 37 Kent St, Woolloongabba, Qld, Australia Univ Queensland, Mater Res, 37 Kent St, Woolloongabba, Qld, Australia

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Ewais, Tatjana
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Mater Adolescent & Young Adult Hlth Clin, South Brisbane, Qld, Australia
Univ Queensland, Sch Med, St Lucia, Qld, Australia
Griffith Univ, Sch Med & Dent, Gold Coast Campus, Southport, Qld, Australia Univ Queensland, Mater Res, 37 Kent St, Woolloongabba, Qld, Australia

Begun, Jakob
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Univ Queensland, Mater Res, 37 Kent St, Woolloongabba, Qld, Australia
Mater Hosp Brisbane, Dept Gastroenterol, South Brisbane, Australia Univ Queensland, Mater Res, 37 Kent St, Woolloongabba, Qld, Australia
机构:
[1] Univ Queensland, Mater Res, 37 Kent St, Woolloongabba, Qld, Australia
[2] Univ Queensland, Frazer Inst, Woolloongabba, Qld, Australia
[3] Mater Adolescent & Young Adult Hlth Clin, South Brisbane, Qld, Australia
[4] Univ Queensland, Sch Med, St Lucia, Qld, Australia
[5] Griffith Univ, Sch Med & Dent, Gold Coast Campus, Southport, Qld, Australia
[6] Mater Hosp Brisbane, Dept Gastroenterol, South Brisbane, Australia
关键词:
microbiome;
inflammatory bowel disease;
depression;
anxiety;
adolescents and young adults (AYA);
GUT MICROBIOTA;
ANXIETY;
ASSOCIATION;
PREVALENCE;
RECURRENCE;
DRUGS;
D O I:
10.1093/ibd/izae121
中图分类号:
R57 [消化系及腹部疾病];
学科分类号:
摘要:
Background Patients with inflammatory bowel diseases (IBDs) are more likely to have depression and anxiety symptoms compared with healthy individuals and those with other chronic illnesses. Previous studies have shown a link between the microbiome composition and depression symptoms; however, many antidepressant medications have antibacterial activity confounding cross-sectional studies of these populations. Therefore, we aimed to determine whether we could detect longitudinal changes in the microbiome of a subset of patients who participated in a previously published mindfulness-based cognitive therapy (MBCT) study to improve depression symptoms in adolescents and young adults with IBD.Methods Stool samples were collected at baseline and 8 weeks (n = 24 participants, 37 total samples, 13 paired samples). During this time, some participants achieved a 50% reduction in their depression symptoms either through MBCT or treatment as usual with their mental health team (responders). The microbiome composition and function of responders were compared with participants who did not improve their depression scores (nonresponders). Depression scores were determined using the depression, anxiety, and stress score (DASS-21), and metagenomic sequencing of stool samples was performed.Results No difference in alpha diversity was found between responders and nonresponders. Beta diversity measures were similarly unchanged. Clinical features including fecal calprotectin, C-reactive protein, and serum IL-6 levels were unchanged.Conclusions In this small longitudinal study, we were not able to detect longitudinal changes in the microbiome associated with improvement in depression scores. Follow-up studies that are sufficiently powered to detect changes in the microbiome are required to confirm our results. In a small cohort of young adults with inflammatory bowel disease and depression symptoms, we observed no significant longitudinal changes in their microbiome following improvement in their depression scores.
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页码:2428 / 2439
页数:12
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