P227 High prevalence of mental health illness in IBD patients with high caregiver burden in the developing world: An analysis of risk factors from the IBD Emerging Nations Consortium (IBD-ENC)

Abstract Background Mental health is an important yet most neglected part of IBD care more so in developing countries.Left unaddressed, psychological factors can portend worse disease outcomes and poor quality of life. Caregiver burden including QOL and coping strategies have not been evaluated. Methods The study was conducted under IBD ENC (www.ibdenc.com). Consecutive IBD patients from 8 centers in 6 countries (Nepal, Bangladesh, India, Thailand, Myanmar, Malaysia, Iran) were enrolled after informed consent. For patients, a proforma including demographics, disease severity (Harvey Bradshaw Index: HBI- Crohn’s disease (CD), Simple Clinical Colitis Activity Index: SCCAI- Ulcerative Colitis), Morisky medication adherence scale (MMAS-8), Patient Health Questionnaire 9 (PHQ-9) for depression Generalised anxiety disorder 7 (GAD7) for anxiety, Short inflammatory bowel disease questionnaire…