Journal Article Annotations
2021, 3rd Quarter
Annotations by Ashwini Nadkarni, MD
Depression and fatigue are persistent symptoms in patients with IBD and often refractory to intervention. Yoga has been shown to be effective for the treatment of such symptoms in other medical conditions. In this systematic literature review, the investigators identified forty trials of patients with IBD and somatic symptom disorders. They conclude that yoga can improve quality of life in people with IBD who have depression and fatigue.
Strength and weaknesses:
To reliably measure replicable effects in yoga trials and promote yoga as a reliable therapeutic option for patients with IBD, standardized modules are required. No IBD-specific yoga protocol has been established. Additionally, while this review did include several large, randomized controlled trials, most of the articles examined were smaller, case-control studies. Finally, the studies examined did not assess patients with active IBD symptoms.
Fatigue is a symptom that often results in referrals from gastroenterology to C-L psychiatry but also overlaps with symptoms of depression. This article is an invaluable reference for psychiatrists who are treating IBD patients with fatigue and depression.