Affective disorders and quality of life in adult coeliac disease patients on a gluten-free diet

Fera, Tiziana; Cascio, Barbara; Angelini, G.; Martini, Silvia; Guidetti, Carla Sategna

doi:10.1097/00042737-200312000-00006

Cited by 135 publications

(151 citation statements)

References 23 publications

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“…Studies have not shown any relationship between the depression complaints observed in CD patients and age, gender, and socio-economic variables (19). According to the literature, there is no relationship between physical symptoms, such as abdominal pain and diarrhea, and depression symptoms (3,21,22). The control group in this study was similar to the study group in terms of age and gender.…”

Section: Esenyel Et Al the Mental Health Of Coeliac Childrenmentioning

confidence: 44%

Depression and anxiety in child and adolescents with follow-up celiac disease and in their families

Esenyel

Ünal²,

Vural³

2014

Turk J Gastroenterol

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Background/Aims: Earlier research has indicated a positive association between Celiac disease and some mental disorders in both adults and children. The aim of this study was to explore the diet compliance and depression and anxiety levels of pediatric celiac children and their families after a gluten-free diet. Materials and Methods: A total of 30 celiac pediatric patients (17 children [57%] and 13 adolescents [43%]) were enrolled in the study, and 20 healthy controls (11 children [55%] and 9 adolescents [45%]) were studied as controls. Depression was assessed with the Children's Depression Inventory (CDI) form, and anxiety was assessed with the Screen for Child Anxiety Related Disorders (SCARED) form. Diet compliance was measured with a diet compliance form, and the families were asked to complete the Beck Depression Measurement (BDI) form for depression and the State-Trait Anxiety Inventory I-II (STAI-I and STAI-II) forms for anxiety. Results: There was no significant difference in depression and anxiety between pediatric celiac patients consuming a gluten-free diet and the healthy control group. We observed no difference in depression and anxiety in the Celiac CD group patients. Diet compliance was 73.3% in the study group. Conclusion: The depression and anxiety levels of pediatric celiac patients and their parents did not differ from those in the healthy group.

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Section: Esenyel Et Al the Mental Health Of Coeliac Childrenmentioning

confidence: 44%

Depression and anxiety in child and adolescents with follow-up celiac disease and in their families

Esenyel

Ünal²,

Vural³

2014

Turk J Gastroenterol

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“…The few studies that address this issue have measured adherence through self-report and/or questionnaires [16,26,31]. However, the questionnaires have not been validated, and self-reporting has been shown to be inaccurate [32]. Conversely, trained nutritionist evaluation shows a high correlation with intestinal biopsy abnormalities [17].…”

Section: Discussionmentioning

confidence: 99%

Factors that Influence Adherence to a Gluten-Free Diet in Adults with Celiac Disease

et al. 2007

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Objective-The only treatment for celiac disease is lifelong adherence to a gluten-free diet, yet adherence is limited and factors influencing adherence are poorly understood. The purpose of this study was to determine factors influencing gluten-free diet adherence in adults with celiac disease.Methods-A questionnaire was developed and administered to 154 adults with celiac disease who then underwent a standardized gluten-free diet evaluation by an experienced nutritionist. Multivariate analysis was conducted to determine factors associated with adherence level.Results-Thirteen factors hypothesized to contribute to gluten-free diet adherence were found to be significantly associated with improved adherence including: understanding of the gluten-free diet, membership of a celiac disease advocacy group, and perceived ability to maintain adherence despite travel or changes in mood or stress (P < 0.001). Conclusions-This study identified specific factors correlated with gluten-free diet adherence. These results provide a foundation for the design of educational interventions to improve adherence. NIH Public Access

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“…While these factors are important for QOL, one area that has received less attention is psychological symptoms and coping, despite higher rates of psychological symptoms within CD patients compared to the general population (16,(31)(32)(33)(34)(35)(36). Two studies found that increased depression and anxiety in CD were correlated with reduced QOL (16,36), while a recent study found that emotion-oriented coping was negatively related to QOL (37). In the broader context, the link between QOL, psychopathology, and coping is well established (38)(39)(40)(41)(42), with depression representing the greatest threat to QOL across a range of populations (38).…”

Section: )mentioning

confidence: 99%

Reduced quality of life in coeliac disease is more strongly associated with depression than gastrointestinal symptoms

Sainsbury

Mullan

Sharpe

2013

Journal of Psychosomatic Research

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Affective disorders and quality of life in adult coeliac disease patients on a gluten-free diet

Abstract: In coeliac disease, affective disorders should be ascribed to difficulties in adjusting to the chronic nature of the disease rather than directly to the disease itself, thus giving an indication for preventive liaison psychiatric interventions.

Cited by 135 publications

References 23 publications

Depression and anxiety in child and adolescents with follow-up celiac disease and in their families

Depression and anxiety in child and adolescents with follow-up celiac disease and in their families

Factors that Influence Adherence to a Gluten-Free Diet in Adults with Celiac Disease

Reduced quality of life in coeliac disease is more strongly associated with depression than gastrointestinal symptoms

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