Case control study on health-related quality of life in adult coeliac disease

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

“…While symptom severity at diagnosis using this type of measure has been linked to reduced QOL (18), current symptom severity probably represents a better predictor of QOL, as well as having the advantage of potentially being modifiable for intervention purposes. Here the measure of current symptom severity was specific to symptoms experienced when consuming gluten post GFD onset, and was not related to QOL.…”

“…Gastrointestinal symptom severity was operationalised in two ways: current symptom severity represented the severity of symptoms when consuming gluten since initiation of the GFD, while consistent with a previous study (18), past symptom severity reflected the number of symptoms from a list of common CD symptoms that were endorsed as having been experienced prior to diagnosis. QOL was assessed using the overall QOL item ("How would you rate your quality of life?")…”

Psychological morbidity of celiac disease: A review of the literature

“…43 Finally, Roos et al showed similar psychological well-being in long-treated celiac patients and healthy controls. 16 Poor dietary adherence was associated with a poor QoL 8,10 but whether one causes the other remains unknown, and consequently it is unclear which is the cause and which the effect. A recent long-term longitudinal study suggested that subsequent deterioration in QoL was associated with a lack of dietary adherence.…”

Measuring beliefs about gluten free diet adherence in adult coeliac disease using the theory of planned behaviour

“…Sociodemographic variables such as age, gender, education, and socioeconomic status do not appear to be related to adherence levels (Hall et al, 2009). Numerous studies have also demonstrated a link between poorer GFD adherence and lower quality of life (QOL) in CD (e.g., Casellas et al, 2008;Hauser, Stallmach, Caspary, & Stein, 2007;Usai et al, 2002).…”