Esenyel Selcen, Unal Fatih, Vural Pınar
Department of Child and Adolescents Psychiatry, Siirt Maternity and Children Hospital, Siirt, Turkey.
Turk J Gastroenterol. 2014 Aug;25(4):381-5. doi: 10.5152/tjg.2014.4831.
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.
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.
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.
The depression and anxiety levels of pediatric celiac patients and their parents did not differ from those in the healthy group.
背景/目的:早期研究表明,乳糜泻与成人和儿童的某些精神障碍之间存在正相关。本研究的目的是探讨儿科乳糜泻患儿及其家庭在采用无麸质饮食后的饮食依从性以及抑郁和焦虑水平。
本研究共纳入30例乳糜泻儿科患者(17名儿童[57%]和13名青少年[43%]),并将20名健康对照者(11名儿童[55%]和9名青少年[45%])作为对照组进行研究。采用儿童抑郁量表(CDI)评估抑郁情况,采用儿童焦虑相关障碍筛查量表(SCARED)评估焦虑情况。通过饮食依从性表格测量饮食依从性,并要求家庭填写贝克抑郁量表(BDI)评估抑郁情况,填写状态-特质焦虑量表I-II(STAI-I和STAI-II)评估焦虑情况。
采用无麸质饮食的儿科乳糜泻患者与健康对照组在抑郁和焦虑方面无显著差异。我们观察到乳糜泻CD组患者在抑郁和焦虑方面也无差异。研究组的饮食依从性为73.3%。
儿科乳糜泻患者及其父母的抑郁和焦虑水平与健康组无差异。