Sevinç Eylem, Çetin Fatih Hilmi, Coşkun Banu Demet
Emel Mehmet Tarman Children's Hospital, Department of Pediatric Gastroenterology, Kayseri, Turkey.
Emel Mehmet Tarman Children's Hospital, Department of Child and Adolescent Psychiatry, Kayseri, Turkey.
J Pediatr (Rio J). 2017 May-Jun;93(3):267-273. doi: 10.1016/j.jped.2016.06.012. Epub 2016 Nov 23.
This study aimed to survey children with celiac disease (CD) for psychiatric disorders, determine the possible factors that predict psychopathology, and analyze health-related quality of life and possible factors that could affect the quality of life.
In this study, all children completed the Schedule for Affective Disorders and Schizophrenia for School Age Children - Present and Lifetime Version - Turkish Version (K-SADS-PL-T), as well as the Pediatric Quality of Life Inventory (PedsQL) for the 8-12 age group, and a sentence completion test. A face-to-face interview was performed with the parents of the participants to inform them about the study.
This study included 52 children with celiac disease in the age range of 8-12 years, and 40 healthy children. The mean age of the study group was 10.36±0.36 years, and 31 (59%) of them were females. The mean age of the control group was 10.35±0.46 years and 24 (60%) of them were females. The mean subscale scores of the Pediatric Quality of Life Inventory were significantly lower in children with celiac disease when compared to the control group (p<0.05). There was at least one psychiatric disorder in the 26 (50%) children with celiac disease.
This study has shown once more that celiac disease is associated with some psychiatric signs/diagnoses, and that it decreased quality of life. Further studies are needed to determine the factors that could reduce the psychiatric signs. It is apparent that those studies would contribute new approaches to improve diagnosis, treatment, and quality of life.
本研究旨在调查患有乳糜泻(CD)的儿童的精神障碍情况,确定预测精神病理学的可能因素,并分析健康相关生活质量以及可能影响生活质量的因素。
在本研究中,所有儿童均完成了《学龄儿童情感障碍和精神分裂症量表 - 当前和终生版 - 土耳其语版》(K-SADS-PL-T),以及8 - 12岁年龄组的儿童生活质量量表(PedsQL),并进行了句子完成测试。对参与者的父母进行了面对面访谈,以告知他们有关该研究的情况。
本研究纳入了52名年龄在8 - 12岁的乳糜泻儿童和40名健康儿童。研究组的平均年龄为10.36±0.36岁,其中31名(59%)为女性。对照组的平均年龄为10.35±0.46岁,其中24名(60%)为女性。与对照组相比,乳糜泻儿童的儿童生活质量量表各子量表平均得分显著更低(p<0.05)。在26名(50%)乳糜泻儿童中至少有一种精神障碍。
本研究再次表明,乳糜泻与一些精神症状/诊断相关,并且它降低了生活质量。需要进一步研究以确定可减少精神症状的因素。显然,这些研究将为改善诊断、治疗和生活质量贡献新的方法。