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Associations between executive functioning and adherence in pediatric celiac disease.

作者信息

Sady Maegan D, Coburn Shayna S, Kramer Zachary, Streisand Randi, Kahn Ilana

机构信息

(current institution) Psychological Assessment Resources, Inc.

(prior, sponsor institution) Children's National Hospital, Washington, D.C.

出版信息

Child Health Care. 2025 Jul-Sep;54(3):296-310. doi: 10.1080/02739615.2023.2259291. Epub 2023 Sep 21.


DOI:10.1080/02739615.2023.2259291
PMID:40893587
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12396579/
Abstract

A strict gluten-free diet is the only treatment for celiac disease (CD), yet dietary adherence can be challenging for youth and may be impacted by the youth's executive functioning and attentional abilities. This study aimed to investigate whether attention and executive functioning (EF) were associated with dietary adherence in children with CD. Parents of 34 children (child age M(SD)=13.01(3.88), 56% female) from a multidisciplinary CD clinic completed ratings of attention and EF and dietary adherence. Parent-reported adherence was negatively correlated with behavioral regulation ( = -.52, < .01, = .27, 95% confidence interval (CI) [-.73, -.22]) and cognitive regulation ( = -.48, < .01, = .23, 95% CI [-.71, -.17]), with an interaction by age ( = .01, adjusted = .35, -0.15, 95% CI [-0.29, -0.07]) for behavior regulation. Youth who were rated as less adherent by their parents were rated as having more problems with behavioral (e.g., inhibition and self-monitoring) and cognitive regulation (e.g., planning, organization), and adolescents with lower parent-rated adherence were rated as having more problems with behavioral regulation in particular. Executive functioning deficits are an important treatment consideration for CD, particularly during adolescence.

摘要

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本文引用的文献

[1]
Review article: Becoming and being coeliac-special considerations for childhood, adolescence and beyond.

Aliment Pharmacol Ther. 2022-7

[2]
Challenges of Monitoring the Gluten-Free Diet Adherence in the Management and Follow-Up of Patients with Celiac Disease.

Nutrients. 2021-6-30

[3]
Celiac Dietary Adherence Test and Standardized Dietician Evaluation in Assessment of Adherence to a Gluten-Free Diet in Patients with Celiac Disease.

Nutrients. 2020-7-31

[4]
Executive functioning in pediatric cystic fibrosis: A preliminary study and conceptual model.

Pediatr Pulmonol. 2020-1-17

[5]
Psychiatric Manifestations of Coeliac Disease, a Systematic Review and Meta-Analysis.

Nutrients. 2020-1-4

[6]
Mental Health Disorders and Psychosocial Distress in Pediatric Celiac Disease.

J Pediatr Gastroenterol Nutr. 2020-5

[7]
Psychological Needs and Services in a Pediatric Multidisciplinary Celiac Disease Clinic.

J Clin Psychol Med Settings. 2020-9

[8]
Impact of attention deficit hyperactivity disorder on metabolic control in adolescents with type1 diabetes.

J Psychosom Res. 2019-8-25

[9]
Psychological Comorbidities in Childhood Celiac Disease: A Systematic Review.

J Pediatr Gastroenterol Nutr. 2019-8

[10]
Attention-Deficit Hyperactivity Disorder in Pediatric Patients With Type 1 Diabetes Mellitus: Clinical Outcomes and Diabetes Control.

J Dev Behav Pediatr. 2019-6

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