Acta gastro-enterologica Belgica · 2016
Impact of gluten-free diet on quality of life in celiac patients.
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Borghini R, Di Tola M, Salvi E, Isonne C, Puzzono M, Marino M, Donato G, Picarelli A
Аннотация
BACKGROUND AND AIM: Celiac disease (CD) is a common gluten-related disorder, whose only treatment is a gluten-free diet (GFD). Since a unique view on psychological consequences of a GFD still lacks, our aim was to assess the quality of life (QoL) and the depression state in symptomatic CD patients after GFD. Socio-demographic features were considered.
PATIENTS AND METHODS: 210 adult CD patients were recruited and divided into 3 groups : 70 newly diagnosed patients (Group A),70 patients who have been on GFD for 6-12 months (Group B), and 70 patients who have been on GFD for more than 12 months (Group C). We recruited 210 healthy controls (Group D). Psychological General Well-Being Index (PGWBI) and Beck Depression Inventory (BDI) questionnaires were administered. Each group was evaluated according to age, gender and school ranking.
RESULTS: Groups A and B showed lower PGWBI scores compared with both Group C and D (p <0.001 for each comparison). Moreover, Groups A and B showed higher BDI scores compared with both Group C and D (p <0.001 for each comparison).Women, the elderly and the poorly educated seemed to suffer more psychological stress.
CONCLUSION: GFD induces an improvement of well-being and a decrease of depression state after 12 months of strict GFD. Negative psychological implications were observed only in specific risk categories. (Acta gastroenterol. belg., 2016, 79, 447-453).
PATIENTS AND METHODS: 210 adult CD patients were recruited and divided into 3 groups : 70 newly diagnosed patients (Group A),70 patients who have been on GFD for 6-12 months (Group B), and 70 patients who have been on GFD for more than 12 months (Group C). We recruited 210 healthy controls (Group D). Psychological General Well-Being Index (PGWBI) and Beck Depression Inventory (BDI) questionnaires were administered. Each group was evaluated according to age, gender and school ranking.
RESULTS: Groups A and B showed lower PGWBI scores compared with both Group C and D (p <0.001 for each comparison). Moreover, Groups A and B showed higher BDI scores compared with both Group C and D (p <0.001 for each comparison).Women, the elderly and the poorly educated seemed to suffer more psychological stress.
CONCLUSION: GFD induces an improvement of well-being and a decrease of depression state after 12 months of strict GFD. Negative psychological implications were observed only in specific risk categories. (Acta gastroenterol. belg., 2016, 79, 447-453).