Comparasion of Psychiatric Features and Family Functioning in Adolescents with Celiac and Healthy Adolescents
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Date
2018
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Abstract
Objective Celiac disease (CD); is a small intestinal disease that occurs in congenital predisposing individuals at any age. Psychiatric problems may be more prevalant in celiac patients. The aim of this study is to compare psychiatric problems and family functioning through controls in patients with celiac disease and to analyze the relation between these data and adherence to celiac diet. ( Sakarya Med J 2018, 8(4):720-725 ) Material and Methods A total of 35 adolescents aged 12-18 years with a diagnosis of celiac disease were included in the study at Tepecik education and research hospital and Celal Bayar University Pediatric Gastroenterology Clinics for at least 6 months. Our study was planned as case control study. Patients age, gender, diagnosis symptoms, socioeconomic status, celiac diet compliance, Marsh stages were recorded. Height and weight measurements were made in the outpatient clinic and celiac serology test was taken. Fourty seven patients who were referred to our pediatric outpatient clinics without known chronic disease were taken as a control. Beck depression inventory, strength difficulties questionnaire, family assessment device were performed. Results When study and control groups were compared through beck depression inventory, those with celiac disease had statistically significantly higher scores than healthy control group. It was found that adolescents diagnosed with celiac suffer from more difficulties in emotional and social areas when study and control groups were compared through strengths and difficulties questionnaire. Conclusion Psychiatric problems and depression are often more common in children with CD than without CD, and contribute to a decline in quality of life. For this reason, psychosocial support may be important in treatment of celiac.