Title: Assessment of emotional status, selected personality traits and depression in young adults with celiac disease
- Andrea Horvath-Stolarczyk, Krystyna Sidor, Piotr Dziechciarz, Jolanta Siemińska
- Contemporary Pediatrics, Gastroenterology, Hepatology and Child Feeding
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- celiac disease, emotional disorders, behavioral disorders, depression
Background and aim: It is assumed that untreated celiac disease (CD) can lead to various emotional and beha-vioral disorders. However there is still very limited data on impact of silent CD on psychoemotional status of affected patients. The aim of this study was to evaluate the level of anger, anxiety, curiosity and depression and to distinguish between state and trait forms in young adults with silent CD.
Material and methods: Fourgroupsof patients underwentevaluation: 1) 30 young asymptomatic celiacs (17-31 y, mean - 21 y, 19 F, 11 M) who abandoned gluten free diet (GFD) for the period longer than 3 y (CN gro-up); 2) 34 young adults (17-32 y, mean - 21 y, 23 F, 11 M) with CD diagnosed before the age of 6, on the long term GFD (CC group); 3) 18 subjects (18-28 y, mean - 22 y, 12 F, 6 M) affected with ulcerative coli-tis in remission, (UC group); 4) 30 healthy control volunteers (17-32 y, mean - 21 y, 20 F, 10 M) (HC group). All subjects were given the Spielberg's State - Trait Personality Inventory. Depression was assessed using the Beck's Depression Inventory. Studenfs t-test for independent variables was used and a P value less or equal to <0.05 was considered significant.
Results: Both groups of CD subjects showed a significant higher state of anxiety compared to healthy con-trols but notto patients affected with UC. No significant difference was found between untreated and trea-ted CD patients. No significant difference was found in anxiety trait between the studied groups. No significant difference was found in the curiosity state and the curiosity trait between all groups as well. No significant difference in anger trait was found between the studied groups. However anger trait was present in a higher level in untreated CD patients only with respect to CD patients on GFD. No depression syndrome was observed in all studied patients. Howeverthere was significant decrease in the mood in both groups of CD subjects compared to healthy controls. Mood of patients on GFD were significantly higher than in untreated CD patients and UC subjects.
Conclusion: In young adults with untreated silent CD anxiety is present in a predominantly reactive form. No other major emotional and behavioral disturbances were disclosed in studied groups regardless of compliance with GFD. Higher level of trait anger could be responsible for abandoning GFD.