Psychological support counselling improves gluten-free diet compliance in coeliac patients with affective disorders.
Aliment Pharmacol Ther
; 20(7): 777-82, 2004 Oct 01.
Article
em En
| MEDLINE
| ID: mdl-15379838
ABSTRACT
BACKGROUND:
Anxiety and depression are common features of coeliac disease. Depression is cause of non-compliance to treatment in chronic illness.AIM:
To evaluate the useful of psychological support counselling to improve affective disorders and gluten-free diet adherence in coeliac disease with anxiety and depression.METHODS:
A total of 66 coeliac disease patients with state anxiety and current depression were enrolled. Patients were randomized in two groups in group A psychological support was started at the beginning of gluten-free diet, while group B was free of psychological support. Both groups were followed every 2 weeks for 6 months. State and Trait Anxiety Inventory test Y-1 and the modified Zung self-rating depression scale were administered before (T0) and after 6 months of gluten-free diet (T1).RESULTS:
At T1 no difference was found between groups in the percentage of state anxiety, while a significant lower percentage of depressed subjects was found in group A with respect to group B (15.1% vs. 78.8%; P=0.001). In the follow-up period, a significant lower compliance to gluten-free diet was found in group B with respect to group A (39.4% vs. 9.1%; P=0.02).CONCLUSIONS:
In coeliac disease patients with affective disorders psychological support seems to be able to reduce depression and to increase gluten-free diet compliance.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Transtornos de Ansiedade
/
Doença Celíaca
/
Transtorno Depressivo
Tipo de estudo:
Clinical_trials
Limite:
Adult
/
Female
/
Humans
/
Male
Idioma:
En
Revista:
Aliment Pharmacol Ther
Assunto da revista:
FARMACOLOGIA
/
GASTROENTEROLOGIA
/
TERAPIA POR MEDICAMENTOS
Ano de publicação:
2004
Tipo de documento:
Article
País de afiliação:
Itália