Quality of life of Moroccan patients with celiac disease: Arabic translation, cross-cultural adaptation, and validation of the celiac disease questionnaire

Guennouni, Morad; Admou, Brahim; Elkhoudri, Noureddine; Bouchrit, Sara; Rami, Adil Ait; Bourrahouat, Aïcha; Krati, K.; Hilali, Abderraouf

doi:10.1016/j.ajg.2022.06.009

Cited by 5 publications

(6 citation statements)

References 35 publications

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“…It is imperative to advise celiac patients who do not follow a strict GFD that they can have several health problems as a consequence of untreated CD, such as anaemia, cancer, malnutrition, osteopenia, and infertility, among others [81][82][83]. Our findings demonstrate that, in contrast to studies conducted in Poland and Morocco [8,36], where compliance with a GFD did not affect patients' QoL, the Portuguese had a perception of QoL that was worsened in several respects. In the Polish study, the authors mentioned that it could be explained by the potential absence of gastrointestinal symptoms in non-adherent individuals [8].…”

Section: Discussioncontrasting

confidence: 58%

“…CDQ was first applied in Germany [11] and later translated and applied in other countries, such as Italy [6], Spain [29], France [30], Turkey [28], the United States [31], Brazil [12], India [32], Poland [8], Iran [33], Australia [34], Argentina [35], Morocco [36], Hungary [37], among others. In Portugal, a study translated the CDQ into Portuguese and validated it [38], but no recent national data on CD quality of life exists.…”

Section: Introductionmentioning

confidence: 99%

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Quality of Life Perception among Portuguese Celiac Patients: A Cross-Sectional Study Using the Celiac Disease Questionnaire (CDQ)

et al. 2023

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The aim of this study is to assess Portuguese celiac patients’ quality of life (QoL) perception. A cross-sectional study was performed with a non-probability convenience sample of Portuguese celiac patients using an online self-administered celiac disease quality of life questionnaire (CDQ), previously validated for the Portuguese population. The final sample comprised 234 celiac patients, which included the following: primarily women (69.2%); aged between 18 and 49 years old (56.4%); with a partner (60.6%); with a high educational level (58.9%—graduated or post-graduated); following a gluten-free diet (GFD) (55.1%); and not using antidepressants (93.1%). The Portuguese CDQ presented good reliability and responsiveness in this sample of Portuguese celiac patients. In general, the CDQ in Portugal was affected by age at diagnosis (p = 0.017), educational level (p = 0.005), and compliance with GFD (p = 0.034). The emotion domain was affected only by using antidepressants (p = 0.036). The social domain was affected by gender (females had lower rates, p = 0.016), age at diagnosis (p = 0.009), educational level (p = 0.000), and compliance with a GFD (p = 0.002). The worries domain did not differ according to socioeconomic data. The symptoms domain was affected by compliance with GFD (p = 0.000), age at diagnosis (p = 0.000), and educational level (p = 0.014). Data on celiac QoL is essential to support the formulation and implementation of strategies to minimize the issues suffered by celiac patients, lowering their physical, emotional, and social burden. Additionally, data on Portuguese celiac disease patients using the CDQ will allow future comparative research among celiac populations from different countries.

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Section: Discussioncontrasting

confidence: 58%

Section: Introductionmentioning

confidence: 99%

Quality of Life Perception among Portuguese Celiac Patients: A Cross-Sectional Study Using the Celiac Disease Questionnaire (CDQ)

et al. 2023

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“…Concerning the domains in the included instruments, a total of fifteen domains were observed when all instruments were analyzed together Clique ou toque aqui para inserir o texto ( 14 , 17 , 21 , 27 , 32 , 34 , 52 ). Figure 4 graphically represents the domains of the seven instruments included, it also represents intersections between domains with similar nomenclatures/subjects in different questionnaires.…”

Section: Resultsmentioning

confidence: 99%

“…Throughout various studies conducted in different countries, the CDQ was used for measuring HRQOL in its original version, developed and validated in Germany ( 17 ), and has also been translated, culturally adapted, and validated to a diverse range of populations. The adapted versions were applied to populations in Italy ( 25 , 26 , 46 ), Portugal ( 28 , 53 ), France ( 29 , 51 ), Turkey, Brazil ( 21 , 45 ), Poland ( 9 ), Iran ( 38 ), Argentina ( 43 ), Morocco ( 52 ), and Spain ( 50 ). Furthermore, the original CDQ was employed in studies conducted in Germany ( 17 ), Italy ( 23 ), Poland ( 9 ), Australia ( 40 ), Hungary ( 47 ), UK ( 8 ).…”

Section: Specific Instruments To Assess Qolmentioning

confidence: 99%

Enhancing life with celiac disease: unveiling effective tools for assessing health-related quality of life

Falcomer,

de Lima,

Farage

et al. 2024

Front. Immunol.

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Celiac disease (CD) is an autoimmune chronic enteropathy provoked by gluten ingestion in genetically predisposed individuals. Considering it´s only safe treatment is a lifelong gluten-free diet, the burden of living with the disease becomes evident, as well as the need to assess CD health-related quality of life (HRQOL). This review aims to identify and analyze the instruments used to evaluate the HRQOL of adults with CD. This integrative review using a systematic approach was designed to achieve high scientific standards. Accordingly, the search strategy was developed and executed as recommended by the guideline of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement. Detailed individual searches were developed to Pubmed, Science Direct, Scopus, Web of Science, and Google Scholar. After careful analysis of the papers, 43 studies were included, in which seven instruments were identified: Celiac Disease Questionnaire (CDQ) (n=21), Celiac Disease Specific Quality of Life Instrument (CD-QOL) (n=17), Celiac Disease Assessment Questionnaire (CDAQ) (n=4), CeliacQ-7 (n=1), CeliacQ-27 (n=1), Black and Orfila´s self-developed instrument (n=1) and the Coeliac Disease Quality of Life Questionnaire (CDQL) (n=1). The CDQ and CD-QOL were the two most applied instruments. Since the first focuses on the physical and mental symptoms related to the disease and the second focuses on the emotional repercussions of adhering to the GFD treatment for life (dysphoria), the CDQ application is an interesting option for countries that struggle with public policies for CD patients and patients with active CD. The CD-QOL could be used for countries with strict regulations for CD and gluten-free products and populations in remission. When comparing results among different populations, it is preferable to utilize culturally validated instruments, which have been applied across multiple countries, providing greater comparability between study findings.

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“…Studies have explored CD patients' QoL perceptions using generic and specific questionnaires developed for celiac patients (13)(14)(15)(16)(17)(18)(19)(20)(21)(22). The use of a specific questionnaire is important to comprehend aspects related to the celiacs' QoL, mental health, well-being, and the economic and social aspects caused by this chronic condition and their lifelong dietary and lifestyle changes (11,23).…”

Section: Introductionmentioning

confidence: 99%

Health-related quality of life among celiacs in Portugal: a comparison between general and specific questionnaires

Chaves,

Zandonadi,

Raposo

et al. 2024

Front. Immunol.

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ObjectiveThis study aimed to compare the 36-Item Short Form Survey Instrument version 2 (SF-36-v2) (generic) and Celiac Disease Questionnaire (CDQ) (specific) questionnaires used to evaluate the quality of life (QoL) in celiac Portuguese adult individuals.MethodsThis cross-sectional study used non-probabilistic sampling based on Portuguese celiac patients who accessed the online survey in 2022. The online data collection used a self-reported instrument composed of three parts: (i) socioeconomic, health, and gluten-free diet (GFD) adherence questions; (ii) SF-36 v2 – Portuguese version (generic questionnaire) and (iii) Celiac Disease Questionnaire (CDQ) (specific questionnaire).ResultsA total of 234 individuals who accessed the survey completed the questionnaire. Seven of the eight SF-36 domains positively correlated to the specific questionnaire CDQ. The “General Health” domain (domain 4) showed a negative correlation with the CDQ. Differences in content between the two instruments might be able to explain this finding since the CDQ explores issues regarding the specificities of celiac disease (CD) and the lifelong GFD burden. About half of the sample from this study displayed poor diet adherence, it is possible that the SF-36 could not reflect the impact of CD treatment - the complete elimination of gluten from the diet - on patients’ health. Therefore, this issue should be carefully evaluated in future research.ConclusionSpecific validated questionnaires for CD individuals, such as the CDQ, contemplate social, economic, and clinical variables that permeate the patient’s life context. Therefore, these instruments may be more suitable for evaluating QoL in this public. However, using a general questionnaire such as the SF-36 would be indicated for comparing QOL between celiac patients and the general population or even between CD and other disease individuals. In this case, we recommend assessing GFD compliance for control parallelly.

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Quality of life of Moroccan patients with celiac disease: Arabic translation, cross-cultural adaptation, and validation of the celiac disease questionnaire

Cited by 5 publications

References 35 publications

Quality of Life Perception among Portuguese Celiac Patients: A Cross-Sectional Study Using the Celiac Disease Questionnaire (CDQ)

Quality of Life Perception among Portuguese Celiac Patients: A Cross-Sectional Study Using the Celiac Disease Questionnaire (CDQ)

Enhancing life with celiac disease: unveiling effective tools for assessing health-related quality of life

Health-related quality of life among celiacs in Portugal: a comparison between general and specific questionnaires

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