Sa1994 Barriers to Compliance to Gluten-Free Diet in Celiac Disease: The Role of Depression and Motivation

Weiss, Guy A.; Lackner, Jeffrey M.; Keller, Craig E.; Gudleski, Gregory D.; Hauck, Cliff; Sitrin, Michael D.

doi:10.1016/s0016-5085(14)61263-4

Cited by 3 publications

(9 citation statements)

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“…Following title and abstract screening, 84 papers were retained for full-text screening, which resulted in 8 studies (reported in 9 papers) being included in the meta-analysis (Arigo, Anskis, & Smyth, 2012;Edwards-George et al, 2009;Kerswell & Strodl, 2015;Mahadev, Gardner, Lewis, Lebwohl, & Green, 2015;Nachman et al, 2009;Nachman et al, 2010;Sainsbury, Mullan, & Sharpe, 2013a, 2013bWeiss et al, 2013). All 8 studies measured depressive symptoms; no studies that measured clinically diagnosable depression and met other criteria were identified.…”

Section: Study Selectionmentioning

confidence: 99%

“…Studies were published between 2009 and 2015, and included between 53 and 390 CD patients (total N=1644; median=188). Four studies were conducted in the USA (Arigo et al, 2012;Edwards-George et al, 2009;Mahadev et al, 2015;Weiss et al, 2013), three in Australia (Kerswell & Strodl, 2015;Sainsbury et al, 2013aSainsbury et al, , 2013b, and one in Argentina (one study published in two papers; Nachman et al, 2009;Nachman et al, 2010). Females were over-represented in all samples (median=83.4% female; range=76.6-100%).…”

Section: Study Characteristicsmentioning

confidence: 99%

“…Seven studies used a cross-sectional design (Arigo et al, 2012;Edwards-George et al, 2009;Kerswell & Strodl, 2015;Mahadev et al, 2015;Sainsbury et al, 2013aSainsbury et al, , 2013bWeiss et al, 2013).…”

Section: Study Characteristicsmentioning

confidence: 99%

“…Five studies measured GFD adherence using the CDAT (Kerswell & Strodl, 2015;Mahadev et al, 2015;Sainsbury et al, 2013aSainsbury et al, , 2013bWeiss et al, 2013), two used a dietitian-rated assessment Nachman et al, 2009;Nachman et al, 2010), and one used the adapted Morisky adherence scale (Arigo et al, 2012). When reported, the mean scores for GFD adherence indicated that, on average, participants were highly adherent (Arigo et al, 2012;Edwards-George et al, 2009;Mahadev et al, 2015;Sainsbury et al, 2013aSainsbury et al, , 2013b.…”

Section: Gfd Adherence and Depressive Symptomsmentioning

confidence: 99%

“…The Depression Anxiety Stress Scale was the most commonly used self-reported depression rating scale (Kerswell & Strodl, 2015;Sainsbury et al, 2013aSainsbury et al, , 2013bWeiss et al, 2013). Other measures included the Beck Depression Inventory Nachman et al, 2009;Nachman et al, 2010), the Depressed Mood subscale of the Psychological General Wellbeing Inventory (Mahadev et al, 2015), and the Centre for Disease Studies Depression Scale (Arigo et al, 2012).…”

Section: Gfd Adherence and Depressive Symptomsmentioning

confidence: 99%

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The relationship between gluten free diet adherence and depressive symptoms in adults with coeliac disease: A systematic review with meta-analysis

Sainsbury

Marques

2018

Appetite

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Conflicts of interest: none Funding: none 2The relationship between gluten free diet adherence and depressive symptoms in adults with coeliac disease: A systematic review with meta-analysis ABSTRACT Purpose: Depressive symptoms are common in patients with coeliac disease (CD) and may represent a barrier to gluten free diet (GFD) adherence. The aims of this meta-analysis were: (1) to synthesise the evidence on the relationship between depression or depressive symptoms and degree of adherence to a GFD in patients with CD who are already attempting a GFD (i.e., post-diagnosis and onset of GFD), and (2) to summarise the direction of causation of any observed relationship. Methods:A random effects meta-analysis of 8 cross-sectional studies (N=1644) was conducted.Included studies measured self-reported depressive symptoms and GFD adherence using either a dietitian interview or validated self-report questionnaire that considered unintentional gluten consumption.Results: There was a moderate association between poorer GFD adherence and greater depressive symptoms (r=0.398, 95% CI=0.321-0.469), with marked heterogeneity in the effects (I 2 =66.8%). A sensitivity analysis excluding studies with a moderate/high (k=1) or unclear risk of bias (k=1) did not change the results. Conclusion:The low number of studies meeting inclusion criteria limits the strength of the conclusions. Available evidence suggests there is an association between poorer GFD adherence and self-reported depressive symptoms; however, studies using longitudinal and prospective designs, and reliable measures, particularly for adherence, are needed to confirm this association. The direction of causation between depression and adherence remains unclear.

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Section: Study Selectionmentioning

confidence: 99%

Section: Study Characteristicsmentioning

confidence: 99%

Section: Study Characteristicsmentioning

confidence: 99%

Section: Gfd Adherence and Depressive Symptomsmentioning

confidence: 99%

Section: Gfd Adherence and Depressive Symptomsmentioning

confidence: 99%

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The relationship between gluten free diet adherence and depressive symptoms in adults with coeliac disease: A systematic review with meta-analysis

Sainsbury

Marques

2018

Appetite

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From Classical to Non-classical Celiac Disease

Bar

Shor

Weiss

2020

Diagnosis and Management of Gluten-Associated Disorders

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The Gluten-Free Diet in the 3rd Millennium: Rules, Risks and Opportunities

Welstead

2015

Diseases

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The gluten-free diet has long been considered the standard treatment for celiac disease. However, a significant number of patients continue to experience persistent symptoms despite following a gluten-free diet. Inadvertent gluten ingestion, fermentable carbohydrates, cross-contamination, and social or financial burdens present obstacles to maintaining a gluten-free diet. Proper diet education and follow-up by an expert Registered Dietitian (RD) is essential to ensure adequate nutrition on the gluten-free diet. Patients may experience unintended weight gain or elevated cholesterol levels after initiating the gluten-free diet due to adequate absorption and healing of the intestines. This review deals with the evolving gluten-free diet, optimal recommendations while considering the overall health of patients, and multi-factorial aspects of the permanent lifestyle change.

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Sa1994 Barriers to Compliance to Gluten-Free Diet in Celiac Disease: The Role of Depression and Motivation

Cited by 3 publications

References 0 publications

The relationship between gluten free diet adherence and depressive symptoms in adults with coeliac disease: A systematic review with meta-analysis

The relationship between gluten free diet adherence and depressive symptoms in adults with coeliac disease: A systematic review with meta-analysis

From Classical to Non-classical Celiac Disease

The Gluten-Free Diet in the 3rd Millennium: Rules, Risks and Opportunities

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