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Psychological support counselling improves gluten-free diet compliance in coeliac patients with affective disorders
Article first published online: 8 SEP 2004
DOI: 10.1111/j.1365-2036.2004.02193.x
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How to Cite
Addolorato, G., De Lorenzi, G., Abenavoli, L., Leggio, L., Capristo, E. and Gasbarrini, G. (2004), Psychological support counselling improves gluten-free diet compliance in coeliac patients with affective disorders. Alimentary Pharmacology & Therapeutics, 20: 777–782. doi: 10.1111/j.1365-2036.2004.02193.x
Publication History
- Issue published online: 16 SEP 2004
- Article first published online: 8 SEP 2004
- Accepted for publication 25 July 2004
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Summary
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.