S Roos1, A Kärner, C Hallert. 1. Department of Welfare and Care, Faculty of Health Sciences, Linköping University, S-601 74 Norrköping, Sweden.
Abstract
BACKGROUND: Adults with longstanding coeliac disease generally report reduced quality of life. Uncertainty remains whether this is a sign of depression, thought to be a feature of the disorder. AIM: To assess the psychological well-being in adults with long-treated coeliac disease. PATIENTS AND METHODS: Fifty-one coeliac disease adults (59% women) aged 45-64 years diagnosed in 1984-1988 and showing evidence of remission 8-12 years later were examined by the Psychological General Well-being index. One hundred and eighty-two (57% women) adults of same age served as population controls. RESULTS: The coeliac disease patients showed no more signs of anxiety, depressed mood or distress than the controls as assessed by the Psychological General Well-being index, 103 (95% confidence interval (95% CI)=99-107) versus 103 (95% CI=100-106). However, unlike controls, the coeliac disease women showed a significantly lower Psychological General Well-being index than the coeliac disease men, 97 (95% CI=91-103) versus 111 (95% CI=106-117) (P<0.003). CONCLUSION: Long-treated adult coeliac disease patients showed no difference in psychological well-being to population controls, suggesting that signs of depressed mood is no feature of well-treated coeliac disease. The observation that coeliac disease women living in Sweden experience poorer outcome of treatment than coeliac disease men is a cause of concern and calls for further studies.
BACKGROUND: Adults with longstanding coeliac disease generally report reduced quality of life. Uncertainty remains whether this is a sign of depression, thought to be a feature of the disorder. AIM: To assess the psychological well-being in adults with long-treated coeliac disease. PATIENTS AND METHODS: Fifty-one coeliac disease adults (59% women) aged 45-64 years diagnosed in 1984-1988 and showing evidence of remission 8-12 years later were examined by the Psychological General Well-being index. One hundred and eighty-two (57% women) adults of same age served as population controls. RESULTS: The coeliac disease patients showed no more signs of anxiety, depressed mood or distress than the controls as assessed by the Psychological General Well-being index, 103 (95% confidence interval (95% CI)=99-107) versus 103 (95% CI=100-106). However, unlike controls, the coeliac disease women showed a significantly lower Psychological General Well-being index than the coeliac disease men, 97 (95% CI=91-103) versus 111 (95% CI=106-117) (P<0.003). CONCLUSION: Long-treated adult coeliac disease patients showed no difference in psychological well-being to population controls, suggesting that signs of depressed mood is no feature of well-treated coeliac disease. The observation that coeliac disease women living in Sweden experience poorer outcome of treatment than coeliac disease men is a cause of concern and calls for further studies.
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