EMOCIONALNO FUNKCIONISANjE DECE I ADOLESCENATA SA CELIJČNOM BOLEŠĆU
Ključne reči:
Celijakija, deca, gluten, ishrana, depresija.
Sažetak
Cilj istraživanja: Utvrditi da li postoji prisustvo simptoma depresije a samim tim i narušenost emocionalnog funkcionisanja dece sa celijačnom bolešću u odnosu na zdrave vršnjake.
Metod istraživanja: Istraživanje je sprovedeno po tipu, prospektivno, opservacione studije. Ispitivanu grupu činilo je N 116 ispitanika (dece i adolescenata) uzrasta od 5-18 godina koji imaju dijagnozu celijačne bolesti. Kontrolnu grupu je činio isti broj zdrave dece koja su zadovoljila osnovne kriterijume „mečovanja“ sa ispitivanom grupom prema uzrastu i polu. Za procenu raspoloženja i otkrivanja depresivnih simptoma kod dece i adolescenata korišćen je Upitnik o raspoloženju i osećanjima (Mood and Feelings Questionnaire Short - MFQ).
Rezultati: Utvrđena je statistički je značajno veća zastupljenost ispitanika kod kojih je prema graničnom skoru, moguće prisustvo depresivnih simptoma u grupi ispitanika sa celijakijom (p < 0,001).
Zaključak: Kod dece sa celijakijom se moraju uzeti u obzir psihološki aspekti bolesti. Bezglutenska ishrana može stvoriti probleme u prihvatanju deteta od strane vršnjaka. Moguće je postojanje psihološkog stresa i neprijatnosti jer ih vršnjaci mogu izbegavati zbog drugačije ishrane. Prihvatanje bolesti i uspešno upravljanje dijetom bez glutena zahteva timski pristup.
Reference
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24. Orfila C, Black J. L. Impact of coeliac disease on dietary habits and quality of life. Journal of Human Nutrition and Dietetics (2011)24: 582–587. PubMed: 21615555 DOI: 10.1111/j.1365-277X.2011.01170.x
25. Addolorato G, Giuda DD, Rossi GD, et al. Regional cerebral hypoperfusion in patients with celiac disease. Am J Med 2004;116:312–317PMID:14984816 DOI:10.1016/j.amjmed.2003.09.037
26. Sainsbury K, Mullan B, Sharpe L. Reduced quality of life in coeliac disease is more strongly associated with depression than gastrointestinal symptoms. J. Psychosom. Res. 2013; 75: 135–141 DOI: 10.1016/j.jpsychores.2013.05.011.
27. Sainsbury K. Mullan B. Sharpe L. Reduced quality of life in coeliac disease is more strongly associated with depression than gastrointestinal symptoms. J. Psychosom. Res. (2013) 75: 135–141.
28. Sarkhy A, et al.Socioeconomic Impacts of Gluten-Free Diet among Saudi Children with Celiac DiseasePediatr Gastroenterol Hepatol Nutr. 2016 Sep; 19(3): 162–167. Published online 2016 Sep 29. doi: 10.5223/pghn.2016.19.3.162
29. Chauhan JC, Kumar P, Dutta AK, Basu S, Kumar A. Assessment of dietary compliance to gluten-free diet and psychosocial problems in indian children with celiac disease. Indian Journal of Pediatrics. 2010; 77: 649-654.
30. Sverker A, Hensing G, Hallert C. Controlled by food: Lived experiences of coeliac disease. Journal of Human Nutrition Dietetics 2005:18; 171-180.
DOI: 10.2298/SARH1602099R
2. Troncone R, Auricchio S. Celiac disease. In: Wyllie R, Hymas JS, editors. Pediatric Gastrointestinal and Liver Disease. 3rd ed. Philadelphia: Saunders Elsevier; 2006:517-27.
3. Kelly Cp, Feighery Cf, Gallagher Rb, Weir Dg. Diagnosis and treatment of gluten sensitive enteropathy. Adv Intern Med 1999; 35: 341–64.
4. Matek Z, Jungvirth-Hegeduš M, Kolaček S. Epidemiology of celiac disease in children in one Croatian county: the cumulative incidence over ten year period and way of clinical presentation (Part 1), Coll Antopol 1999; 23: 621- 8
5. Fasano A, Catassi C. Current approaches to diagnosis and treatment of celiac disease:An evolving spectrum. Gastroenterology 2001; 120: 636-51.
6. Pietzak Mm. Follow-up of patients with celiac disease: Achieving compliance with treatment. Gastroenterology. 2005; 128(suppl 1): S135-S141.
7. Williamson D, Marsh Mn. Celiac Disease. Mol Biotechnol 2002; 22: 293-9.
8. Sapone A, Bai JC, Ciacci C et al. Spectrum of gluten-related disorders: consensus on new nomenclature and classification. BMC Medicine. 2012; 10: 1-13.
9. Parada A, Araya M. History of gluten and its effects on celiac disease. Rev Med Chile 2010; 138: 1319-25
10. Finkelstein FO, et al. HRQOL and the CKD patient, Kidney Int 2009;76: 946-952.
Rizkalla Reilly N, Dixit R, Simpson S, Green PH. Celiac disease in children: an old disease with new features. Minerva Pediatr. 2012;64(1):71–81.
11. Biagetti Ch, Gesuitab R, Gattia S, Catassi C. Quality of life in children with celiac disease:A paediatric cross-sectional study, Digestive and Liver Disease 2015;47: 927-932.
12. Fabiani E, Taccari L.M, Ratsch I.M, di Giuseppe S, Coppa G.V, Catassi C. Compliance with gluten-free diet in adolescents with screening-detected celiac disease: A 5-year follow-up study. J. Pediatr. 2000, 136, 841–843.
13. Nordyke K, Norstrom ,. Lindholm L, Stenlund H, Rosen A, Ivarsson A. Health-related quality of life in adolescents with screening-detected celiac disease, before and one year after diagnosis and initiation of gluten-free diet, a prospective nested case-referent study. BMC Public Health 2013, 13, doi:10.1186/1471-2458-13-142.
14. Landgraft MJ, Abetz L. Measuring Health Outcomes in Pediatric Populations: Issues in Psychometrics and Application, Quality of Life and Pharmacoeconomics in Clinical Trials. Second Edition. Edited by Spilker B. Philadelphia: Lippincott- Raven Publichers; 1996.p.793-801
15. Youssef N. N.,.Murphy T. G, Langseder A. L., and J. R. Rosh,“Quality of life for children with functional abdominal pain: a comparison study of patients’ and parents’ perceptions,” Pediatrics, vol. 117, no. 1, pp. 54–59, 2006.
16. Khurana1 B, Lomash1A, Khalil1 S, Bhattacharya M, Rajeshwari K.Evaluation of the impact of celiac disease and its dietary manipulation on children and their caregivers Indian J Gastroenterol 2015;34(2):112–116.
17. Rodríguez Gutiérrez AY. Psychological characterization of schoolchildren suffering from Celiac disease Rev. Ciencias Médicas 2013;17(3):102-111
18. Kelly CP. Celiac Disease. In: Feldman M, Friedman LS, Brandt LJ, editors. Sleisenger and Fordtran’s: Gastrointestinal and Liver Disease. 10th ed. Philadelphia:Elsevier Saunders; 2016:1849-71.
19. Mazzone L, Reale L, Spina M, et al. Compliant gluten-free children with celiac disease: an evaluation of psychological distress. BMC Pediatrics, vol. 11, article 46, 2011. DOI: 10.1186/1471-2431-11-46
20. Zarkadas M, S D, e. al M. Living with celiac disease and a gluten-free diet: A Canadian perspective.J Hum Nutr Diet. 2013;26:10–23. DOI: 10.1111/j.1365-277X.2012.01288.x.
21. Sainsbury K, Mullan B, Sharpe L. Reduced quality of life in coeliac disease is more strongly associated with depression than gastrointestinal symptoms. J. Psychosom. Res. 2013; 75: 135–141 DOI: 10.1016/j.jpsychores.2013.05.011.
22. Casellas F, Rodrigo-Saez L, Lucendo A.J, Fernandez-Benares F, Molina-Infante J. Vivas S. Benefit on health-related quality of life of adherence to gluten free diet in adult patients with celiac disease. Rev. Esp. Enferm. 2015,107, 196–201 PMID:25824917
23. Hughes F, Stone K, Storey J. Perceived stress and co-morbid illness predict depressive symptomatology in people with coeliac disease. Australian Psychologist, 27, 198–203 (2012).Dostupno na: http://hdl.cqu.edu.au/10018/937393
24. Orfila C, Black J. L. Impact of coeliac disease on dietary habits and quality of life. Journal of Human Nutrition and Dietetics (2011)24: 582–587. PubMed: 21615555 DOI: 10.1111/j.1365-277X.2011.01170.x
25. Addolorato G, Giuda DD, Rossi GD, et al. Regional cerebral hypoperfusion in patients with celiac disease. Am J Med 2004;116:312–317PMID:14984816 DOI:10.1016/j.amjmed.2003.09.037
26. Sainsbury K, Mullan B, Sharpe L. Reduced quality of life in coeliac disease is more strongly associated with depression than gastrointestinal symptoms. J. Psychosom. Res. 2013; 75: 135–141 DOI: 10.1016/j.jpsychores.2013.05.011.
27. Sainsbury K. Mullan B. Sharpe L. Reduced quality of life in coeliac disease is more strongly associated with depression than gastrointestinal symptoms. J. Psychosom. Res. (2013) 75: 135–141.
28. Sarkhy A, et al.Socioeconomic Impacts of Gluten-Free Diet among Saudi Children with Celiac DiseasePediatr Gastroenterol Hepatol Nutr. 2016 Sep; 19(3): 162–167. Published online 2016 Sep 29. doi: 10.5223/pghn.2016.19.3.162
29. Chauhan JC, Kumar P, Dutta AK, Basu S, Kumar A. Assessment of dietary compliance to gluten-free diet and psychosocial problems in indian children with celiac disease. Indian Journal of Pediatrics. 2010; 77: 649-654.
30. Sverker A, Hensing G, Hallert C. Controlled by food: Lived experiences of coeliac disease. Journal of Human Nutrition Dietetics 2005:18; 171-180.
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2021/03/26
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