SANİYE TÜLİN FİDAN, Vildan ERTEKİN, Kezban KARABAG

Depression-anxiety levels and the quality of life among children and adolescents with coeliac disease

Amaç: Çölyak hastalığı, yatkın bireylerde gluten içeren besinlerin alınmasına bağlı olarak ince bağırsaklarda oluşan mukozal inflamasyonla karakterize süreğen bir hastalıktır. Çölyak hastalığı olan çocuk ve ergenlerde psikiyatrik belirtiler ve yaşam kalitesi ile ilgili bilgilerimiz yetersizdir. Bu çalışmanın amacı çölyak hastalığı olan çocuk ve ergenlerin yaşam kalitesi açısından değerlendirilmesidir. Yöntem: Çalışmaya 30 çölyak tanılı, 30 sağlıklı çocuk-ergen dahil edilmiş olup, Çocuklar İçin Depresyon Ölçeği (ÇDÖ), Çocuklar İçin Durumluk-Sürekli Kaygı Envanteri (ÇDSKE) ve Çocuklar İçin Yaşam Kalitesi Ölçeği (ÇYKÖ) katılımcılara uygulanmıştır. İstatistiksel değerlendirmede ki-kare testi ve t-testi kullanılmıştır. Bulgular: Çölyak hastalığı tanısı almış çocuk ve ergenlerin %56.7’si erkek olup, yaş ortalamaları 11.6±3.1’dir. Çölyak hastalığı tanısı bulunan çocuk ve ergenlerin ÇDÖ, ÇDSKE puan ortalamaları sağlıklı kontrol grubundan farklı bulunmamıştır. Ancak ÇYKÖ’den alınan sonuçlarda, psikososyal sağlık toplam puanı ve ölçek toplam puanları arasındaki fark istatistiksel olarak anlamlı bulunmuştur. Tartışma: Bu çalışmada, çölyak hastalığı tanılı çocuk ve ergenler depresyon ve anksiyete düzeyleri bakımından değerlendirildiklerinde, sağlıklı kontrol grubundaki çocuklardan farklı bir durum bulunamamıştır. Ancak çölyak hastalığı, çocuk ve ergenlerin yaşam kalitesine olumsuz biçimde etki etmektedir ve bu durum kısıtlı diyet tedavisine bağlı olabilir.

Çölyak hastalığı olan çocuk ve ergenlerde depresyon - kaygı düzeyleri ve yaşam kalitesi

Objective: Coeliac disease is a chronic and inflammatory disease of the upper small intestine resulting from faulty gluten ingestion in genetically susceptible individuals. There is no sufficient data about the psychiatric symptoms and quality of life in children and adolescents with coeliac disease. The aim of this study was to investigate the quality of life in children and adolescents with coeliac disease. Methods: Thirty children and adolescents with coeliac disease and 30 healthy controls were included in the study. Children Depression Inventory (CDI), State and Trait Inventory for Children (STAI-C) and Quality of Life Inventory for Child and Adolescents (PedsQL) were performed. Chi-square and t-test were used for statistical evaluations. Results: Of the children and adolescents with coeliac disease, 56.7% were male and the mean age was 11.6±3.1. There were no statistically significant difference in the mean scores of CDI and STAI-C between the study group and healthy controls. But psychosocial and total mean scores of quality of life were found statistically significantly different. Conclusions: In this study, no difference was found in depression and anxiety levels among children and adolescents with coeliac disease and healthy controls. However, coeliac disease has a negative effect on the quality of life and this might be related to dietary treatment.

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