Ayşegül BÜKÜLMEZ, Ayşe TOLUNAY OFLU, Erdem İÇİGEN, Lütfi MOLON, TUĞBA GÜRSOY KOCA

ÇÖLYAK HASTALIĞI OLAN ÇOCUKLARDA DEPRESYON VE SOSYAL ANKSİYETENİN DEĞERLENDİRİLMESİ

AMAÇ: Çölyak hastalığı (ÇH) olan erişkin hastalarda depresyon ve anksiyete düzeyi araştırılmış ve çelişkili sonuçlar bildirilmiştir. Öte yandan çocuk hastalarda ÇH ile depresyon ve anksiyete birlikteliği ile ilgili sınırlı sayıda çalışma bulunmaktadır. Bu çalışmanın amacı ÇH olan çocuklarda depresyon ve sosyal anksiyeteye eğilimin varlığını araştırmaktır.GEREÇ VE YÖNTEM: Bu çalışmaya en az bir yıldır glutensiz diyet alan 8 - 14 yaş grubundaki hastalar ile aynı yaş grubundaki sağlıklı kontroller dahil edilmiştir. Tüm katılımcılara Çocuklar için Depresyon Ölçeği (ÇİDÖ) = CDI ve Sosyal Anksiyete Ölçeği (ÇSAÖ-Y) = SASC-R uygulandı. Bu çalışmaya 45 çölyak hastalığı olan çocuk ve 45 sağlıklı çocuk dahil edildi.BULGULAR: Çalışma grubunun yaş ortalaması 11.6±2,4 yıl idi ve %76’sı kızdı. Kontrol grubunun yaş ortalaması 12,0±2,1 yıl idi ve %62’isi kızdı. ÇH olan çocuklarla sağlıklı kontroller arasında hem CDI hem SASC-R de skoru açısından anlamlı farklılık saptanmadı. Diyet uyumu iyi olan hastaların anksiyete düzeylerinin daha yüksek olduğu saptandı.SONUÇ: Bu çalışma göstermiştir ki daha önce yapılan çalışmalara benzer şekilde ÇH olan çocuklarda depresyon ve sosyal anksiyete sıklığı sağlıklı çocuklardan farklı değildir.

Anahtar Kelimeler:

cölyak hastalığı, , depresyon, , sosyal anksiyete,

THE EVALUATION OF DEPRESSION AND SOCIAL ANXIETY AMONG CHILDREN WITH CELIAC DISEASE

OBJECTIVE: Depression and anxiety levels adult patients with celiac disease (CD) have been investigated and conflicting results have been reported. However, there are limited studies on the association of CD with depression and anxiety in pediatric patients. The aim of this study was to investigate the presence of a tendency toward depression and social anxiety in children with CD.MATERIAL AND METHODS: Patients aged between 8-14 years old and who had a gluten-free diet for at least one year and healthy controls within the same age group were included in this study. All participants were administered the Children Depression Inventory (CDI) and Social Anxiety Scale-Revised (SASC-R). 45 children with celiac disease and 45 healthy children were included in this study.RESULTS: The mean age of the experimental group was 11.6 ± 2.4 years old and 76% were female. The mean age of the control group was 12,0±2.1 years old and 62% were female. No significant differences were found between children with CD and healthy controls in terms of CDI and SASC-R scores. Anxiety levels of the patients whose adherence to the diet was good were found to be higher.CONCLUSIONS: This study showed that the incidences of depression and social anxiety were not different from healthy children as similar to previous studies in children with CD.

Keywords:

depression, , celiac disease, , social anxiety, ,

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