Cited by 83Celiac Disease Research and ManagementGastrointestinal motility and disordersEosinophilic Esophagitis

Reduced quality of life in coeliac disease is more strongly associated with depression than gastrointestinal symptoms

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Sainsbury, Kirby, Mullan, Barbara, Sharpe, Louise·2013·Journal of Psychosomatic Research

Abstract

Objective Despite evidence indicating a heightened incidence of psychological symptoms in coeliac disease (CD), the direct link between psychological factors and quality of life (QOL) has received little attention. The purpose of this paper was to compare the relative impacts of psychological symptoms and coping to the known negative impacts of gastrointestinal symptoms and adherence to the gluten free diet (GFD) on QOL.Methods In study 1 (N=390), participants completed measures of QOL, psychological symptoms, coping, several indices of symptom severity, and adherence. Correlations and regression analyses were used to determine the relationships between QOL and the measured variables. Study 2 (N=189) replicated the findings using a validated measure of current gastrointestinal symptom severity and a more comprehensive measure of coping.Results Across both studies, poorer QOL was correlated with a higher incidence of psychological and gastrointestinal symptoms, greater reliance on maladaptive coping strategies, and poorer GFD adherence. The relationship between psychological symptoms (particularly depression) and QOL persisted when controlling for past (study 1) and current (study 2) gastrointestinal symptom severity. Psychological symptoms and GFD adherence were more strongly related to reduced QOL than gastrointestinal symptoms.Conclusion The negative impact of psychological symptoms on QOL and adherence suggests that management in CD should include the provision of psychological coping skills, as well as purely dietetic-based strategies to minimise gastrointestinal symptoms.

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Authors
Sainsbury, K., Mullan, B., & Sharpe, L.
Affiliations
The University of Sydney (AU)
Corresponding author
Mullan, Barbara
Venue
Journal of Psychosomatic Research
Publisher
Elsevier BV
Published
2013-08
Volume
75
Issue
2
Pages
135-141
ISSN
0022-3999 (ISSN-L)
OpenAlex
W2036433306
Cited by
83
References
64
Citations by year
2026: 5 · 2025: 4 · 2024: 7 · 2023: 5 · 2022: 3 · 2021: 10 · 2020: 11 · 2019: 5 · 2018: 8 · 2017: 5 · 2016: 3 · 2015: 12 · 2014: 4 · 2013: 1
FWCI
6.29
Type
journal article
Language
en
Open access
Locations
  • Journal of Psychosomatic Research (publishedVersion)
  • PubMed (publishedVersion)
  • eSpace (Curtin University) (submittedVersion)
Funders
Coeliac UK
Topics
  • Health Sciences › Medicine › Gastroenterology › Celiac Disease Research and Management
  • Health Sciences › Medicine › Gastroenterology › Gastrointestinal motility and disorders
  • Health Sciences › Medicine › Surgery › Eosinophilic Esophagitis
Keywords
celiac disease, quality of life, depression, psychological symptoms, coping strategies, maladaptive coping, gastrointestinal symptoms, gluten-free diet adherence, psychological aspects of chronic illness
MeSH terms
Adaptation, Psychological, Adolescent, Adult, Aged, Celiac Disease, Depression, Depressive Disorder, Female, Humans, Male, Middle Aged, Quality of Life, Surveys and Questionnaires, Severity of Illness Index, Gastrointestinal Tract

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