Comparasion of Psychiatric Features and Family Functioning in Adolescents with Celiac and Healthy Adolescents

Yıl 2018, Cilt: 8 Sayı: 4, 720 - 725, 30.12.2018

Miray Karakoyun , Gonca Engin Ozyurt Yeliz Cagan Appak , Sermin Yalin Sapmaz , Guzide Dogan , Masallah Baran , Erhun Kasirga

https://doi.org/10.31832/smj.459623

Cited By: 1

Öz

Objective: Celiac disease (CD); is a small intestinal disease
that occurs in congenital predisposing individuals at any age. Psychiatric
problems may be more prevalant in celiac patients. The aim of this study is to
compare psychiatric problems and family functioning through controls in
patients with celiac disease and to analyze the relation between these data and
adherence to celiac diet.

Material and Methods: A total of 35 adolescent patients aged between 12
and 18 years who were followed up with the diagnosis of celiac disease were
included in the study. Patients' age, diagnosis symptoms, Marsh stages were
recorded. Height and weight measurements were made in the outpatient clinic and
celiac serology test was taken.47 patients who were referred to our pediatric
outpatient clinics without known chronic disease were taken as a control. Beck
depression inventory, strength difficulties questionnaire, family assessment
device were performed.

Results: When study and control groups were compared through
beck depression inventory, those with celiac disease had statistically
significantly higher scores than healthy control group. It was found that
adolescents diagnosed with celiac suffer from more difficulties in emotional
and social areas when study and control groups were compared through strengths
and difficulties questionnaire.

Conclusion: Psychiatric problems and depression are often more
common in children with CD than without CD, and contribute to a decline in
quality of life. For this reason, psychosocial support may be important in
treatment of celiac. 

Anahtar Kelimeler

Adolescents, Celiac Disease

Sağlıklı ve Çölyak Hastalığı Tanısı ile İzlenen Adölesanlarda Psikiyatrik Özellikler ve Aile İşlevselliğinin Karşılaştırılması

Öz

Amaç: Çölyak hastalığı; konjenital olarak yatkın
bireylerde her yaşta ortaya çıkabilen bir ince bağırsak hastalığıdır. Çölyak
hastalarında psikiyatrik sorunlar sağlıklı bireylere kıyasla daha yaygın
olabilir. Bu çalışmanın amacı çölyak hastalığı olan hastalarda psikiyatrik
sorunları ve aile işlevini kontrol etmek ve bu verilerle çölyak diyetine uyum
ile arasındaki ilişkiyi incelemektir.

Gereç ve Yöntemler: Çalışmaya Çölyak hastalığı tanısıyla takip edilen
12-18 yaş arası toplam 35 adölesan hasta alınmıştır. Hastaların yaşı, tanı
semptomları, Marsh evreleri kaydedildi. Poliklinikte boy ve kilo ölçümleri
yapılıp, çölyak seroloji testi alınmıştır. Hastanemiz pediatri polikliniklerine
başvuran ve bilinen kronik hastalığı olmayan 47 olgu da kontrol olarak
alınmıştır. Hastalara çocuk psikiyatri hekimi tarafından Beck depresyon ölçeği,
güçler güçlükler anketi, aile değerlendirme ölçeği yapıldı.

Sonuçlar: Çalışma ve kontrol grupları beck depresyon
ölçeğisonuçlarına göre karşılaştırıldığında, çölyak hastalığı olanlarda
sağlıklı kontrol grubuna göre istatistiksel olarak anlamlı derecede yüksek
puanlar elde edildi. Çölyak tanısı alan ergenlerin, çalışma ve kontrol
gruplarının güçler ve güçlükler soru formları ile karşılaştırıldığı durumlarda,
duygusal ve sosyal alanlarda daha fazla sıkıntı yaşadıkları saptanmıştır.

Sonuç: Çölyak Hastalığı tanısı olan çocuklarda, psikiyatrik
sorunlar ve depresyon sağlıklı çocuklara göre genellikle daha sık görülür ve
yaşam kalitesinde bozulmaya neden olabilir. Bu nedenle, çölyak tedavisinde
psikososyal destek önemli olabilir.

Anahtar Kelimeler

Adölesan, Çölyak Hastalığı

Kaynakça

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