Post by kickingfrog on Jan 31, 2011 16:50:28 GMT
Psychological Correlates of Gluten-free Diet Adherence in Adults With Celiac Disease
Journal of Clinical Gastroenterology:
April 2009 - Volume 43 - Issue 4 - pp 301-306
Edwards George, Jessica B. PhD, NCSP; Leffler, Daniel A. MD, MS; Dennis, Melinda D. MS, RD, LDN; Franko, Debra L. PhD; Blom-Hoffman, Jessica PhD, NCSP; Kelly, Ciaran P. MD
Abstract
Goals: To determine whether personality traits and psychological characteristics are related to gluten-free diet (GFD) adherence in an adult population diagnosed with celiac disease (CD).
Background: Little research has examined psychological correlates of adherence to the GFD.
Study: One hundred fifty-seven adults with biopsy-confirmed CD on the GFD for >3 months completed measures of personality and self-reported GFD adherence, provided a blood sample, and participated in an evaluation of GFD adherence conducted by an expert dietician at a clinical care center in a major teaching hospital in Boston, MA.
Results: An expert evaluation of GFD adherence remained the gold standard for measuring GFD adherence when compared with self-report and serology. Logistic regression results indicated that the following were independently associated with GFD adherence: conscientiousness (B=-0.04, SE=0.01, P<0.00), values (B=-0.10, SE=0.05, P<0.05), other food intolerances [odds ratio=0.28, 95% confidence interval=0.10-0.78], and CD symptoms (B=0.05, SE=0.02, P<0.03). A model accounting for these associations effectively predicted whether a participant was adherent or nonadherent on the basis of psychological and demographic/disease-specific factors. Successful prediction rates of GFD adherence for the final model were 75.8% for those rated to be adherent with the GFD and 54.5% for those rated to be nonadherent with the GFD.
Conclusions: The model of psychological and demographic/disease-specific characteristics developed can be used to identify patients who may be at risk for poor dietary adherence to provide additional support, education, and encouragement to individuals with CD.
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Journal of Clinical Gastroenterology:
April 2009 - Volume 43 - Issue 4 - pp 301-306
Edwards George, Jessica B. PhD, NCSP; Leffler, Daniel A. MD, MS; Dennis, Melinda D. MS, RD, LDN; Franko, Debra L. PhD; Blom-Hoffman, Jessica PhD, NCSP; Kelly, Ciaran P. MD
Abstract
Goals: To determine whether personality traits and psychological characteristics are related to gluten-free diet (GFD) adherence in an adult population diagnosed with celiac disease (CD).
Background: Little research has examined psychological correlates of adherence to the GFD.
Study: One hundred fifty-seven adults with biopsy-confirmed CD on the GFD for >3 months completed measures of personality and self-reported GFD adherence, provided a blood sample, and participated in an evaluation of GFD adherence conducted by an expert dietician at a clinical care center in a major teaching hospital in Boston, MA.
Results: An expert evaluation of GFD adherence remained the gold standard for measuring GFD adherence when compared with self-report and serology. Logistic regression results indicated that the following were independently associated with GFD adherence: conscientiousness (B=-0.04, SE=0.01, P<0.00), values (B=-0.10, SE=0.05, P<0.05), other food intolerances [odds ratio=0.28, 95% confidence interval=0.10-0.78], and CD symptoms (B=0.05, SE=0.02, P<0.03). A model accounting for these associations effectively predicted whether a participant was adherent or nonadherent on the basis of psychological and demographic/disease-specific factors. Successful prediction rates of GFD adherence for the final model were 75.8% for those rated to be adherent with the GFD and 54.5% for those rated to be nonadherent with the GFD.
Conclusions: The model of psychological and demographic/disease-specific characteristics developed can be used to identify patients who may be at risk for poor dietary adherence to provide additional support, education, and encouragement to individuals with CD.
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