Compliance with the gluten-free diet: the role of locus of control in celiac disease
| Autor: | Alessandro Ventura, Anna Bellini, Stefano Martelossi, Chiara Zanchi, Grazia Di Leo, Tarcisio Not |
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| Přispěvatelé: | Bellini, A, Zanchi, C, Martelossi, S, Di Leo, G, Not, Tarcisio, Ventura, Alessandro |
| Jazyk: | angličtina |
| Rok vydání: | 2011 |
| Předmět: |
Male
medicine.medical_specialty Adolescent Disease Coeliac disease Diet Gluten-Free Quality of life gluten-free diet Internal medicine Immunopathology Humans Medicine locus control Child Internal-External Control biology business.industry Age Factors Case-control study medicine.disease Surgery gluten-free diet locus control celiac disease Locus of control Italy Case-Control Studies Pediatrics Perinatology and Child Health Anti-transglutaminase antibodies Quality of Life biology.protein Patient Compliance Female Gluten free business celiac disease |
| Popis: | Objectives To verify whether subjects with celiac disease (CD) have a different locus of control (LoC) compared with healthy subjects, and to evaluate the relationship between LoC and compliance with a prescribed gluten-free diet (GFD) and quality of life (QoL). Study design We studied 156 subjects on a GFD (mean age, 10 years) and 353 healthy controls (mean age, 12 years). All subjects completed tests on the Nowicki-Strickland Locus of Control Scale; the subjects with CD also completed a questionnaire to measure compliance with dietary treatment and the disease's impact on QoL. Results There was no difference in LoC values between patients with CD and controls. Subjects with CD with good dietary compliance had a more internal LoC compared with those who were not compliant ( P = .01). Patients who reported a satisfactory QoL had a more internal LoC compared with those who reported negative affects on QoL due to CD ( P = .01). Conclusions Our study confirms the usefulness of the LoC concept for identifying those patients who might be at risk for dietary transgression. Given the enhanced, psychological, and social well being that can result from adherence to a GFD, educational and psychological support can help internalize the LoC in those patients at risk for dietary transgression. |
| Databáze: | OpenAIRE |
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