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Study Confirms Association Between Celiac Disease and Psychiatric Disorders in Children

Celiac Disease and Psychiatric Disorders in Children
Butwicka A, Lichtenstein P, Frisén L, Almqvist C, Larsson H, Ludvigsson JF. Celiac Disease Is Associated with Childhood Psychiatric Disorders: A Population-Based Study. Journal of Pediatrics. Published online March 7, 2017.

In March 2017, Journal of Pediatrics published a study that investigated the link between celiac disease (CD) and psychiatric disorders in children. The objective of this study was to determine whether an association between CD and psychiatric disorders in children exists, and to determine the risk of childhood psychiatric disorders in siblings of children with CD.
The study was conducted in Sweden and involved 10,903 children with CD (biopsy-proven diagnosis), under the age of 18, and 12,710 of their siblings. The childhood psychiatric disorders that were being assessed included “any psychiatric disorder, psychotic disorder, mood disorder, anxiety disorder, eating disorder, psychoactive substance misuse, behavioral disorder, attention-deficit hyperactivity disorder [ADHD], autism spectrum disorder [ASD], and intellectual disability” (p. 87).

843 children with CD had a greater risk for any future psychiatric disorders (HR, 1.4; 95% CI, 1.3-1.4), mood disorders, anxiety disorders, eating disorders, behavioral disorders, ADHD, ASD, and intellectual disability. Furthermore, children with CD were also more likely to present with a history of previous eating disorders (OR, 2.8; 95% CI, 2.2-3.7; P<.001) and behavioral disorders (OR, 1.8; 95% CI, 1.4-2.3; P<.001). Finally, the study determined that the siblings of children with CD were not at an increased risk for psychiatric disorders.

The study concludes that the higher risk for psychiatric disorders in children with CD may be due to both biological and psychological factors.
 
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