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• W2978109152 abstract "Purpose: Prior studies have shown a significant association between celiac disease (CD), psychiatric disorders including depression and anxiety, and multiple autoimmune diseases. However there is significant variation between populations and the correlation between CD and psychiatric disorders has not been studied in the United States (U.S.). Our aim was to determine the prevalence of psychiatric and autoimmune disorders in CD patients in the U.S. and to evaluate for interactions between autoimmune disease and psychiatric disorders in CD. Methods: In this case control study the prevalence of psychiatric and autoimmune disorders was compared in 600 biopsy proven CD patients, a chronic gastrointestinal disorder control group of 200 irritable bowel syndrome (IBS) patients diagnosed by gastroenterologists and 200 control patients with no active gastrointestinal disorder. Diagnoses of psychiatric and autoimmune disorders were obtained from medical records. The sample size gave 80% power to assess a 10% difference in prevalence between CD and control populations for either aggregated autoimmune diseases or psychiatric disorders. Chi square test was used to analyze categorical data. Results: The prevalence of depression in CD was 17.2% and was similar to that in IBS (18.5%) (P= 0.74) and controls (16%) (P= 0.79). Anxiety showed a trend towards higher prevalence in CD (8.7%) as compared to controls (4.5%) (P= 0.07) and was significantly higher in the IBS group (12%) as compared to controls (P= 0.01). In CD patients the prevalence of type I DM (5.8%) was significantly higher than that for IBS (1.5%) (P= 0.03) and controls (2%) (P= 0.05). CD patients with type I DM had higher prevalence of depression (37.1%) than those without type I DM (15.9%) (P < 0.01) Conclusion: Prevalence of depression and anxiety in CD is similar to the general population while the prevalence of multiple auto-immune disorders in CD is increased. The increased prevalence of type I DM in CD is a significant confounding variable in assessing the prevalence of depression in the CD population and may explain the high level of depression seen in some studies.Table: Prevalence of various psychiatric and autoimmune disorders.Figure" @default.
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• W2978109152 date "2008-09-01" @default.
• W2978109152 modified "2023-10-16" @default.
• W2978109152 title "Interaction Between Psychiatric and Autoimmune Disorders in Celiac Disease Patients in the United States" @default.
• W2978109152 doi "https://doi.org/10.14309/00000434-200809001-00260" @default.
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