{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T10:16:33Z","timestamp":1792059393235,"version":"4.4.0"},"reference-count":30,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2025,3,18]],"date-time":"2025-03-18T00:00:00Z","timestamp":1742256000000},"content-version":"vor","delay-in-days":17,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatric Allergy Immunology"],"published-print":{"date-parts":[[2025,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Management of celiac disease (CD) requires adherence to a strict gluten\u2010free diet (GFD). However, little is known about how children with CD manage the GFD. This qualitative study sought to gain a comprehensive understanding of how children with CD experience and navigate the GFD, focusing on their dietary preferences, perceptions, and challenges, as well as the impact of these experiences.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Fifteen children with CD, aged 8\u201313\u2009years, who had been following the GFD for a minimum of one year, were interviewed with their parents about their management of the GFD. Reflexive thematic analysis was used to analyze the data.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Children described a range of strategies for managing the GFD. While some adopt problem\u2010focused strategies such as planning ahead and carrying gluten\u2010free foods on their person, others exhibit heightened anxiety and persistent doubts, indicating the need for tailored healthcare support. Importantly, the study uncovers socioecological influences, including social roles, communication patterns, and environmental factors, which shape children's beliefs and coping strategies.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The study underscores the importance of monitoring gluten\u2010related distress, beliefs, and behaviors in children with CD, as well as the broader context of children's lives. To better support children with CD, holistic support may target anxiety to support well\u2010being alongside GFD management.<\/jats:p><\/jats:sec>","DOI":"10.1111\/pai.70061","type":"journal-article","created":{"date-parts":[[2025,3,18]],"date-time":"2025-03-18T12:19:22Z","timestamp":1742300362000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Gluten\u2010free diet management and well\u2010being in children with celiac disease: A qualitative study"],"prefix":"10.1111","volume":"36","author":[{"given":"Heather","family":"Maddison\u2010Roberts","sequence":"first","affiliation":[{"name":"School of Psychology, Department of Psychological Interventions, Faculty of Health and Medical Sciences University of Surrey  Guildford UK"},{"name":"South West London and St George's Mental Health NHS Trust  London 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