{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T06:22:46Z","timestamp":1791872566372,"version":"4.3.4"},"reference-count":35,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2011,9,20]],"date-time":"2011-09-20T00:00:00Z","timestamp":1316476800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Chronic Illness"],"published-print":{"date-parts":[[2012,3]]},"abstract":"<jats:p>Objective: Although the physical consequences of Celiac Disease are well studied, less is known about co-occurring psychiatric symptoms. This study examines psychiatric risk and comorbidities of women with Celiac Disease, who may be at increased risk for psychiatric symptoms (e.g. depression, and disordered eating behaviours).<\/jats:p>\n                  <jats:p>Methods: Women ( N\u2009=\u2009177) with Celiac Disease responded to an extensive web-mediated survey assessing dietary compliance, illness symptoms, psychiatric functioning, and disordered eating.<\/jats:p>\n                  <jats:p>Results: Despite high reported dietary compliance, patients reported marked illness symptoms and impaired quality of life. A substantial minority endorsed symptoms that met criteria for the diagnosis of psychiatric disorders: 37% ( n\u2009=\u200965) met the threshold suggesting depression, and 22% ( n\u2009=\u200939) for disordered eating. Participants whose symptoms exceeded these clinical thresholds reported greater perceived stress and reduced overall mental health, relative to women below the clinical cutoffs.<\/jats:p>\n                  <jats:p>Conclusions: Despite largely adhering to a gluten-free diet, a substantial subset of women with Celiac Disease report clinically relevant symptoms of depression and disordered eating; such symptoms are associated with increased psychosocial distress in other domains. These results suggest potential to improve the patient well-being through attention to psychosocial care, in addition to existing dietary recommendations for individuals with Celiac Disease.<\/jats:p>","DOI":"10.1177\/1742395311417639","type":"journal-article","created":{"date-parts":[[2011,9,20]],"date-time":"2011-09-20T22:24:17Z","timestamp":1316557457000},"page":"45-55","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":52,"title":["Psychiatric comorbidities in women with Celiac Disease"],"prefix":"10.1177","volume":"8","author":[{"given":"Danielle","family":"Arigo","sequence":"first","affiliation":[{"name":"Department of Psychology, Syracuse University, Syracuse, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alicia M","family":"Anskis","sequence":"additional","affiliation":[{"name":"Department of Biology, Drexel University, Philadelphia, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joshua M","family":"Smyth","sequence":"additional","affiliation":[{"name":"Department of Biobehavioral Health, Pennsylvania State University, University Park, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2011,9,20]]},"reference":[{"key":"bibr1-1742395311417639","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMra071600"},{"key":"bibr2-1742395311417639","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-277X.2005.00591.x"},{"key":"bibr3-1742395311417639","doi-asserted-by":"publisher","DOI":"10.1097\/01.meg.0000221855.19201.e8"},{"key":"bibr4-1742395311417639","doi-asserted-by":"publisher","DOI":"10.1186\/1751-0759-2-11"},{"key":"bibr5-1742395311417639","doi-asserted-by":"publisher","DOI":"10.1097\/00042737-200412000-00008"},{"key":"bibr6-1742395311417639","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3999(02)00328-8"},{"key":"bibr7-1742395311417639","doi-asserted-by":"publisher","DOI":"10.1016\/j.dld.2006.01.004"},{"key":"bibr8-1742395311417639","doi-asserted-by":"publisher","DOI":"10.3109\/00365521.2010.516448"},{"key":"bibr9-1742395311417639","doi-asserted-by":"publisher","DOI":"10.1046\/j.1471-6712.2003.00228.x"},{"key":"bibr10-1742395311417639","volume-title":"Diagnostic and statistical manual of mental disorders","author":"American Psychiatric Association","year":"2000","edition":"4"},{"key":"bibr11-1742395311417639","doi-asserted-by":"publisher","DOI":"10.1097\/MEG.0b013e328012db37"},{"key":"bibr12-1742395311417639","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1098-108X(200001)27:1<119::AID-EAT16>3.0.CO;2-R"},{"key":"bibr13-1742395311417639","doi-asserted-by":"publisher","DOI":"10.1002\/eat.20294"},{"key":"bibr14-1742395311417639","doi-asserted-by":"publisher","DOI":"10.1176\/appi.psy.49.5.399"},{"key":"bibr15-1742395311417639","doi-asserted-by":"publisher","DOI":"10.1016\/j.biopsych.2006.03.040"},{"key":"bibr16-1742395311417639","doi-asserted-by":"publisher","DOI":"10.1097\/01.yco.0000228759.95237.78"},{"key":"bibr17-1742395311417639","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2009.1320"},{"key":"bibr18-1742395311417639","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.163.3.286"},{"key":"bibr19-1742395311417639","doi-asserted-by":"publisher","DOI":"10.4321\/S1130-01082006000600002"},{"key":"bibr20-1742395311417639","doi-asserted-by":"publisher","DOI":"10.1097\/01.mcg.0000225516.05666.4e"},{"key":"bibr21-1742395311417639","doi-asserted-by":"publisher","DOI":"10.1097\/00005650-199206000-00002"},{"key":"bibr22-1742395311417639","doi-asserted-by":"publisher","DOI":"10.2307\/2136404"},{"key":"bibr23-1742395311417639","doi-asserted-by":"publisher","DOI":"10.1177\/014662167700100306"},{"key":"bibr24-1742395311417639","doi-asserted-by":"publisher","DOI":"10.1111\/j.2044-8260.1967.tb00530.x"},{"key":"bibr25-1742395311417639","doi-asserted-by":"publisher","DOI":"10.1002\/1098-108X(199412)16:4<363::AID-EAT2260160405>3.0.CO;2-#"},{"key":"bibr26-1742395311417639","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1098-108X(199904)25:3<349::AID-EAT15>3.0.CO;2-M"},{"key":"bibr27-1742395311417639","doi-asserted-by":"publisher","DOI":"10.1016\/j.brat.2004.12.003"},{"key":"bibr28-1742395311417639","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.325.7356.149"},{"key":"bibr29-1742395311417639","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2036.2009.04053.x"},{"key":"bibr30-1742395311417639","doi-asserted-by":"publisher","DOI":"10.1037\/0033-2909.119.3.488"},{"key":"bibr31-1742395311417639","doi-asserted-by":"publisher","DOI":"10.1037\/0022-3514.71.5.967"},{"key":"bibr32-1742395311417639","doi-asserted-by":"publisher","DOI":"10.1016\/S0005-7967(03)00161-X"},{"key":"bibr33-1742395311417639","unstructured":"Dwyer B. \u2018Gluten-Free e-Demand (US and Europe vs. Asia)\u2019. 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