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Psychotropic medication use among patients with celiac disease
Division of Digestive and Liver Diseases, Department of Medicine, Columbia University College of Physicians and Surgeons, New York, United States; The Celiac Disease Center, Columbia University, New York NY, United States.
Örebro University, School of Medical Sciences. Örebro University Hospital. Division of Digestive and Liver Diseases, Department of Medicine, Columbia University College of Physicians and Surgeons, New York, United States; Department of Medical Epidemiology and Biostatistics, Karolinska University Hospital, Karolinska Institute, Stockholm, Sweden; Department of Pediatrics, Örebro University Hospital, Örebro, Sweden.ORCID iD: 0000-0003-1024-5602
Division of Digestive and Liver Diseases, Department of Medicine, Columbia University College of Physicians and Surgeons, New York, United States; The Celiac Disease Center, Columbia University, New York NY, United States.
Division of Digestive and Liver Diseases, Department of Medicine, Columbia University College of Physicians and Surgeons, New York, United States; Department of Medical Epidemiology and Biostatistics, Karolinska University Hospital, Karolinska Institute, Stockholm, Sweden; Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, United States; The Celiac Disease Center, Columbia University, New York NY, United States.
2018 (English)In: BMC Psychiatry, ISSN 1471-244X, E-ISSN 1471-244X, Vol. 18, article id 76Article in journal (Refereed) Published
Abstract [en]

Background: Celiac disease is a multi-system disorder with manifestations that may result in psychiatric disorders. We assessed the prevalence of medication use to treat psychiatric disorders in celiac disease patients.

Methods: We conducted a cross-sectional study of patients undergoing esophagogastroduodenoscopy over 9-years at a celiac disease referral center. We compared the prevalence of psychotropic medication use among celiac disease patients (n = 1293) to a control group (n = 1401) with abdominal pain or reflux.

Results: Among all patients the mean age was 48.4 years, most were female (69.5%), and 22.7% used any psychotropic medication. There was no difference between overall psychotropic medication use among celiac disease patients and controls (23.9% vs 21.8%, OR 1.16; 95% CI 0.96-1.39, p = 0.12). However, those with celiac disease were more likely to use antidepressants on univariate (16.4% vs 13.4%, p = 0.03) and multivariate analysis (OR 1.28; 95% CI 1.03-1.59; p = 0.03). Use of psychotropic medications was not associated with disease duration or mode of presentation of celiac disease.

Conclusions: Celiac disease patients use psychotropic medications at similar rates as those with other gastrointestinal diseases, though subgroup analysis suggests they may use more antidepressants. Future studies should investigate whether celiac disease is associated with mood disorders that are not treated with medications.

Place, publisher, year, edition, pages
BioMed Central, 2018. Vol. 18, article id 76
Keywords [en]
Celiac disease, Psychiatric disorders, Epidemiology, Depression, Anxiety
National Category
Psychiatry
Identifiers
URN: urn:nbn:se:oru:diva-66744DOI: 10.1186/s12888-018-1668-0ISI: 000428932500002PubMedID: 29580225Scopus ID: 2-s2.0-85045195734OAI: oai:DiVA.org:oru-66744DiVA, id: diva2:1201632
Available from: 2018-04-26 Created: 2018-04-26 Last updated: 2018-09-04Bibliographically approved

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Ludvigsson, Jonas F.

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