Journal
PSYCHOSOMATICS
Volume 49, Issue 5, Pages 399-406Publisher
ELSEVIER SCIENCE INC
DOI: 10.1176/appi.psy.49.5.399
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Funding
- Jubila r umsfonds of the Austrian National Bank [11086]
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Background: Celiac disease (CD), treated by a gluten-free diet, may represent a nonspecific trigger for the development of eating pathology, particularly in adolescence. Objective: The authors sought to perform a systematic study on eating pathology in CD. Method: CD patients were assessed for eating disorders by questionnaire, and body mass index was recorded. Results: There was a higher rate of eating pathology in CD patients than would be expected, especially, a higher rate of bulimia nervosa. This subgroup reported more noncompliance with the gluten-free diet and had higher scores on most eating-related questionnaires. In most cases, diagnosis of CD preceded the onset of eating pathology. Conclusion: The authors recommend asking early-adolescent CD patients whether they are also dieting for aesthetic reasons.
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