Related Experiment Video
Updated: Jun 8, 2026

A Modified Trier Social Stress Test for Vulnerable Mexican American Adolescents
Published on: July 10, 2017
Psychological stress and coeliac disease in childhood: a cohort study
Karl Mårild1, Anneli Sepa Frostell, Jonas F Ludvigsson
1Astrid Lindgren Children's Hospital, Karolinska University Hospital, Solna, Sweden. karlmarild@gmail.com
Insights
This study found no link between family stress and childhood celiac disease (CD) in Swedish children. Limited statistical power may have influenced these findings, warranting further investigation into stress and CD development.
Area of Science:
- Pediatric immunology
- Gastroenterology
- Psychoneuroimmunology
Background:
- Psychological stress is linked to immunological diseases like inflammatory bowel disease.
- The ABIS study (All Babies In southeast Sweden) investigated family stress and childhood celiac disease (CD).
Purpose of the Study:
- To examine the association between psychological stress in the family and biopsy-proven celiac disease (CD) in children.
- To determine if serious life events, parenting stress, or parental worries impact CD development.
Main Methods:
- Utilized questionnaire data on serious life events, parenting stress, and parental worries.
- Collected data from approximately 11,000 children at age 1 and 8,800 at age 2.5.
- Validated celiac disease diagnoses through small intestinal biopsy (villous atrophy) and patient chart review.
Main Results:
- No association was found between serious life events in the first 1-2.5 years and future CD diagnosis.
- Parenting stress at ages 1 and 2.5 years showed no significant association with CD.
- Parental worries at 2.5 years did not correlate with CD development, with an odds ratio of 0.00 (95% CI = 0.00-2.34).
Conclusions:
- This study found no evidence of an association between psychological stress and the later development of celiac disease in Swedish children.
- The absence of a statistically significant association may be attributed to insufficient statistical power, suggesting further research is needed.
Background:
Psychological stress has previously been associated with several immunological diseases, e.g. inflammatory bowel disease. Through questionnaire data from the ABIS study (All Babies In southeast Sweden) we examined the association between psychological stress in the family and biopsy-proven coeliac disease (CD) in the child.
Methods:
We used serious life event, parenting stress, and parental worries as measures of psychological stress. Data were collected when the child was 1 and 2.5 years old in some 11,000 and 8,800 children, respectively. CD was confirmed through small intestinal biopsy (with villous atrophy), and the diagnosis was validated through patient chart data.
Results:
Serious life event in the family in the child's first 1 or 2.5 years after childbirth was not associated with future CD in the child (Odds Ratio (OR) = 0.45; 95% Confidence Interval (CI) = 0.01-2.65; P = 0.72; and OR = 1.21; 95% CI = 0.43-3.05; P = 0.64, respectively). Neither did we see any association between CD and parenting stress at age 1 year and at 2.5 years (OR = 0.40; 95% CI = 0.01-2.38; P = 0.73 and OR = 0.74; 95% CI = 0.01-4.56; P = 1.00, respectively). Among children exposed to parental worries at 2.5 years, no child had a diagnosis of CD before end of follow-up, compared to 25/8082 (0.3%) among non-exposed children (OR = 0.00; 95% CI = 0.00-2.34; P = 0.64). There was no association between the combined measures of stress and CD.
Conclusion:
This study found no association between psychological stress and later development of CD in Swedish children. However, we cannot rule out that the lack of such an association is due to limited statistical power.
Related Concept Videos
Psychoneuroimmunology: Diabetes and Cancer
Psychoneuroimmunology: Cardiovascular Disease
A key area of focus in PNI is the relationship between stress and coronary...
Psychological Responses to Stress
Psychological and Sociocultural Causes of Schizophrenia
Physiological Foundation of Stress
Role of the Sympathetic Nervous System
Adrenaline triggers the...
Introduction to Stress and Lifestyle
