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

BMC Gastroenterology
|September 16, 2010
PubMed

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.
Abstract

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