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Partner Burden: A Common Entity in Celiac Disease.

Abhik Roy1, Maria Minaya1, Milka Monegro1

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Partner burden is common in celiac disease (CD), affecting over a third of partners. This burden is linked to patient symptom severity and decreased relationship and sexual satisfaction.

Keywords:
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Area of Science:

  • Gastroenterology
  • Psychology
  • Sociology

Background:

  • Caregiver burden is recognized in various chronic illnesses, but its impact on partners of celiac disease (CD) patients remains understudied.
  • Celiac disease requires significant dietary adherence and lifestyle adjustments, potentially affecting relationships.

Purpose of the Study:

  • To quantify the burden experienced by partners of individuals diagnosed with celiac disease.
  • To identify demographic, disease-specific, and relationship factors influencing perceived partner burden.

Main Methods:

  • A cross-sectional survey was administered to 94 patient/partner dyads.
  • Patients completed celiac disease symptom assessments (Celiac Symptom Index - CSI).
  • Partners completed the Zarit Burden Interview (ZBI) and questionnaires on relationship and sexual satisfaction.

Main Results:

  • Over one-third of partners (37%) reported mild-to-moderate burden (ZBI scores).
  • Partner burden correlated positively with patient symptom severity (CSI scores) and negatively with relationship and sexual satisfaction.
  • Low relationship satisfaction and longer relationship duration (≥10 years) were significant predictors of partner burden.

Conclusions:

  • Partner burden is a prevalent issue in celiac disease, impacting a substantial portion of partners.
  • Addressing patient symptom management and supporting relationship and sexual satisfaction are crucial for mitigating partner burden.
  • Healthcare providers should integrate discussions about relationship dynamics into the comprehensive care of celiac disease patients.