Skip to main content
Erschienen in: Quality of Life Research 6/2014

01.08.2014

Health-related quality of life in children and adolescents with celiac disease: patient-driven data from focus group interviews

verfasst von: Halfdan Skjerning, Ruth O. Mahony, Steffen Husby, Audrey DunnGalvin

Erschienen in: Quality of Life Research | Ausgabe 6/2014

Einloggen

Aktivieren Sie unsere intelligente Suche, um passende Fachinhalte oder Patente zu finden.

search-config
loading …

Abstract

Purpose

Celiac disease (CD) is a chronic inflammatory disease requiring constant management with a gluten-free diet (GFD). Little is known about how CD impacts on health-related quality of life (HRQOL) in children and adolescents, and how they feel about and cope with CD and GFD. This qualitative study explores the impact of CD and GFD on HRQOL in everyday living of children and adolescents.

Methods

In focus group interviews, we investigated HRQOL in children and adolescents with CD in order to identify patient concerns in living with CD and on a GFD. Seven focus groups were formed with 23 children/adolescents and 3 parents. Interviews were transcribed verbatim. Grounded theory approach was applied to analyse the interviews.

Results

CD had varying impact on the children and adolescents HRQOL. Two major categories emerged with importance for HRQOL in children and adolescents with CD, having CD (constructed from the six subcategories: symptoms, the diagnosis-process, self-perception, awareness of CD, social and emotional impact of CD, and thoughts about the future) and coping with CD (constructed from the two subcategories: coping with food and coping with social situations). The complexity of coping with CD in social situations that involve food is presented in a flowchart.

Conclusions

Children and adolescents showed large diversity in how much impact CD has on their HRQOL. Different ways of coping with CD and GFD were identified. Findings will be used to generate a patient-driven disease-specific questionnaire to measure HRQOL in children and adolescents with CD.

Sie haben noch keine Lizenz? Dann Informieren Sie sich jetzt über unsere Produkte:

Springer Professional "Wirtschaft+Technik"

Online-Abonnement

Mit Springer Professional "Wirtschaft+Technik" erhalten Sie Zugriff auf:

  • über 102.000 Bücher
  • über 537 Zeitschriften

aus folgenden Fachgebieten:

  • Automobil + Motoren
  • Bauwesen + Immobilien
  • Business IT + Informatik
  • Elektrotechnik + Elektronik
  • Energie + Nachhaltigkeit
  • Finance + Banking
  • Management + Führung
  • Marketing + Vertrieb
  • Maschinenbau + Werkstoffe
  • Versicherung + Risiko

Jetzt Wissensvorsprung sichern!

Springer Professional "Wirtschaft"

Online-Abonnement

Mit Springer Professional "Wirtschaft" erhalten Sie Zugriff auf:

  • über 67.000 Bücher
  • über 340 Zeitschriften

aus folgenden Fachgebieten:

  • Bauwesen + Immobilien
  • Business IT + Informatik
  • Finance + Banking
  • Management + Führung
  • Marketing + Vertrieb
  • Versicherung + Risiko




Jetzt Wissensvorsprung sichern!

Literatur
1.
Zurück zum Zitat Husby, S., Koletzko, S., Korponay-Szabó, I. R., Mearin, M. L., Phillips, A., Shamir, R., et al. (2012). European society for pediatric gastroenterology, hepatology, and nutrition guidelines for the diagnosis of coeliac disease. Journal of Pediatric Gastroenterology and Nutrition, 54(1), 136–160.PubMedCrossRef Husby, S., Koletzko, S., Korponay-Szabó, I. R., Mearin, M. L., Phillips, A., Shamir, R., et al. (2012). European society for pediatric gastroenterology, hepatology, and nutrition guidelines for the diagnosis of coeliac disease. Journal of Pediatric Gastroenterology and Nutrition, 54(1), 136–160.PubMedCrossRef
3.
Zurück zum Zitat Fasano, A., Berti, I., Gerarduzzi, T., Not, T., Colletti, R. B., Drago, S., et al. (2003). Prevalence of celiac disease in at-risk and not-at-risk groups in the United States: A large multicenter study. Archives of Internal Medicine, 163(3), 286–292.PubMedCrossRef Fasano, A., Berti, I., Gerarduzzi, T., Not, T., Colletti, R. B., Drago, S., et al. (2003). Prevalence of celiac disease in at-risk and not-at-risk groups in the United States: A large multicenter study. Archives of Internal Medicine, 163(3), 286–292.PubMedCrossRef
4.
Zurück zum Zitat Rubio-Tapia, A., Kyle, R. A., Kaplan, E. L., Johnson, D. R., Page, W., Erdtmann, F., et al. (2009). Increased prevalence and mortality in undiagnosed celiac disease. Gastroenterology, 137(1), 88–93.PubMedCentralPubMedCrossRef Rubio-Tapia, A., Kyle, R. A., Kaplan, E. L., Johnson, D. R., Page, W., Erdtmann, F., et al. (2009). Increased prevalence and mortality in undiagnosed celiac disease. Gastroenterology, 137(1), 88–93.PubMedCentralPubMedCrossRef
5.
Zurück zum Zitat Green, P. H. R., Neugut, A. I., Naiyer, A. J., Edwards, Z. C., Gabinelle, S., & Chinburapa, V. (2008). Economic benefits of increased diagnosis of celiac disease in a national managed care population in the United States. Journal of Insurance Medicine, 40(3–4), 218–228.PubMed Green, P. H. R., Neugut, A. I., Naiyer, A. J., Edwards, Z. C., Gabinelle, S., & Chinburapa, V. (2008). Economic benefits of increased diagnosis of celiac disease in a national managed care population in the United States. Journal of Insurance Medicine, 40(3–4), 218–228.PubMed
6.
Zurück zum Zitat Fasano, A. (2005). Clinical presentation of celiac disease in the pediatric population. Gastroenterology, 128(4 Suppl 1), S68–S73.PubMedCrossRef Fasano, A. (2005). Clinical presentation of celiac disease in the pediatric population. Gastroenterology, 128(4 Suppl 1), S68–S73.PubMedCrossRef
7.
Zurück zum Zitat Ludvigsson, J. F., Reutfors, J., Osby, U., Ekbom, A., & Montgomery, S. M. (2007). Coeliac disease and risk of mood disorders—A general population-based cohort study. Journal of Affective Disorders, 99(1–3), 117–126.PubMedCrossRef Ludvigsson, J. F., Reutfors, J., Osby, U., Ekbom, A., & Montgomery, S. M. (2007). Coeliac disease and risk of mood disorders—A general population-based cohort study. Journal of Affective Disorders, 99(1–3), 117–126.PubMedCrossRef
8.
Zurück zum Zitat Karwautz, A., Wagner, G., Berger, G., Sinnreich, U., Grylli, V., & Huber, W.-D. (2008). Eating pathology in adolescents with celiac disease. Psychosomatics, 49(5), 399–406.PubMedCrossRef Karwautz, A., Wagner, G., Berger, G., Sinnreich, U., Grylli, V., & Huber, W.-D. (2008). Eating pathology in adolescents with celiac disease. Psychosomatics, 49(5), 399–406.PubMedCrossRef
9.
Zurück zum Zitat Rashid, M., Cranney, A., Zarkadas, M., Graham, I. D., Switzer, C., Case, S., et al. (2005). Celiac disease: Evaluation of the diagnosis and dietary compliance in Canadian children. Pediatrics, 116(6), e754–e759.PubMedCrossRef Rashid, M., Cranney, A., Zarkadas, M., Graham, I. D., Switzer, C., Case, S., et al. (2005). Celiac disease: Evaluation of the diagnosis and dietary compliance in Canadian children. Pediatrics, 116(6), e754–e759.PubMedCrossRef
10.
Zurück zum Zitat Olsson, C., Lyon, P., Hörnell, A., Ivarsson, A., & Sydner, Y. M. (2009). Food that makes you different: The stigma experienced by adolescents with celiac disease. Qualitative Health Research, 19(7), 976–984.PubMedCrossRef Olsson, C., Lyon, P., Hörnell, A., Ivarsson, A., & Sydner, Y. M. (2009). Food that makes you different: The stigma experienced by adolescents with celiac disease. Qualitative Health Research, 19(7), 976–984.PubMedCrossRef
11.
Zurück zum Zitat Bongiovanni, T. R. S., Clark, A. L., Garnett, E. A., Wojcicki, J. M., & Heyman, M. B. (2010). Impact of gluten-free camp on quality of life of children and adolescents with celiac disease. Pediatrics, 125(3), e525–e529.PubMedCrossRef Bongiovanni, T. R. S., Clark, A. L., Garnett, E. A., Wojcicki, J. M., & Heyman, M. B. (2010). Impact of gluten-free camp on quality of life of children and adolescents with celiac disease. Pediatrics, 125(3), e525–e529.PubMedCrossRef
12.
Zurück zum Zitat Roma, E., Roubani, A., Kolia, E., Panayiotou, J., Zellos, A., & Syriopoulou, V. P. (2010). Dietary compliance and life style of children with coeliac disease. Journal of Human Nutrition and Dietetics, 23(2), 176–182.PubMedCrossRef Roma, E., Roubani, A., Kolia, E., Panayiotou, J., Zellos, A., & Syriopoulou, V. P. (2010). Dietary compliance and life style of children with coeliac disease. Journal of Human Nutrition and Dietetics, 23(2), 176–182.PubMedCrossRef
13.
Zurück zum Zitat Rosén, A., Ivarsson, A., Nordyke, K., Karlsson, E., Carlsson, A., Danielsson, L., et al. (2011). Balancing health benefits and social sacrifices: A qualitative study of how screening-detected celiac disease impacts adolescents’ quality of life. BMC Pediatrics, 11, 32.PubMedCentralPubMedCrossRef Rosén, A., Ivarsson, A., Nordyke, K., Karlsson, E., Carlsson, A., Danielsson, L., et al. (2011). Balancing health benefits and social sacrifices: A qualitative study of how screening-detected celiac disease impacts adolescents’ quality of life. BMC Pediatrics, 11, 32.PubMedCentralPubMedCrossRef
14.
Zurück zum Zitat Byström, I.-M., Hollén, E., Fälth-Magnusson, K., & Johansson, A. (2012). Health-related quality of life in children and adolescents with celiac disease: From the perspectives of children and parents. Gastroenterology Research and Practice, 2012, 986475.PubMedCentralPubMedCrossRef Byström, I.-M., Hollén, E., Fälth-Magnusson, K., & Johansson, A. (2012). Health-related quality of life in children and adolescents with celiac disease: From the perspectives of children and parents. Gastroenterology Research and Practice, 2012, 986475.PubMedCentralPubMedCrossRef
15.
Zurück zum Zitat Kurppa, K., Collin, P., Mäki, M., & Kaukinen, K. (2011). Celiac disease and health-related quality of life. Expert Review of Gastroenterology & Hepatology, 5(1), 83–90.CrossRef Kurppa, K., Collin, P., Mäki, M., & Kaukinen, K. (2011). Celiac disease and health-related quality of life. Expert Review of Gastroenterology & Hepatology, 5(1), 83–90.CrossRef
16.
Zurück zum Zitat Olsson, C., Hörnell, A., Ivarsson, A., & Sydner, Y. M. (2008). The everyday life of adolescent coeliacs: Issues of importance for compliance with the gluten-free diet. Journal of Human Nutrition and Dietetics, 21(4), 359–367.PubMedCrossRef Olsson, C., Hörnell, A., Ivarsson, A., & Sydner, Y. M. (2008). The everyday life of adolescent coeliacs: Issues of importance for compliance with the gluten-free diet. Journal of Human Nutrition and Dietetics, 21(4), 359–367.PubMedCrossRef
17.
Zurück zum Zitat HO, W. (1993). Study protocol for the World Health Organization project to develop a Quality of Life assessment instrument (WHOQOL). Quality of Life Research, 2(2), 153–159.CrossRef HO, W. (1993). Study protocol for the World Health Organization project to develop a Quality of Life assessment instrument (WHOQOL). Quality of Life Research, 2(2), 153–159.CrossRef
18.
Zurück zum Zitat Testa, M. A., & Simonson, D. C. (1996). Assesment of quality-of-life outcomes. New England Journal of Medicine, 334(13), 835–840.PubMedCrossRef Testa, M. A., & Simonson, D. C. (1996). Assesment of quality-of-life outcomes. New England Journal of Medicine, 334(13), 835–840.PubMedCrossRef
19.
Zurück zum Zitat Grootenhuis, M. A., Koopman, H. M., Verrips, E. G. H., Vogels, A. G. C., & Last, B. F. (2007). Health-related quality of life problems of children aged 8–11 years with a chronic disease. Developmental Neurorehabilitation, 10(1), 27–33.PubMedCrossRef Grootenhuis, M. A., Koopman, H. M., Verrips, E. G. H., Vogels, A. G. C., & Last, B. F. (2007). Health-related quality of life problems of children aged 8–11 years with a chronic disease. Developmental Neurorehabilitation, 10(1), 27–33.PubMedCrossRef
20.
Zurück zum Zitat Van Doorn, R. K., Winkler, L. M. F., Zwinderman, K. H., Mearin, M. L., & Koopman, H. M. (2008). CDDUX: A disease-specific health-related quality-of-life questionnaire for children with celiac disease. Journal of Pediatric Gastroenterology and Nutrition, 47(2), 147–152.PubMedCrossRef Van Doorn, R. K., Winkler, L. M. F., Zwinderman, K. H., Mearin, M. L., & Koopman, H. M. (2008). CDDUX: A disease-specific health-related quality-of-life questionnaire for children with celiac disease. Journal of Pediatric Gastroenterology and Nutrition, 47(2), 147–152.PubMedCrossRef
21.
Zurück zum Zitat Sud, S., Marcon, M., Assor, E., Daneman, D., & Mahmud, F. H. (2012). Quality of life in children with diabetes and celiac disease: Minimal impact of the “double diagnosis”. Pediatric Diabetes, 13(2), 163–169.PubMedCrossRef Sud, S., Marcon, M., Assor, E., Daneman, D., & Mahmud, F. H. (2012). Quality of life in children with diabetes and celiac disease: Minimal impact of the “double diagnosis”. Pediatric Diabetes, 13(2), 163–169.PubMedCrossRef
22.
Zurück zum Zitat Kolsteren, M. M., Koopman, H. M., Schalekamp, G., & Mearin, M. L. (2001). Health-related quality of life in children with celiac disease. Journal of Pediatrics, 138(4), 593–595.PubMedCrossRef Kolsteren, M. M., Koopman, H. M., Schalekamp, G., & Mearin, M. L. (2001). Health-related quality of life in children with celiac disease. Journal of Pediatrics, 138(4), 593–595.PubMedCrossRef
23.
Zurück zum Zitat Wagner, G., Berger, G., Sinnreich, U., Grylli, V., Schober, E., Huber, W.-D., et al. (2008). Quality of life in adolescents with treated coeliac disease: Influence of compliance and age at diagnosis. Journal of Pediatric Gastroenterology and Nutrition, 47(5), 555–561.PubMedCrossRef Wagner, G., Berger, G., Sinnreich, U., Grylli, V., Schober, E., Huber, W.-D., et al. (2008). Quality of life in adolescents with treated coeliac disease: Influence of compliance and age at diagnosis. Journal of Pediatric Gastroenterology and Nutrition, 47(5), 555–561.PubMedCrossRef
24.
Zurück zum Zitat Van Koppen, E. J., Schweizer, J. J., Csizmadia, C. G. D. S., Krom, Y., Hylkema, H. B., van Geel, A. M., et al. (2009). Long-term health and quality-of-life consequences of mass screening for childhood celiac disease: A 10-year follow-up study. Pediatrics, 123(4), e582–e588.PubMedCrossRef Van Koppen, E. J., Schweizer, J. J., Csizmadia, C. G. D. S., Krom, Y., Hylkema, H. B., van Geel, A. M., et al. (2009). Long-term health and quality-of-life consequences of mass screening for childhood celiac disease: A 10-year follow-up study. Pediatrics, 123(4), e582–e588.PubMedCrossRef
25.
Zurück zum Zitat Bellini, A., Zanchi, C., Martelossi, S., Di Leo, G., Not, T., & Ventura, A. (2011). Compliance with the gluten-free diet: The role of locus of control in celiac disease. The Journal of Pediatrics, 158(3), 463.e5–466.e5.CrossRef Bellini, A., Zanchi, C., Martelossi, S., Di Leo, G., Not, T., & Ventura, A. (2011). Compliance with the gluten-free diet: The role of locus of control in celiac disease. The Journal of Pediatrics, 158(3), 463.e5–466.e5.CrossRef
26.
Zurück zum Zitat Nordyke, K., Norström, F., Lindholm, L., Carlsson, A., Danielsson, L., Emmelin, M., et al. (2011). Health-related quality-of-life in children with coeliac disease, measured prior to receiving their diagnosis through screening. Journal of Medical Screening, 18(4), 187–192.PubMedCrossRef Nordyke, K., Norström, F., Lindholm, L., Carlsson, A., Danielsson, L., Emmelin, M., et al. (2011). Health-related quality-of-life in children with coeliac disease, measured prior to receiving their diagnosis through screening. Journal of Medical Screening, 18(4), 187–192.PubMedCrossRef
27.
Zurück zum Zitat Mazzone, L., Reale, L., Spina, M., Guarnera, M., Lionetti, E., Martorana, S., et al. (2011). Compliant gluten-free children with celiac disease: An evaluation of psychological distress. BMC Pediatrics, 11, 46.PubMedCentralPubMedCrossRef Mazzone, L., Reale, L., Spina, M., Guarnera, M., Lionetti, E., Martorana, S., et al. (2011). Compliant gluten-free children with celiac disease: An evaluation of psychological distress. BMC Pediatrics, 11, 46.PubMedCentralPubMedCrossRef
28.
Zurück zum Zitat De Lorenzo, C. M., Xikota, J. C., Wayhs, M. C., Nassar, S. M., & de Souza Pires, M. M. (2012). Evaluation of the quality of life of children with celiac disease and their parents: A case-control study. Quality of Life Research, 21(1), 77–85.PubMedCrossRef De Lorenzo, C. M., Xikota, J. C., Wayhs, M. C., Nassar, S. M., & de Souza Pires, M. M. (2012). Evaluation of the quality of life of children with celiac disease and their parents: A case-control study. Quality of Life Research, 21(1), 77–85.PubMedCrossRef
29.
Zurück zum Zitat Hallert, C., Grännö, C., Grant, C., Hultén, S., Midhagen, G., Ström, M., et al. (1998). Quality of life of adult coeliac patients treated for 10 years. Scandinavian Journal of Gastroenterology, 33(9), 933–938.PubMedCrossRef Hallert, C., Grännö, C., Grant, C., Hultén, S., Midhagen, G., Ström, M., et al. (1998). Quality of life of adult coeliac patients treated for 10 years. Scandinavian Journal of Gastroenterology, 33(9), 933–938.PubMedCrossRef
30.
Zurück zum Zitat Häuser, W., Stallmach, A., Caspary, W. F., & Stein, J. (2007). Predictors of reduced health-related quality of life in adults with coeliac disease. Alimentary Pharmacology & Therapeutics, 25(5), 569–578.CrossRef Häuser, W., Stallmach, A., Caspary, W. F., & Stein, J. (2007). Predictors of reduced health-related quality of life in adults with coeliac disease. Alimentary Pharmacology & Therapeutics, 25(5), 569–578.CrossRef
31.
Zurück zum Zitat Usai, P., Minerba, L., Marini, B., Cossu, R., Spada, S., Carpiniello, B., et al. (2002). Case control study on health-related quality of life in adult coeliac disease. Digestive and Liver Disease, 34(8), 547–552.PubMedCrossRef Usai, P., Minerba, L., Marini, B., Cossu, R., Spada, S., Carpiniello, B., et al. (2002). Case control study on health-related quality of life in adult coeliac disease. Digestive and Liver Disease, 34(8), 547–552.PubMedCrossRef
32.
Zurück zum Zitat Compas, B. E., Jaser, S. S., Dunn, M. J., & Rodriguez, E. M. (2012). Coping with chronic illness in childhood and adolescence. Annual Review of Clinical Psychology, 8, 455–480.PubMedCentralPubMedCrossRef Compas, B. E., Jaser, S. S., Dunn, M. J., & Rodriguez, E. M. (2012). Coping with chronic illness in childhood and adolescence. Annual Review of Clinical Psychology, 8, 455–480.PubMedCentralPubMedCrossRef
33.
Zurück zum Zitat Colucci, E. (2007). “Focus groups can be fun”: The use of activity-oriented questions in focus group discussions. Qualitative Health Research, 17(10), 1422–1433.PubMedCrossRef Colucci, E. (2007). “Focus groups can be fun”: The use of activity-oriented questions in focus group discussions. Qualitative Health Research, 17(10), 1422–1433.PubMedCrossRef
34.
Zurück zum Zitat Dorn, S. D., Hernandez, L., Minaya, M. T., Morris, C. B., Hu, Y., Leserman, J., et al. (2010). The development and validation of a new coeliac disease quality of life survey (CD-QOL). Alimentary Pharmacology & Therapeutics, 31(6), 666–675.CrossRef Dorn, S. D., Hernandez, L., Minaya, M. T., Morris, C. B., Hu, Y., Leserman, J., et al. (2010). The development and validation of a new coeliac disease quality of life survey (CD-QOL). Alimentary Pharmacology & Therapeutics, 31(6), 666–675.CrossRef
36.
Zurück zum Zitat Kvale, S., Brinkmann, S. (2009). InterViews: Learning the Craft of qualitative research interviewing. SAGE Publications. Kvale, S., Brinkmann, S. (2009). InterViews: Learning the Craft of qualitative research interviewing. SAGE Publications.
37.
Zurück zum Zitat Sim, J. (1998). Collecting and analysing qualitative data: Issues raised by the focus group. Journal of Advanced Nursing, 28(2), 345–352.PubMedCrossRef Sim, J. (1998). Collecting and analysing qualitative data: Issues raised by the focus group. Journal of Advanced Nursing, 28(2), 345–352.PubMedCrossRef
38.
Zurück zum Zitat Sverker, A., Hensing, G., & Hallert, C. (2005). “Controlled by food”—Lived experiences of coeliac disease. Journal of Human Nutrition and Dietetics, 18(3), 171–180.PubMedCrossRef Sverker, A., Hensing, G., & Hallert, C. (2005). “Controlled by food”—Lived experiences of coeliac disease. Journal of Human Nutrition and Dietetics, 18(3), 171–180.PubMedCrossRef
39.
Zurück zum Zitat Glaser, B. G., Strauss, A. L. (2009). The discovery of grounded theory: Strategies for qualitative research. Transaction Publishers. Glaser, B. G., Strauss, A. L. (2009). The discovery of grounded theory: Strategies for qualitative research. Transaction Publishers.
40.
Zurück zum Zitat DunnGalvin, A., Gaffney, A., & Hourihane, J. O. (2009). Developmental pathways in food allergy: A new theoretical framework. Allergy, 64(4), 560–568.PubMedCrossRef DunnGalvin, A., Gaffney, A., & Hourihane, J. O. (2009). Developmental pathways in food allergy: A new theoretical framework. Allergy, 64(4), 560–568.PubMedCrossRef
41.
Zurück zum Zitat Rose, C., Howard, R. (2013). Living with coeliac disease: A grounded theory study. Journal of Human Nutrition and Dietetics. doi:10.1111/jhn 12062. Rose, C., Howard, R. (2013). Living with coeliac disease: A grounded theory study. Journal of Human Nutrition and Dietetics. doi:10.1111/jhn 12062.
Metadaten
Titel
Health-related quality of life in children and adolescents with celiac disease: patient-driven data from focus group interviews
verfasst von
Halfdan Skjerning
Ruth O. Mahony
Steffen Husby
Audrey DunnGalvin
Publikationsdatum
01.08.2014
Verlag
Springer International Publishing
Erschienen in
Quality of Life Research / Ausgabe 6/2014
Print ISSN: 0962-9343
Elektronische ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-014-0623-x

Weitere Artikel der Ausgabe 6/2014

Quality of Life Research 6/2014 Zur Ausgabe