Anxiety and depression in caregivers of individuals with celiac disease: A population-based study

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Ludvigsson, Jonas F.,1969-Karolinska Institutet,Örebro universitet,Institutionen för medicinska vetenskaper,Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden; Department of Paediatrics, Örebro University Hospital, Örebro, Sweden; School of Medicine, University of Nottingham, City Hospital, Nottingham, United Kingdom; Department of Medicine, Columbia University College of Physicians and Surgeons, New York, United States (författare)

Anxiety and depression in caregivers of individuals with celiac disease : A population-based study

Artikel/kapitelEngelska2017

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Elsevier,2017
printrdacarrier

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LIBRIS-ID:oai:DiVA.org:oru-57415
https://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-57415URI
https://doi.org/10.1016/j.dld.2016.11.006DOI
http://kipublications.ki.se/Default.aspx?queryparsed=id:135485417URI

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Språk:engelska
Sammanfattning på:engelska

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BACKGROUND & AIMS: Partner burden is common in celiac disease (CD), but it is unclear if parents of children with CD have increased burden, and if this may translate into depression and anxiety meriting healthcare.METHODS: Nationwide population-based study of 41,753 parents and spouses ("caregivers") to 29,096 celiac patients and 215,752 caregivers to 144,522 matched controls. Caregivers were identified from the Swedish Total Population Register, and linked to data on psychiatric disease in the National Patient Registry. Hazard ratios (HRs) for depression, anxiety, and (as a reference outcome measure) bipolar disorder were examined in a lifetime fashion but also in temporal relationship to date of CD diagnosis using Cox regression. A priori, we focused on parents of individuals diagnosed ≤19 years of age (children at the age of disease onset) and spouses of individuals diagnosed in adulthood, as such parents and spouses ("high-risk caregivers") were most likely to live together with the patient at time of disease onset.RESULTS: On Cox analysis, depression was 11% more common in high-risk caregivers (HR=1.11: 95%CI=1.03-1.19) than in control caregivers while anxiety was 7% more common (HR=1.07: 95%CI=0.98-1.16). Combining anxiety and depression into a composite outcome measure, there was an 8% statistically significant risk increase (95%CI=1.02-1.14). The highest excess risks for both depression and anxiety were seen just before and 4-8 years after the CD diagnosis. In contrast, bipolar disorder was not more common in caregivers to CD patients.CONCLUSION: Caregivers to patients with CD may be at increased risk of severe burden.

Ämnesord och genrebeteckningar

MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Gastroenterologi hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Gastroenterology and Hepatology hsv//eng
Burden of illness
Caregiver
Celiac
Coeliac
Cohort
Marital relationship
Relative burden
Medicine
Medicin

Biuppslag (personer, institutioner, konferenser, titlar ...)

Roy, AbhikDepartment of Medicine, Columbia University College of Physicians and Surgeons, New York, United States (författare)
Lebwohl, BenjaminDepartment of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden; Department of Medicine, Columbia University College of Physicians and Surgeons, New York, United States (författare)
Green, Peter H. R.Department of Medicine, Columbia University College of Physicians and Surgeons, New York, United States (författare)
Emilsson, LouiseDepartment of Health Management and Health Economy, Institute of Health and Society, University of Oslo, Oslo, Norway; Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston MA, United States; Primary Care Research Unit, Vårdcentralen Värmlands Nysäter, Värmland County, Sweden (författare)
Örebro universitetInstitutionen för medicinska vetenskaper (creator_code:org_t)

Sammanhörande titlar

Ingår i:Digestive and Liver Disease: Elsevier49:3, s. 273-2791590-86581878-3562

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Av författaren/redakt...: Ludvigsson, Jona ...; Roy, Abhik; Lebwohl, Benjami ...; Green, Peter H. ...; Emilsson, Louise

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MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Klinisk medicin; och Gastroenterologi

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Av lärosätet: Örebro universitet; Karolinska Institutet

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