title: Eating Disorders in Adolescents with Celiac Disease: Influence of Personality Characteristics and Coping.
abstract: OBJECTIVE
  Patients suffering from celiac disease (CD) have a higher risk of developing disturbed eating behaviour.
  
  
  METHODS
  In a multi-centre study, 259 female adolescents with CD and without a chronic condition were analysed regarding their eating disorder (ED) status, depression, personality, coping strategies and quality of life.
  
  
  RESULTS
  Patients with CD and comorbid EDs were older and more often non-compliant with their diet and had a higher body mass index (BMI) and higher levels of depression. Differences in personality features disappear when controlling for age and depression. Higher ill-being and lower joy in life were reported by patients with CD and ED compared with patients without EDs, even when controlling for age and depression levels. No differences between patients (with CD) with and without EDs in coping strategies were found. BMI and lower self-directedness predicted ED status.
  
  
  CONCLUSIONS
  Early identification of EDs in patients with CD is suggested and should include BMI and personality factors.
authors.affiliation: Eating Disorders Unit, Department of Child and Adolescent Psychiatry, Medical University of Vienna, Austria.
authors.forename: Gudrun
authors.initials: G
authors.lastname: Wagner
authors.affiliation: Eating Disorders Unit, Department of Child and Adolescent Psychiatry, Medical University of Vienna, Austria.
authors.forename: Michael
authors.initials: M
authors.lastname: Zeiler
authors.affiliation: Gastroenterology Unit, Department of Pediatrics and Adolescent Medicine, Medical University of Vienna, Austria.
authors.forename: Gabriele
authors.initials: G
authors.lastname: Berger
authors.affiliation: Gastroenterology Unit, Department of Pediatrics and Adolescent Medicine, Medical University of Vienna, Austria.
authors.forename: Wolf-Dietrich
authors.initials: WD
authors.lastname: Huber
authors.affiliation: Department of Neurosciences, University of Padova, Italy.
authors.forename: Angela
authors.initials: A
authors.lastname: Favaro
authors.affiliation: Department of Neurosciences, University of Padova, Italy.
authors.forename: Paolo
authors.initials: P
authors.lastname: Santonastaso
authors.affiliation: Eating Disorders Unit, Department of Child and Adolescent Psychiatry, Medical University of Vienna, Austria.
authors.forename: Andreas
authors.initials: A
authors.lastname: Karwautz
mesh_terms: D000223:Adaptation, Psychological; D000293:Adolescent; D017677:Age Distribution; D001317:Austria / Q000453:epidemiology; D015992:Body Mass Index; D016022:Case-Control Studies; D002446:Celiac Disease / Q000175:diagnosis* / Q000453:epidemiology / Q000523:psychology*; D002648:Child; D015897:Comorbidity; D003863:Depression / Q000453:epidemiology; D003866:Depressive Disorder / Q000453:epidemiology; D001068:Feeding and Eating Disorders / Q000453:epidemiology / Q000523:psychology*; D005260:Female; D006801:Humans; D008297:Male; D010551:Personality; D010554:Personality Disorders / Q000453:epidemiology / Q000523:psychology; D010555:Personality Inventory; D011788:Quality of Life; D055815:Young Adult
keywords: coeliac disease; coping strategies; personality; quality of life