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ORIGINAL ARTICLE
Anxiety and depression: a study of psychoaffective, family-related, and daily-life factors in celiac individuals
Revista Brasileira de Enfermagem. 2020;73(Suppl 1):e20200086
09-21-2020
Abstract
ORIGINAL ARTICLEAnxiety and depression: a study of psychoaffective, family-related, and daily-life factors in celiac individuals
Revista Brasileira de Enfermagem. 2020;73(Suppl 1):e20200086
09-21-2020DOI 10.1590/0034-7167-2020-0086
Views0See moreABSTRACT
Objective:
To identify the prevalence of anxiety and depression and its association with psychoaffective, family-related, and daily-life variables of celiac individuals.
Methods:
Crosssectional study, developed with 83 celiac patients in Fortaleza. An instrument was applied with variables grouped in the categories: psychoaffective, family-related, and daily-life.
Results:
It was found that 52 celiac patients (62.7%) had anxiety and 29 (34.9%) had depression. The clinical conditions found and the number of symptoms increased the chance of anxiety/depression. The predominant factors in those with anxiety were Lack of control of the celiac disease (98.1%), Perceived clinical condition (75.0%), Daily obstacles for maintaining a gluten-free diet (63.4%), and Daily activities (55.8%). In those with depression, there was a higher prevalence of Lack of control of the celiac disease (100.0%), Perceived clinical condition (82.2%), and Daily obstacles for maintaining a gluten-free diet (69.0%).
Conclusion:
Celiac individuals with anxiety and depression frameworks presented a higher frequency of Perceived clinical condition, Insufficient social support (psychoaffective factors) and Daily obstacles for maintaining a gluten-free diet (daily-life factor).
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ORIGINAL ARTICLE
Accuracy of the clinical indicators of ineffective health management in celiac people
Revista Brasileira de Enfermagem. 2020;73(3):e20180739
04-22-2020
Abstract
ORIGINAL ARTICLEAccuracy of the clinical indicators of ineffective health management in celiac people
Revista Brasileira de Enfermagem. 2020;73(3):e20180739
04-22-2020DOI 10.1590/0034-7167-2018-0739
Views0See moreABSTRACT
Objective:
to analyze the accuracy of clinical indicators of “Ineffective health management” in celiac patients and to verify associations between sociodemographic characteristics and clinical indicators.
Method:
a cross-sectional study, conducted from May to September 2017, with 83 celiac patients, through an interview. Accuracy measures were defined by latent class model.
Results:
there was a prevalence of “Ineffective health management” of 55.69%. “Failure to take action to reduce risk factor” and “Failure to include treatment regimen in daily living” better predict this diagnosis. Paid occupation reduces the chance of the presence of “Difficulty with prescribed regimen”. Participation in support association reduces the chance of the presence of “Difficulty with prescribed regimen”, “Ineffective choices in daily living for meeting health goal” and “Failure to take action to reduce risk factor”.
Conclusion:
accurate clinical indicators identification assists clinical reasoning for diagnostic inference in specific health contexts.