Psychological Needs and Services in a Pediatric Multidisciplinary Celiac Disease Clinic

J Clin Psychol Med Settings. 2020 Sep;27(3):433-443. doi: 10.1007/s10880-019-09673-9.

Abstract

This study aims to describe the psychological needs in children with celiac disease (CD) and to examine the feasibility of psychological consultation in a multidisciplinary clinic. Participants (N = 69) included children with CD and their parents who completed a pre-clinic mental health survey and a 30-min psychological consultation as part of a multidisciplinary clinic (including gastroenterology, nutrition, education, neurology, and neuropsychology). Quantitative and qualitative analyses examined psychological needs, experiences, and satisfaction. The psychologist identified clinically significant symptoms and provided referrals in 49% of children. There were no significant differences by time since CD diagnosis. During the psychology consultation, families discussed emotional adjustment, impact on life and physical well-being, and management of the gluten-free diet. Parents reported high levels of satisfaction from the clinic visit. We identified frequent psychological needs in pediatric CD. The multidisciplinary approach may be a feasible model for specialized, optimal treatment in this population.

Keywords: Celiac; Child; Coeliac; Gluten-free; Multidisciplinary; Pediatric; Psychological.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Celiac Disease / psychology*
  • Celiac Disease / therapy*
  • Child
  • Diet, Gluten-Free / psychology
  • Educational Status
  • Female
  • Humans
  • Male
  • Mental Health Services*
  • Parents / psychology
  • Personal Satisfaction
  • Surveys and Questionnaires