Evidence map›Paper›PMID 42873385›Full record

ArticleDigestive diseases and sciences2026

Personality Traits Are Associated with Dietary Behaviors and Psychosocial Outcomes in Adolescents with Celiac Disease: A Cross-Sectional Study.

Zhijun Chen, Anne R Lee, Pamela Koch, Benjamin Lebwohl, Peter H R Green, Jessica Lebovits, Randi L Wolf

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Article in Digestive diseases and sciences, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Zhijun ChenProgram in Nutrition, Department of Health Studies & Applied Educational Psychology, Teachers College, Columbia University, New York, NY, USA. chenzhijun826@gmail.com.ORCID http://orcid.org/0009-0002-6716-5793
Anne R LeeDepartment of Medicine, Celiac Disease Center at Columbia University Irving Medical Center, New York, NY, USA.
Pamela KochProgram in Nutrition, Department of Health Studies & Applied Educational Psychology, Teachers College, Columbia University, New York, NY, USA.
Benjamin LebwohlDepartment of Medicine, Celiac Disease Center at Columbia University Irving Medical Center, New York, NY, USA.
Peter H R GreenDepartment of Medicine, Celiac Disease Center at Columbia University Irving Medical Center, New York, NY, USA.
Jessica LebovitsDepartment of Medicine, Celiac Disease Center at Columbia University Irving Medical Center, New York, NY, USA.
Randi L WolfProgram in Nutrition, Department of Health Studies & Applied Educational Psychology, Teachers College, Columbia University, New York, NY, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeCeliac disease (CeD) requires strict lifelong adherence to a gluten-free diet (GFD), which can be particularly challenging during adolescence. This cross-sectional study examined associations between personality traits, dietary behaviors, and psychosocial well-being in adolescents with CeD.

methodsFifty adolescents aged 14-17 years were recruited from a U.S. CeD referral center. Personality traits (Big Five Inventory), gluten-free diet adherence (CDAT), maladaptive eating behaviors (CD-FAB), quality of life (CDPQOL), anxiety (STAI-C), and depression (CES-DC) were measured.

resultsParticipants were mostly female (76%), with a mean age of 15.2 years. Sixty-two percent demonstrated good or excellent GFD adherence (CDAT < 13). Overall QOL was rated as "good" (mean CDPQOL: 62.8 out of 100). Maladaptive food attitudes and behaviors were common (mean CD-FAB: 32.0), and about one-third reported anxiety or depression symptoms. Poorer GFD adherence was associated with lower conscientiousness (β = - 0.44, p = .02). More maladaptive food attitudes and behaviors were associated with higher openness (β = 0.45, p = .01). Lower QOL was associated with higher openness (β = - 6.08, p = .011). Increased trait anxiety was associated with higher neuroticism (β = 6.12, p < .001). Increased depressive symptoms were associated with higher neuroticism (β = 4.21, p = .006) and lower extraversion (β = - 2.42, p = .043).

conclusionHigher openness may make a GFD feel more restrictive, lower conscientiousness may hinder GFD adherence planning, and higher neuroticism may increase anxiety and depression risk. Personality-informed counseling could help clinicians tailor support to improve adherence and well-being.

Indexed as

AdolescentBig fiveCeliac diseaseDiet adherenceGluten-free dietPersonality traitsQuality of life

Identifiers

PMID42873385

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.