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Previous Volume 358:747-749 February 14, 2008 Number 7 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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To the Editor: In their review article on celiac disease, Green and Cellier (Oct. 25 issue)¹ state that dietary nonadherence is the most common cause of unresponsive celiac disease. Several psychological disturbances — in particular, depression — are associated with celiac disease.^2,3,4 Previous studies have shown that depression is one of the reasons for nonadherence to medical treatment among patients with chronic diseases.⁵ Since depression is often present in patients with celiac disease both before diagnosis and after a gluten-free diet is recommended,³ nonadherence to a gluten-free diet could be partly due to depressive symptoms. Accordingly, we showed that counseling . . . [Full Text of this Article]

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