Psychological flexibility and celiac disease in adolescents: Understanding adherence and well-being for enhanced care. A rapid narrative review

Abstract

Abstract Background Psychological flexibility (PF) has been approached as a mediator between health conditions and outcomes by promoting positive responses and healthier behavior repertoires. Purpose This rapid narrative review examines studies exploring the role of PF in influencing celiac disease outcomes among adolescents, with a particular focus on adherence to dietary management practices. Method Online databases were searched for studies exploring possible connections between PF, celiac manifestation, and management presented by adolescents. Selected articles have entered the analysis to highlight whether PF mediates or affects celiac-related outcomes in adolescents. Conclusions Adolescents demonstrate a greater capacity to organize their daily routines effectively while adhering to gluten-free diets. However, the emphasis on PF can significantly impact their social interactions. Although there is much research to be conducted on this possible connection, there are still primary assumptions that support the idea that PF can also be a factor in helping adolescents with celiac disease navigate the challenges of their illness and maintain a quality of life. Healthcare professionals can find value in incorporating elements from supporting therapies, health literacy programs, and health promotion strategies. Furthermore, insights from the review suggest the importance of standardizing interventions and measurements including counseling practices at the primary care level.