Gluten sensitivity and relationship to psychiatric symptoms in people with schizophrenia

Schizophr Res. 2014 Nov;159(2-3):539-42. doi: 10.1016/j.schres.2014.09.023. Epub 2014 Oct 11.

Abstract

The relationship between gluten sensitivity and schizophrenia has been of increasing interest and novel mechanisms explaining this relationship continue to be described. Our study in 100 people with schizophrenia compared to 100 matched controls replicates a higher prevalence of gluten sensitivity and higher mean antigliadin IgG antibody levels schizophrenia (2.9 ± 7.7 vs. 1.3 ± 1.3, p = 0.046, controlled for age). Additionally, we examined symptoms within the schizophrenia group and found that while positive symptoms are significantly lower in people who have elevated antigliadin antibodies (AGA; 4.11 ± 1.36 vs. 6.39 ± 2.99, p = 0.020), no robust clinical profile differentiates between positive and negative antibody groups. Thus, identifying people in schizophrenia who may benefit from a gluten-free diet remains possible by blood test only.

Keywords: Celiac disease; Gliadin; Gluten; Gluten sensitivity; Schizophrenia.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Adult
  • Comorbidity
  • Female
  • Gliadin / immunology*
  • Humans
  • Hypersensitivity / epidemiology
  • Hypersensitivity / immunology*
  • Male
  • Psychotic Disorders / epidemiology
  • Psychotic Disorders / immunology*
  • Psychotic Disorders / physiopathology
  • Schizophrenia / epidemiology
  • Schizophrenia / immunology*
  • Schizophrenia / physiopathology

Substances

  • Gliadin