An assessment of the mental health care needs and utilization by families of children with a food allergy

Annunziato, Rachel A.; Shemesh, Eyal; Weiss, Christopher C.; Izzo, Genevieve N.; D’Urso, Christine; Sicherer, Scott H.

doi:10.1177/1359105312464675

Cited by 21 publications

(13 citation statements)

References 31 publications

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“…However, it warrants mention that non-food allergic households reported no such negative events. Elsewhere, Annunziato et al reported that 70% of mothers with food allergic children reported that mental health support would be beneficial 15 . Yet, to our knowledge, these types of sustained supports are not commonly available.…”

Section: Discussionmentioning

confidence: 99%

Pediatric food allergy-related household costs are influenced by age, but not disease severity

Wai

Middelveld

Thörnqvist

et al. 2019

World Allergy Organization Journal

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ObjectiveThe economic burden of food allergy on households is poorly understood. We evaluated the household costs associated with specialist-diagnosed pediatric food allergy, with focus on age and disease severity.Study designA cross-sectional study of 70 Swedish case-control pairs (59% boys) was conducted using Food Allergy Economic questionnaire. Household costs were analyzed between age- and gender-matched cases (children aged 0–17 years, with specialist-diagnosed food allergy) and controls (non-food allergic households).ResultsParents were predominantly university-educated and employed full-time. Most cases had parent-reported previous anaphylaxis. Mean total annual household costs were comparable between cases and controls. However, compared to controls, cases had significantly higher direct medical-, and non-medical related costs; higher indirect medical-related costs, and higher intangible costs (all p < 0.05). In a sensitivity analyses of only cases aged 0–12 years, direct household costs, including lost earnings due to child's hospitalization, were significantly higher than controls. Results from only children with severe disease paralleled those of all cases vs. controls.ConclusionsAlthough pediatric food allergy is not associated with higher total annual household costs, these households have significantly higher direct medical-related, indirect and intangible costs vs. non-food allergic households. Higher household costs were identified amongst younger children, but not disease severity.

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Section: Discussionmentioning

confidence: 99%

Pediatric food allergy-related household costs are influenced by age, but not disease severity

Wai

Middelveld

Thörnqvist

et al. 2019

World Allergy Organization Journal

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“…The pattern of characteristics in the High Responder and Anxious High Responder groups suggests that children and their parents would benefit from behavioral health interventions with goals of processing severe FA reactions, addressing posttraumatic stress disorder symptoms when present, addressing potential cognitive distortions of threat, and improving skills for coping with FA anxiety and day-to-day FA challenges. (31–33) For children, assessing and promoting developmentally appropriate self-management capabilities including self-advocacy, symptom awareness, and response readiness may facilitate greater balanced management in the entire family. Families with a Low Responders presentation could benefit from education about FA to increase their general FA knowledge and understanding of FA management principles.…”

Section: Discussionmentioning

confidence: 99%

Patterns of adaptation to children's food allergies

Fedele

McQuaid

Faino

et al. 2016

Allergy

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Background Families with food allergy (FA) are at risk of reduced quality of life and elevated anxiety. A moderate level of anxiety may be beneficial to sustain vigilance for food avoidance; however, excessive anxiety may increase risk for burden and maladjustment. The current study presents a framework for understanding patterns of adaptation to FA across families and to identify typologies of families that would benefit from intervention. Methods Participants included 57 children, 6 to 12 years old with documented FA, and their mothers. Families were assessed using the Food Allergy Management and Adaptation Scale. Families also completed measures of quality of life, anxiety, FA management, and psychosocial impairment. Results A hierarchical cluster analysis revealed that 56 of the 57 families of food allergic children were categorized into four groups that differed on their adequacy of family FA management, levels of anxiety, and balanced psychosocial functioning: Balanced Responders (n = 23; 41%), High Responders (n = 25; 45%), and Low Responders (n = 3; 5%). The fourth group, Anxious High Responders (n = 5; 9%), was characterized by extremely high maternal FA anxiety scores and low scores for balanced integration of FA management and psychosocial functioning. Families in clusters differed across illness and psychosocial outcome variables. Conclusion Families with FA were characterized by patterns of FA management, anxiety, and ability to integrate FA demands into daily life. Identified adaptation patterns correspond with clinical impressions and provide a framework for identifying families in need of intervention.

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“…Because psychosocial interventions may be beneficial, the level of caregiver stress is also important to assess. Annunziato et al surveyed mothers attending a food allergy conference, and 70% of them reported that a mental health referral would be helpful [53]. Barriers to receiving mental health care included cost, lack of time, and lack of providers with specific expertise.…”

Section: Mental Health Interventionsmentioning

confidence: 99%

Beyond Avoidance: the Psychosocial Impact of Food Allergies

Feng¹,

Kim

2018

Clinic Rev Allerg Immunol

108

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Over the past few years, the rates of food allergies have dramatically increased. As a result, the lives of patients and their caregivers have been dramatically altered. While most attention surrounding food allergies has focused on treatment, less consideration has been given to the mental health ramifications of living with this condition, among them depression, anxiety, post-traumatic stress, being bullied, and an overall poorer quality of life. At the same time, patients' family lives are often disrupted. Parents of food-allergic children, especially mothers, report anxiety, depression, and a decreased quality of life. Indeed, mental health issues associated with food allergies are likely underrecognized. In this review, we describe not only the psychosocial impacts of food allergies but also survey treatments that can be used to address this burgeoning problem. Interventions include educating members of the greater community about food allergies, camps for food allergic children, and support groups for parents. For physicians, treatment options consist of oral challenges, proximity challenges, oral immunotherapy, and cognitive behavioral therapy. Although the existing research is built on an already strong foundation, ultimately more studies are needed to deepen our understanding of the relationship between food allergies and mental health.

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An assessment of the mental health care needs and utilization by families of children with a food allergy

Cited by 21 publications

References 31 publications

Pediatric food allergy-related household costs are influenced by age, but not disease severity

Pediatric food allergy-related household costs are influenced by age, but not disease severity

Patterns of adaptation to children's food allergies

Beyond Avoidance: the Psychosocial Impact of Food Allergies

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