Impact of peanut allergy on quality of life, stress and anxiety in the family

King, Rosemary; Knibb, Rebecca; Hourihane, Jonathan

doi:10.1111/j.1398-9995.2008.01843.x

Cited by 293 publications

(337 citation statements)

References 44 publications

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“…Various studies have shown that FA has a negative impact on an individual's HRQL [3,4,5]. Within the framework of the EuroPrevall project, an FA-specific quality of life questionnaire for adults has been developed and validated, which was used in this study [8,12].…”

Section: Discussionmentioning

confidence: 99%

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Quality of Life Is More Impaired in Patients Seeking Medical Care for Food Allergy

Le¹,

Blok²,

Hoffen³

et al. 2013

Int Arch Allergy Immunol

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Background: Food allergy (FA) affects 2-4% of adults, but only a small percentage visit an outpatient clinic for a thorough evaluation. Methods: A matched case-control study was used to compare health-related quality of life (HRQL) of the Dutch general population that did not seek medical care for their FA with outpatients who did seek medical care. All participants were diagnosed as food allergic (i.e. with a suggestive history and corresponding positive IgE). HRQL was measured using the Food Allergy Quality of Life Questionnaire - Adult Form (FAQLQ-AF). A food allergy independent measure (FAIM) was used to evaluate the adult's perception of the severity of his/her disease. Results: Total FAQLQ-AF score in individuals who never visited a doctor for their FA was significantly lower than that of patients who sought medical care (2.4 vs. 3.9, p = 0.03), indicating that the former had a better quality of life than patients who did seek medical care. Regarding the different domains of FAQLQ, the score for allergen avoidance and dietary restrictions and the score for emotional impact (EI) was significantly higher in the group that sought medical care (p = 0.02 and 0.03, respectively), indicating the importance of these domains. The FAIM score was significantly higher in the group that sought medical care, indicating that they perceived their FA as more severe. Conclusion and Clinical Relevance: Patients who seek medical care for their FA have a more impaired HRQL and perceive their FA as more severe. Food avoidance and issues related to the EI of FA are key areas of intervention aimed at improving HRQL in patients with FA.

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Section: Discussionmentioning

confidence: 99%

“…A possible explanation is a difference in health-related quality of life (HRQL). Various studies have shown that FA has a negative impact on an individual's HRQL [3,4,5]. A more impaired HRQL could be a reason to seek medical care, irrespective of the severity of symptoms.…”

Section: Introductionmentioning

confidence: 99%

Quality of Life Is More Impaired in Patients Seeking Medical Care for Food Allergy

Le¹,

Blok²,

Hoffen³

et al. 2013

Int Arch Allergy Immunol

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“…Diagnosis of food allergy in a child is associated with increases in caregiver stress and anxiety, 10 and should be based on a thorough clinical history and relevant testing.…”

Section: Cases Revisitedmentioning

confidence: 99%

Blood testing for sensitivity, allergy or intolerance to food

Lavine¹

2012

CMAJ

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A 35-year-old man has psoriatic arthritis. After starting treatment with methotrexate, he seeks the opinion of a holistic care provider, who suggests testing for "food sensitivity" to identify any foods that may be contributing to his symptoms. The patient is provided with a test report, which suggests that cows' milk and dairy products, wheat, eggs and many other foods should be avoided. The patient is told that food intolerances may be heritable and that he should consider testing his healthy young daughter. Case 2A four-year-old girl has flexural patches of pruritic skin since infancy, diagnosed as atopic dermatitis. Her mother is concerned about the safety of topical corticosteroids and limits their use. She visits a holistic care provider and is offered a blood test, described as "food allergy" testing, to identify any foods contributing to the child's eczema. After blood is drawn and analyzed, the test results highlight many foods the child should be avoiding, including eggs. The parents keep a vegetarian household, and the child does not eat any meat or fish. Eggs are a major component of the child's diet.

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“…Given the ever-present fear of severe allergic reactions from accidental ingestions and food product contamination, (4)(5)(6) the potential for severe or fatal reactions, (3;7) the need for strict elimination diets and difficulty interpreting food labels, (8;9) a diagnosis of food allergy has significant medical, nutritional and psychosocial implications for affected individuals and families. (10)(11)(12)(13)(14) Additionally, there is a substantial economic impact, as investigators have also reported increased health care expenditures associated with food allergy. (15)(16)(17) Standard clinical care for peanut allergy currently includes strict dietary elimination and ready access to injectable epinephrine in case of accidental ingestions; there are presently no broadly available therapeutic options for food-allergic patients.…”

Section: Introductionmentioning

confidence: 99%