Psychiatric aspects of food-related physical symptoms: A community study

Peveler, Robert; Mayou, Richard; Young, E.; Stoneham, Michael

doi:10.1016/0022-3999(96)00120-1

Cited by 24 publications

(17 citation statements)

References 12 publications

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“…Patients presenting at an allergy clinic with supposed food allergy were almost identical, with new psychiatric out-patients referrals in terms of psychiatric symptomatology (Rix et al, 1984). Since no such correlation is demonstrable in population-based studies like this one, the findings in specialized clinics are probably due to selection bias (Peveler et al, 1996;Knibb et al, 1999). The lack of correlation between perceived food intolerance and somatic unexplained comorbidity (like musculoskeletal pain) and psychiatric disorders in population-based studies make it unlikely that perceived food intolerance has a psychiatric etiology.…”

Section: Discussionmentioning

confidence: 76%

Perceived food intolerance in subjects with irritable bowel syndrome – etiology, prevalence and consequences

2005

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Objectives: This study estimates the prevalence of perceived food intolerance and its consequences in subjects with irritable bowel syndrome (IBS), evaluates the utility of common tests for food intolerance, studies the relation between perceived food intolerance and other disorders, and discusses the etiology. Design: Cross-sectional study. Setting: National health survey. Subjects: A selection of the population (n ¼ 11078) in Oppland county, Norway, was invited to a health screening, and a sample of subjects with IBS were included in the study. Interventions: A medical history of food intolerance, musculoskeletal pain, mood disorders and abdominal complaints was taken, and tests were performed for food allergy and malabsorption. A dietician evaluated the dietary habits of the subjects. Results: Out of 4622 subjects with adequately filled-in questionnaires, 84 were included in the study, 59 (70%) had symptoms related to intake of food, 62% limited or excluded food items from the diet and 12% had an inadequate diet. The mean numbers of food items related to symptoms and the number of foods limited or excluded from the diet were 4.8 and 2.5, respectively. There were no associations between the tests for food allergy and malabsorption and perceived food intolerance. Perceived food intolerance was unrelated to musculoskeletal pain and mood disorders. Conclusions: Perceived food intolerance is a common problem with significant nutritional consequences in a population with IBS. The uselessness of current antibody tests and tests for malabsorption and the lack of correlation to psychiatric co-morbidity make the etiology obscure.

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Section: Discussionmentioning

confidence: 76%

Perceived food intolerance in subjects with irritable bowel syndrome – etiology, prevalence and consequences

2005

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“…However, the response rate for this study was low, at only 55%. Conversely, another English community based study conducted by Peveler et al (1996) did not find any significant association between psychological impairment and perceived food intolerances. This study also concluded that the reported associations between perceived food intolerances and psychiatric disorder in allergy clinic patients was likely to be due to referral bias.…”

Section: Overestimation Of Food Allergy Rk Woods Et Almentioning

confidence: 74%

“…Several researchers have found evidence that many subjects with perceived adverse food reactions have various psychiatric disorders (Knibb et al, 1999;Pearson, 1988;Howard & Wessely, 1993). However others have found no such association (Peveler et al, 1996). Other possible causes or contributing factors are yet to be identified.…”

Section: Introductionmentioning

confidence: 99%

Reported adverse food reactions overestimate true food allergy in the community

et al. 2002

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Objective: To determine the extent to which perceived adverse food reactions were associated with IgE mediated food allergy, as defined by skin prick testing (SPT). Design: A cohort epidemiological study. Participants underwent SPT to five common food allergens (cow's milk, peanut mix, egg white, shrimp and whole grain wheat mix) and were asked whether they had ever suffered any food 'illness=trouble', and if so to list such food(s). A positive SPT was defined as wheal diameter of 3 mm. Cohen's kappa (k) was used to assess the agreement between SPT and self-reported reactions to food(s) which contained the allergen of interest. Setting: Randomly selected adults who took part in the follow-up of the European Community Respiratory Health Survey (ECRHS) in 1998. Subjects: The subjects were 457 adults aged 26 -50 y. Results: Fifty-eight (13%) adults were sensitised to at least one food allergen whilst 99 adults (22%) reported illness to food(s) nearly always. However, only seven subjects who reported illness to a food also had a positive SPT to the same food. The prevalence of adverse food reactions associated with IgE mediated allergy in the adult general population would be less than 1.5% (7=457). The agreement between SPT and self-reported illness to food(s) was poor for cow's milk (k ¼ 0) and wheat (k ¼ 0), slight for shrimp (k ¼ 0.16) and egg white (k ¼ 0.09) and fair for peanut mix (k ¼ 0.37). Conclusions: There was little agreement between self-reported perceived illness to food(s) known to contain the food allergen of interest, and positive SPT, suggesting that most reactions are not due to IgE mediated food allergy.

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“…Indeed, it has been shown that human patients suffering from food allergy present higher prevalence of trait anxiety and/or depression than nonhealthy controls with lactose intolerance and healthy controls . However, in similar studies, other authors have failed to find this association Peveler et al, 1996), arguing that the diagnosis of psychological symptoms in allergic patients was due to an artifact of referral bias . The main argument against allergy-induced psychological symptoms has been the lack of supportive evidence for a direct effect of allergy on neural activity and behavior .…”

Section: Introductionmentioning

confidence: 81%

“…Além das alterações relacionadas à absorção, também verificou-se em animais alérgicos desafiados com o antígeno um aumento da secreção de íons cloreto pelo epitélio intestinal que foi prevenido por meio do tratamento com antagonistas de receptores de serotonina e histamina, inibidores da cicloxigenase e estabilizadores de mastócitos (CATTO-SMITH et al, 1989;STENTON;VLIAGOFTIS;BEFUS, 1998 PEVELER et al, 1996). Neste contexto, a falta de evidências claras de que uma reação alérgica seja capaz de afetar diretamente a função do SNC e/ou o comportamento tem sido um dos principais argumentos usados para contestar a existência de associações entre doenças alérgicas e sintomas de caráter psicológico .…”

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Percepção neural da alergia alimentar: envolvimento de mecanismos dependentes de IgE e das fibras nervosas do tipo C

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Psychiatric aspects of food-related physical symptoms: A community study

Cited by 24 publications

References 12 publications

Perceived food intolerance in subjects with irritable bowel syndrome – etiology, prevalence and consequences

Perceived food intolerance in subjects with irritable bowel syndrome – etiology, prevalence and consequences

Reported adverse food reactions overestimate true food allergy in the community

Percepção neural da alergia alimentar: envolvimento de mecanismos dependentes de IgE e das fibras nervosas do tipo C

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