Psychosocial Aspects of Food Allergy

Rubeiz, C.; Ernst, Michelle M.

doi:10.1016/j.iac.2021.01.006

Cited by 11 publications

(8 citation statements)

References 65 publications

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“…This can be associated with parents’ daily difficulties in caring for children with FA, including managing uncertainty related to accidental exposures, advocating for their child across systems, and maintaining treatment tasks such as epinephrine autoinjector use and oral immunotherapy. 40 Importantly, all of our psychological stress domains were inversely associated with resilience, which is the ability to maintain a positive developmental trajectory in the face of adversity. 25 40 41 These findings suggest that building resilience may be important to be better positioned to maintain a good parental QoL in caring for children with FAs.…”

Section: Discussionmentioning

confidence: 88%

Psychological Distress and Perceived Burden in Parents of Korean Children With IgE-Mediated Food Allergy

et al. 2023

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Background Food allergy (FA) can have a profound effect on quality of life (QoL), stress, and anxiety in the family. We aimed to validate the Korean version of the Food Allergy Quality of Life-Parental Burden (FAQL-PB) and identify factors related to the parental psychosocial burden of caring for children with FAs. Methods Parents of children aged between 6 months and 17 years with immunoglobulin E (IgE)-mediated FAs from the Pediatric Allergy Department of five university hospitals in Korea were enrolled in the study. Parents were asked to complete the FAQL-PB, Food Allergy Independent Measure-Parent Form (FAIM-PF), Child Health Questionnaire-Parents Form 28 (CHQ-PF28), Beck’s Anxiety Inventory, Connor-Davidson Resilience Scale, and Patient Health Questionnaire-9 for depression. Statistical analyses included internal consistency, test-retest reliability, concurrent validity, discriminative validity, and logistic regression analyses. Results A total of 190 parents were enrolled. Social activity limitation was the item with the highest FAQL-PB scores. The Cronbach’s α for each item was higher than 0.8. The test-retest reliability was good (intra-class correlation coefficient, 0.716; 95% confidence interval [CI], 0.100–0.935). An increase in the FAQL-PB was significantly associated with an increase in the FAIM-PF (β = 0.765, P < 0.001) (concurrent validity). There was a positive correlation between parental burden, anxiety, and depression, while resilience was inversely correlated with parental burden (all P < 0.001). The total FAQL-PB score in parents of children who had experienced anaphylaxis was significantly higher than that in parents of children who did not experience it ( P = 0.008). When adjusting for age, sex, and underlying diseases, anaphylaxis (β = 9.32; 95% CI, 2.97 to 15.68), cow’s milk (CM) allergy (β = 8.24; 95% CI, 2.04 to 14.44), soybean allergy (β = 13.91; 95% CI, 1.62 to 26.20), higher anxiety (β = 1.05; 95% CI, 0.07 to 1.41), higher depression (β = 2.15; 95% CI, 1.61 to 2.69), and lower resilience (β = −0.42; 95% CI, −0.61 to −0.2) were significantly associated with greater parental burden in children with IgE-mediated FAs. Conclusion FAQL-PB is a reliable and valid tool for use in Korea. Anaphylaxis, CM or soybean allergies, more anxiety and depression symptoms, and lower resilience are associated with poorer QoL in parents of children with FAs.

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Section: Discussionmentioning

confidence: 88%

Psychological Distress and Perceived Burden in Parents of Korean Children With IgE-Mediated Food Allergy

et al. 2023

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“…This highlights the importance of assessing the mental health status of adolescents with food allergies. Rubeiz et al report that allergists can empower patients with food allergy education to enhance resilience in this population [ 98 ]. All physicians play an important role in addressing mental health for adolescents, especially for those with chronic health conditions such as food allergy.…”

Section: Adolescencementioning

confidence: 99%

The Natural History and Risk Factors for the Development of Food Allergies in Children and Adults

Lee,

Trogen,

Brady

et al. 2024

Curr Allergy Asthma Rep

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Purpose of Review This narrative review explores food allergy prevalence and natural history stratified by life stages, especially in context of evolving knowledge over the last few decades. Recent Findings The prevalence of food allergy remains highest in early childhood with common food triggers being cow’s milk, soy, hen’s egg, wheat, peanut, tree nuts, sesame, fish, and shellfish. This correlates with certain risk factors especially pertinent in the postnatal period which appear to predispose an individual to developing a food allergy. Some allergies (such as milk and egg) were previously thought to be easily outgrown in early life; however, recent studies suggest increasing rates of persistence of these allergies into young adulthood; the reason behind this is unknown. Despite this, there is also evidence demonstrating that food allergies can be outgrown in adolescents and adults. Summary An understanding of the paradigm shifts in the natural history of food allergy allows clinicians to provide updated, age-appropriate, and tailored advice for patients on the management and prognosis of food allergy.

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“…Psychosocial aspects: It is important to recognize psychosocial aspects like anxiety and social embarrassment, and tailor interventions to patients' needs. Healthcare professionals can support patients with psychosocial aspects/issues by: (1) providing appropriate education via knowledgeable healthcare professionals about coping with the risks associated with allergen exposure, allergic symptoms and treatment of reactions, (2) enhancing self-efficacy, for instance by practicing assertiveness about avoidance of allergens, (3) assessing social concerns, for example discussing problems that patients and family encounter with regard to managing the food allergy and (4) meaning making, for instance by reflecting on the positive growth patients make due to the challenges of managing food allergy (35). Mental health professionals can help to address psychosocial concerns in case there is a greater need for support (36).…”

Section: Asthmamentioning

confidence: 99%

Accidental allergic reactions to food in adolescents and adults: An overview of the factors involved and implications for prevention

Versluis

Le²,

Houben³

et al. 2023

Front. Allergy

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Accidental allergic reactions to food are one of the major problems in adult patients diagnosed with food allergy. Such reactions occur frequently, are often severe and are associated with higher medical and non-medical costs. The aim of this Perspective is to provide insight into the different factors involved in the occurrence of accidental allergic reactions and to present an overview of practical implications for effective preventive measures. Several factors affect the occurrence of accidental reactions. These factors are related to the patient, health care, or food. The most important patient-related factors are age, social barriers to disclosing their allergy and non-adherence to the elimination diet. With regards to healthcare, the degree to which clinical practice is tailored to the individual patient is an important factor. The major food-related factor is the absence of adequate precautionary allergen labeling (PAL) guidelines. Since many factors are involved in accidental allergic reactions, different preventive strategies are needed. It is highly recommended that health care be tailored to the individual patient, with regard to education about the elimination diet, support on behavioral and psychosocial aspects, usage of shared decision-making and taking into account health literacy. In addition, it is crucial that steps are taken to improve policies and guidelines for PAL.

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Psychosocial Aspects of Food Allergy

Cited by 11 publications

References 65 publications

Psychological Distress and Perceived Burden in Parents of Korean Children With IgE-Mediated Food Allergy

Psychological Distress and Perceived Burden in Parents of Korean Children With IgE-Mediated Food Allergy

The Natural History and Risk Factors for the Development of Food Allergies in Children and Adults

Accidental allergic reactions to food in adolescents and adults: An overview of the factors involved and implications for prevention

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