Anxiety among youth with food allergy

被引:0
|
作者
Ho, Sally [1 ]
Cooke, Frances [2 ]
Ramos, Ashley [3 ,4 ]
McQuaid, Elizabeth L. [5 ,6 ,7 ]
Sharma, Hemant [2 ,8 ]
Herbert, Linda Jones [8 ,9 ]
机构
[1] Childrens Natl Hosp, Ctr Translat Res, Washington, DC USA
[2] Childrens Natl Hosp, Div Allergy & Immunol, Washington, DC USA
[3] Univ Hosp, Rainbow Babies & Childrens Hosp, Dept Pediat, Cleveland, OH USA
[4] Case Western Reserve Univ, Sch Med, Cleveland, OH USA
[5] Rhode Isl Hosp, Hasbro Childrens Hosp, Dept Psychiat, Providence, RI USA
[6] Brown Univ, Warren Alpert Med Sch, Dept Psychiat & Human Behav, Providence, RI USA
[7] Brown Univ, Warren Alpert Med Sch, Dept Pediat, Providence, RI USA
[8] George Washington Univ, Sch Med, Dept Pediat, Washington, DC USA
[9] Childrens Natl Hosp, Div Psychol & Behav Hlth, 111 Michigan Ave,NW, Washington, DC 20010 USA
关键词
food allergy; youth; anxiety; risk; allergen exposure; QUALITY-OF-LIFE; EMOTIONAL DISORDERS; PSYCHOMETRIC PROPERTIES; CHILDREN; ANAPHYLAXIS; SCREEN; IMPACT; ADOLESCENTS; BURDEN; RISK;
D O I
10.1093/jpepsy/jsae026
中图分类号
B844 [发展心理学(人类心理学)];
学科分类号
040202 ;
摘要
Objective Anxiety is among the major psychological concerns for children living with food allergy (FA). Yet research exploring the variables driving anxiety symptoms in FA remains sparse, and most studies still utilize homogeneous samples to assess anxiety symptoms. The current study seeks to evaluate the rates of clinically significant anxiety symptoms among a diverse sample of youth with FA and examine whether a heightened risk perception of FA outcomes and FA burden (vs. FA medical history) is associated with anxiety in youth.Methods 94 youth ages 10-14 and their parents were recruited from FA clinics at a mid-Atlantic children's hospital. Both youth and parents completed demographic and FA medical history questionnaires, the Screen for Child Anxiety Related Emotional Disorders, and the Food Allergy Independent Measure as part of a longitudinal study about FA adjustment and adherence.Results Over a third (37%) of youth scored above clinical cut-offs for overall anxiety symptoms. At least 25% of youth reported clinically significant scores on panic disorder, generalized anxiety, social anxiety, separation anxiety, and school avoidance subscales. Perception of risk of adverse FA outcomes and burden-but not FA medical history-were associated with total anxiety, generalized anxiety, panic disorder, and school avoidance symptoms, but not social anxiety and separation anxiety. Having more FAs was associated with higher social anxiety scores but not with other anxiety subscales.Conclusions Youth with FA might benefit from psychosocial interventions that address FA risk perception management and promote appropriate FA vigilance to cope with anxiety symptoms.
引用
收藏
页码:473 / 481
页数:9
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