Patterns of adaptation to children's food allergies
2015; Wiley; Volume: 71; Issue: 4 Linguagem: Inglês
10.1111/all.12825
ISSN1398-9995
AutoresDavid A. Fedele, Elizabeth L. McQuaid, Anna Faino, Matthew Strand, S. Cohen, Jane Robinson, Dan Atkins, Jonathan O’B Hourihane, Mary D. Klinnert,
Tópico(s)Eosinophilic Esophagitis
ResumoAllergyVolume 71, Issue 4 p. 505-513 Original Article Patterns of adaptation to children's food allergies D. A. Fedele, D. A. Fedele orcid.org/0000-0003-0896-910X University of Florida, Gainesville, FL, USASearch for more papers by this authorE. L. McQuaid, E. L. McQuaid Bradley/Hasbro Children's Research Center, Brown University, Providence, RI, USASearch for more papers by this authorA. Faino, A. Faino National Jewish Health, Denver, CO, USASearch for more papers by this authorM. Strand, M. Strand National Jewish Health, Denver, CO, USASearch for more papers by this authorS. Cohen, S. Cohen National Jewish Health, Denver, CO, USASearch for more papers by this authorJ. Robinson, J. Robinson National Jewish Health, Denver, CO, USA University of Colorado School of Medicine, Aurora, CO, USASearch for more papers by this authorD. Atkins, D. Atkins National Jewish Health, Denver, CO, USA University of Colorado School of Medicine, Aurora, CO, USASearch for more papers by this authorJ. O'B Hourihane, J. O'B Hourihane University College Cork, IrelandSearch for more papers by this authorM. D. Klinnert, Corresponding Author M. D. Klinnert National Jewish Health, Denver, CO, USA University of Colorado School of Medicine, Aurora, CO, USA Correspondence Mary D Klinnert, PhD, National Jewish Health, 1400 Jackson Street, Denver, Colorado 80206, USA Tel.: +303 398 1231 Fax: +303 270 2141 E-mail: klinnertm@njhealth.orgSearch for more papers by this author D. A. Fedele, D. A. Fedele orcid.org/0000-0003-0896-910X University of Florida, Gainesville, FL, USASearch for more papers by this authorE. L. McQuaid, E. L. McQuaid Bradley/Hasbro Children's Research Center, Brown University, Providence, RI, USASearch for more papers by this authorA. Faino, A. Faino National Jewish Health, Denver, CO, USASearch for more papers by this authorM. Strand, M. Strand National Jewish Health, Denver, CO, USASearch for more papers by this authorS. Cohen, S. Cohen National Jewish Health, Denver, CO, USASearch for more papers by this authorJ. Robinson, J. Robinson National Jewish Health, Denver, CO, USA University of Colorado School of Medicine, Aurora, CO, USASearch for more papers by this authorD. Atkins, D. Atkins National Jewish Health, Denver, CO, USA University of Colorado School of Medicine, Aurora, CO, USASearch for more papers by this authorJ. O'B Hourihane, J. O'B Hourihane University College Cork, IrelandSearch for more papers by this authorM. D. Klinnert, Corresponding Author M. D. Klinnert National Jewish Health, Denver, CO, USA University of Colorado School of Medicine, Aurora, CO, USA Correspondence Mary D Klinnert, PhD, National Jewish Health, 1400 Jackson Street, Denver, Colorado 80206, USA Tel.: +303 398 1231 Fax: +303 270 2141 E-mail: klinnertm@njhealth.orgSearch for more papers by this author First published: 20 December 2015 https://doi.org/10.1111/all.12825Citations: 30 Edited by: Antonella Muraro Read the full textAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinkedInRedditWechat Abstract 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 the patterns of adaptation to FA across families and to identify typologies of families that would benefit from intervention. Methods Participants included 57 children, 6–12 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. Citing Literature Volume71, Issue4April 2016Pages 505-513 RelatedInformation
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