Associations with food allergy-related psychological distress in a global sample of adults, children and caregivers

IF 4.6 2区医学 Q2 ALLERGY

Clinical and Translational Allergy Pub Date : 2025-06-06 DOI:10.1002/clt2.70071

S. E. M. Purser, C. J. Jones, J. L. P. Protudjer, L. J. Herbert, C. Screti, C. Roleston, E. Mattacola, H. A. Brough, C. Warren, L. Polloni, A. F. Santos, R. Gupta, M. J. Marchisotto, R. C. Knibb

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引用次数: 0

Abstract

Objective

Food allergy (FA) impacts health-related quality of life and mental health. Understanding what variables are associated with psychological distress can help healthcare providers direct patients to appropriate support. As part of the study, Global Access to Psychological Services (GAPS) for FA and associations with FA-related psychological distress were explored in adults with FA and caregivers of children with FA.

Methods

Participants completed online surveys in seven languages. Participants reported the types of FA-related distress they or their child experienced, along with demographic and FA-related information. Associations with distress were analysed using regression models.

Results

N = 1329 adults with FA and N = 1373 caregivers of children with FA from 27 countries participated. Of the 21 different types of distress selected, anxiety about an allergic reaction was the most common (62.5% adults; 72.6% caregivers). Females reported significantly more types of distress than males (p < 0.001). There were significant differences between countries (all p < 0.05-0.001); participants in Australia, Brazil, Canada, and the United Kingdom consistently reported more types of distress than European countries or the United States. In regression models, country of residence, number of FAs, and symptoms were significantly associated with distress. Additional associations included adrenaline autoinjector (AAI) prescription, being female, anaphylaxis and comorbidities in adults; in caregivers having a younger child, longer time elapsed since FA diagnosis, being female, AAI prescription and anaphylaxis; and in children being older and living longer with FA.

Conclusions

FA-related distress is experienced differently across countries. Understanding associations with types of distress can help direct healthcare services and psychological support to where it is needed most.

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全球成人、儿童和看护者样本中与食物过敏相关的心理困扰的关联

目的食物过敏影响健康相关的生活质量和心理健康。了解与心理困扰相关的变量可以帮助医疗保健提供者指导患者获得适当的支持。作为研究的一部分，研究人员在成年FA患者和儿童FA患者的照顾者中探讨了FA的全球心理服务获取（GAPS）以及FA相关心理困扰的关联。方法参与者用7种语言完成在线调查。参与者报告了他们或他们的孩子所经历的与fa相关的痛苦类型，以及人口统计和fa相关的信息。使用回归模型分析与痛苦的关联。结果来自27个国家的1329名成年FA患者和1373名FA儿童的照顾者参与了研究。在选择的21种不同类型的痛苦中，对过敏反应的焦虑是最常见的(62.5%的成年人；72.6%的护理人员)。女性报告的痛苦类型明显多于男性(p <；0.001)。国家之间存在显著差异(p <；0.05 - -0.001);澳大利亚、巴西、加拿大和英国的参与者比欧洲国家或美国的参与者报告了更多类型的痛苦。在回归模型中，居住国、FAs数量和症状与焦虑显著相关。其他关联包括肾上腺素自动注射器（AAI）处方、女性、成人过敏反应和合并症；照顾者儿童年龄较小、FA诊断后时间较长、女性、AAI处方和过敏反应；年龄越大，患FA的儿童寿命越长。结论：不同国家的fa相关痛苦经历不同。了解与各种痛苦的联系可以帮助将医疗保健服务和心理支持直接送到最需要的地方。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical and Translational Allergy Immunology and Microbiology-Immunology

CiteScore

7.50

自引率

4.50%

发文量

117

审稿时长

12 weeks

期刊介绍： Clinical and Translational Allergy, one of several journals in the portfolio of the European Academy of Allergy and Clinical Immunology, provides a platform for the dissemination of allergy research and reviews, as well as EAACI position papers, task force reports and guidelines, amongst an international scientific audience. Clinical and Translational Allergy accepts clinical and translational research in the following areas and other related topics: asthma, rhinitis, rhinosinusitis, drug hypersensitivity, allergic conjunctivitis, allergic skin diseases, atopic eczema, urticaria, angioedema, venom hypersensitivity, anaphylaxis, food allergy, immunotherapy, immune modulators and biologics, animal models of allergic disease, immune mechanisms, or any other topic related to allergic disease.