{"title":"生活在危险之中:探索儿童食物过敏对母亲的心理影响。","authors":"Elif Küçük, Fatih Çiçek","doi":"10.15586/aei.v53i5.1370","DOIUrl":null,"url":null,"abstract":"<p><strong>Objectives: </strong>Food allergy (FA) is a growing public health concern, imposing significant psychosocial burdens on families and necessitating strict allergen avoidance. The unpredictability of severe reactions is associated with increased anxiety, dietary restrictions, and reduced quality of life.</p><p><strong>Methods: </strong>We conducted a cross-sectional study including 77 mothers of children (0-12 years) with FA and 71 mothers of healthy children. Participants completed the Spielberger State-Trait Anxiety Inventory (STAI), Zarit Caregiver Burden Scale (ZCBS), and European Health Impact Scale (EUROHIS-QOL). Statistical analyses compared anxiety, caregiver burden, and quality of life between groups and explored sociodemographic factors.</p><p><strong>Results: </strong>Mothers in the FA group had significantly higher state anxiety (STAI-S) (P < 0.001) and ZCBS scores (P < 0.001) compared to controls. However, trait anxiety (STAI-T) did not differ significantly between groups (P = 0.508). Additionally, mothers of children with FA reported lower EUROHIS-QOL scores (P = 0.009). Low maternal educational levels (P = 0.005) and middle-range income levels ($500-1000/month, P = 0.027) were significantly associated with higher anxiety and caregiver burden. Cow's milk protein allergy (CMPA) specifically increased trait anxiety (P = 0.035) and reduced mothers' quality of life (P = 0.003). No significant associations were found between anxiety or caregiver burden and anaphylaxis or other allergenic triggers.</p><p><strong>Conclusion: </strong>Food allergy significantly elevates maternal anxiety and caregiving burden, and reduces quality of life, especially in CMPA cases. Sociodemographic factors exacerbate these effects, highlighting the need for comprehensive, multidimensional interventions. Psychological support and broader public awareness initiatives may help alleviate adverse outcomes and improve caregiver well-being.</p>","PeriodicalId":7536,"journal":{"name":"Allergologia et immunopathologia","volume":"53 5","pages":"53-61"},"PeriodicalIF":2.1000,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Living at risk: Exploring the psychological effects of childhood food allergy on mothers.\",\"authors\":\"Elif Küçük, Fatih Çiçek\",\"doi\":\"10.15586/aei.v53i5.1370\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objectives: </strong>Food allergy (FA) is a growing public health concern, imposing significant psychosocial burdens on families and necessitating strict allergen avoidance. The unpredictability of severe reactions is associated with increased anxiety, dietary restrictions, and reduced quality of life.</p><p><strong>Methods: </strong>We conducted a cross-sectional study including 77 mothers of children (0-12 years) with FA and 71 mothers of healthy children. Participants completed the Spielberger State-Trait Anxiety Inventory (STAI), Zarit Caregiver Burden Scale (ZCBS), and European Health Impact Scale (EUROHIS-QOL). Statistical analyses compared anxiety, caregiver burden, and quality of life between groups and explored sociodemographic factors.</p><p><strong>Results: </strong>Mothers in the FA group had significantly higher state anxiety (STAI-S) (P < 0.001) and ZCBS scores (P < 0.001) compared to controls. However, trait anxiety (STAI-T) did not differ significantly between groups (P = 0.508). Additionally, mothers of children with FA reported lower EUROHIS-QOL scores (P = 0.009). Low maternal educational levels (P = 0.005) and middle-range income levels ($500-1000/month, P = 0.027) were significantly associated with higher anxiety and caregiver burden. Cow's milk protein allergy (CMPA) specifically increased trait anxiety (P = 0.035) and reduced mothers' quality of life (P = 0.003). No significant associations were found between anxiety or caregiver burden and anaphylaxis or other allergenic triggers.</p><p><strong>Conclusion: </strong>Food allergy significantly elevates maternal anxiety and caregiving burden, and reduces quality of life, especially in CMPA cases. Sociodemographic factors exacerbate these effects, highlighting the need for comprehensive, multidimensional interventions. Psychological support and broader public awareness initiatives may help alleviate adverse outcomes and improve caregiver well-being.</p>\",\"PeriodicalId\":7536,\"journal\":{\"name\":\"Allergologia et immunopathologia\",\"volume\":\"53 5\",\"pages\":\"53-61\"},\"PeriodicalIF\":2.1000,\"publicationDate\":\"2025-09-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Allergologia et immunopathologia\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.15586/aei.v53i5.1370\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/1/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q3\",\"JCRName\":\"ALLERGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Allergologia et immunopathologia","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.15586/aei.v53i5.1370","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/1 0:00:00","PubModel":"eCollection","JCR":"Q3","JCRName":"ALLERGY","Score":null,"Total":0}
Living at risk: Exploring the psychological effects of childhood food allergy on mothers.
Objectives: Food allergy (FA) is a growing public health concern, imposing significant psychosocial burdens on families and necessitating strict allergen avoidance. The unpredictability of severe reactions is associated with increased anxiety, dietary restrictions, and reduced quality of life.
Methods: We conducted a cross-sectional study including 77 mothers of children (0-12 years) with FA and 71 mothers of healthy children. Participants completed the Spielberger State-Trait Anxiety Inventory (STAI), Zarit Caregiver Burden Scale (ZCBS), and European Health Impact Scale (EUROHIS-QOL). Statistical analyses compared anxiety, caregiver burden, and quality of life between groups and explored sociodemographic factors.
Results: Mothers in the FA group had significantly higher state anxiety (STAI-S) (P < 0.001) and ZCBS scores (P < 0.001) compared to controls. However, trait anxiety (STAI-T) did not differ significantly between groups (P = 0.508). Additionally, mothers of children with FA reported lower EUROHIS-QOL scores (P = 0.009). Low maternal educational levels (P = 0.005) and middle-range income levels ($500-1000/month, P = 0.027) were significantly associated with higher anxiety and caregiver burden. Cow's milk protein allergy (CMPA) specifically increased trait anxiety (P = 0.035) and reduced mothers' quality of life (P = 0.003). No significant associations were found between anxiety or caregiver burden and anaphylaxis or other allergenic triggers.
Conclusion: Food allergy significantly elevates maternal anxiety and caregiving burden, and reduces quality of life, especially in CMPA cases. Sociodemographic factors exacerbate these effects, highlighting the need for comprehensive, multidimensional interventions. Psychological support and broader public awareness initiatives may help alleviate adverse outcomes and improve caregiver well-being.
期刊介绍:
Founded in 1972 by Professor A. Oehling, Allergologia et Immunopathologia is a forum for those working in the field of pediatric asthma, allergy and immunology. Manuscripts related to clinical, epidemiological and experimental allergy and immunopathology related to childhood will be considered for publication. Allergologia et Immunopathologia is the official journal of the Spanish Society of Pediatric Allergy and Clinical Immunology (SEICAP) and also of the Latin American Society of Immunodeficiencies (LASID). It has and independent international Editorial Committee which submits received papers for peer-reviewing by international experts. The journal accepts original and review articles from all over the world, together with consensus statements from the aforementioned societies. Occasionally, the opinion of an expert on a burning topic is published in the "Point of View" section. Letters to the Editor on previously published papers are welcomed. Allergologia et Immunopathologia publishes 6 issues per year and is included in the major databases such as Pubmed, Scopus, Web of Knowledge, etc.