Abstract:
OBJECTIVE:Living with food allergy is a unique and potentially life-threatening stressor that requires constant vigilance to food-related stimuli, but little is known about whether adolescents with food allergies are at increased risk for psychopathology-concurrently and over time. METHODS:Data came from the prospective-longitudinal Great Smoky Mountains Study. Adolescents (N=1420) were recruited from the community, and interviewed up to six times between ages 10 and 16 for the purpose of the present analyses. At each assessment, adolescents and one parent were interviewed using the Child and Adolescent Psychiatric Assessment, resulting in N=5165 pairs of interviews. RESULTS:Cross-sectionally, food allergies were associated with more symptoms of separation and generalized anxiety, disorder, attention deficit and hyperactivity disorder, and anorexia nervosa. Longitudinally, adolescents with food allergy experienced increases in symptoms of generalized anxiety disorder and depression from one assessment to the next. Food allergies were not, however, associated with a higher likelihood of meeting diagnostic criteria for a psychiatric disorder. CONCLUSION:The unique constellation of adolescents' increased symptoms of psychopathology in the context of food allergy likely reflects an adaptive increase in vigilance rather than cohesive syndromes of psychopathology. Support and guidance from health care providers is needed to help adolescents with food allergies and their caregivers achieve an optimal balance between necessary vigilance and hypervigilance and unnecessary restriction.
journal_name
J Psychosom Resjournal_title
Journal of psychosomatic researchauthors
Shanahan L,Zucker N,Copeland WE,Costello EJ,Angold Adoi
10.1016/j.jpsychores.2014.10.005subject
Has Abstractpub_date
2014-12-01 00:00:00pages
468-73issue
6eissn
0022-3999issn
1879-1360pii
S0022-3999(14)00357-2journal_volume
77pub_type
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journal_title:Journal of psychosomatic research
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journal_title:Journal of psychosomatic research
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journal_title:Journal of psychosomatic research
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pub_type: 临床试验,杂志文章,随机对照试验
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pub_type: 临床试验,杂志文章
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pub_type: 杂志文章
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journal_title:Journal of psychosomatic research
pub_type: 杂志文章
doi:10.1016/s0022-3999(96)00372-8
更新日期:1997-05-01 00:00:00
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pub_type: 杂志文章
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更新日期:2006-12-01 00:00:00