Esra YÜCEL, Nimet Pınar YILMAZBAŞ, Seda ERBİLGİN, Özlem TERZİ, Deniz ÖZÇEKER

Besin Alerjisi Olan 0-2 Yaş Çocukların Annelerinde Anksiyete ve Bakım Veren Külfetinin Değerlendirilmesi

Amaç: Besin alerjisi olan hastalar ve aileleri sağlıklı bireylere göre düşük yaşam kalitesi, anksiyete, depresyon ve strese sahip olup, ebeveynlerde bakım veren külfeti yüksektir. Çalışmamızda 0-2 yaş arası gıda alerjisi hastalarının annelerine eşlik edebilecek anksiyete bozukluğunun değerlendirilmesi ve gıda alerjisi olan hastaların annelerinde külfetin incelenmesi amaçlandı. Gereç ve Yöntem: Gıda alerjisi olan 0-2 yaş arası çocukların annelerine ve kontrol grubu olarak sağlıklı çocukların annelerine sosyodemografik veriler, Hastane Anksiyete ve Depresyon Ölçeği (HADÖ), Psikolojik Belirti Tarama Listesi (SCL 90-R) ve Zarit Bakıcı Yükü Ölçeği ile ilgili anket uygulandı. Bulgular: Çalışmaya gıda alerjisi olan 67 çocuk annesi ve sağlıklı çocuğu olan 74 anne alındı. Zarit Bakım Veren Külfet Ölçeği puanı, gıda alerjisi olan çocukların annelerinde sağlıklı çocukların annelerine göre anlamlı olarak daha yüksekti (p=0,018). Besin alerjisi olan çocukların anneleri, genel SCL 90-R ölçeğinde anlamlı olarak daha yüksek bir genel puana sahipti (p=0,045). Besin alerjisi olan çocukların annelerinde HADÖ puanı anlamlı olarak yüksekken, Hastane Depresyon Ölçeği puanında fark yoktu (sırasıyla p=0,045, p=0,825). Sonuç: Annelerin külfet, anksiyete, depresyon gibi duygusal durumlarının değerlendirilmesi ve besin alerjisi ile baş etmeye çalışma stratejileri ihmal edilebilir. Bu nedenle besin alerjisi olan özellikle küçük yaştaki çocukların annelerinin psikososyal destek gereksinimleri değerlendirilmeli ve gerekli yönlendirme sağlanmalıdır.

Evaluation of Anxiety and Caregiver Burden in the Mothers of 0-2-Year-Old Children with Food Allergy

Aim: Patients with food allergy and their families have poor quality of life, anxiety, depression, and stress compared to healthy individuals, and the Caregiver Burden is high in the parents. In our study, it was aimed to evaluate the anxiety disorder that may accompany the mothers of food allergic patients aged 0-2 years, and to examine the Caregiver Burden in the mothers of food allergic patients. Materials and Methods: A questionnaire about sociodemographic data, Hospital Anxiety Depression Scale (HADS), Psychological Symptom Checklist (SCL 90-R), and Zarit Caregiver Burden Scale were administered to the mothers of food-allergic children aged 0-2 years and the mothers of healthy children (MHC) as the control group. Results: Sixty seven mothers of children with food allergy and 74 MHC were enrolled in the study. Zarit Caregiver Burden Scale was significantly higher in the mothers of children with food allergy than in the MHC (p=0.018). Mothers of food allergic children had a significantly higher overall score on the general SCL 90-R scale (p=0.045). While the hospital anxiety scale score was significantly higher in the mothers of children with a food allergy, there was no difference in the HADS (p=0.045, p=0.825, respectively).

PDF

___

1. Sicherer SH, Sampson HA. Food allergy: A review and update on epidemiology, pathogenesis, diagnosis, prevention, and management. J Allergy Clin Immunol. 2018;141:41-58.
2. Muraro A, Werfel T, Hoffmann-Sommergruber K, Roberts G, Beyer K, Bindslev-Jensen C, et al. EAACI food allergy and anaphylaxis guidelines: diagnosis and management of food allergy. Allergy. 2014;69:1008-25.
3. Polloni L, Muraro A. Anxiety and food allergy: A review of the last two decades. Clin Exp Allergy. 2020;50:420-41.
4. Cortes A, Castillo A, Sciaraffia A. Development of the scale of psychosocial factors in food allergy (SPS-FA). Pediatr Allergy Immunol. 2013;24:671-7.
5. Beken B, Celik V, Gokmirza Ozdemir P, Sut N, Gorker I, Yazicioglu M. Maternal anxiety and internet-based food elimination in suspected food allergy. Pediatr Allergy Immunol. 2019;30:752-9.
6. Dunn Galvin A, Hourihane JO. Health-related quality of life in food allergy : Impact, correlates, and predictors. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2016;59:841-8.
7. DunnGalvin A, Hourihane JB. Developmental trajectories in food allergy: a review. Adv Food Nutr Res. 2009;56:65-100.
8. Warren CM, Jiang J, Gupta RS. Epidemiology and Burden of Food Allergy. Curr Allergy Asthma Rep. 2020;20:6.
9. Javalkar K, Rak E, Phillips A, Haberman C, Ferris M, Van Tilburg M. Predictors of Caregiver Burden among Mothers of Children with Chronic Conditions. Children (Basel). 2017;4:39.
10. Keniş Coşkun Ö, Gençer Atalay K, Erdem E, Karadag-Saygi E, Gökdemir Y, Karadağ B. Caregiver burden in children with cystic fibrosis and primary ciliary dyskinesia. Pediatr Pulmonol. 2019;54:1936-40.
11. Acaster S, Gallop K, de Vries J, Marciniak A, Ryan R, Vereda A, et al. Psychosocial and productivity impact of caring for a child with peanut allergy. Allergy Asthma Clin Immunol. 2020;16:83.
12. Ochfeld EN, Pongracic JA. Food allergy: Diagnosis and treatment. Allergy Asthma Proc. 2019;40:446-9.
13. Aydemir O, Guvenir T, Kuey L, Kultur S. Validity Reliability of Hospital Anxiety and Depression Scale Turkish Form [Hastane Anksiyete ve Depresyon Ölçeği Türkçe Formunun Geçerlilik ve Güvenilirlik Çalışması]. Turkish Journal of Psychiatry. 1997;8:280-7.
14. Dağ I. Reliability and validity of the Turkish form of the SCL90-R. Türk Psikiyatri Derg. 1991;2:5-12.
15. İnci FH, Erdem M. Validity and reliability of the burden interview and its adaptation in Turkish. Journal of Anatolia Nursing and Health Sciences. 2008;11:85-9.
16. Yıldırım S, Yalçıner N, Güler C. Caregiver burden in chronic mental illness: a systematic review. J Phsyc Nursing. 2017;8:165-71.
17. Shaker MS, Schwartz J, Ferguson M. An update on the impact of food allergy on anxiety and quality of life. Curr Opin Pediatr. 2017;29:497- 502.
18. Walkner M, Warren C, Gupta RS. Quality of Life in Food Allergy Patients and Their Families. Pediatr Clin North Am. 2015;62:1453-61.
19. King RM, Knibb RC, Hourihane JO. Impact of peanut allergy on quality of life, stress and anxiety in the family. Allergy. 2009;64:461-8.
20. Akeson N, Worth A, Sheikh A. The psychosocial impact of anaphylaxis on young people and their parents. Clin Exp Allergy. 2007;37:1213-20.
21. McHenry M, Watson W. Impact of primary food allergies on the intro uction of other foods amongst Canadian children and their siblings. Allergy Asthma Clin Immunol. 2014;10:26.
22. Bégin P, Graham F, Killer K, Paradis J, Paradis L, Des Roches A. Introduction of peanuts in younger siblings of children with peanut allergy: a prospective, double-blinded assessment of risk, of diagnostic tests, and an analysis of patient preferences. Allergy. 2016;71:1762-71.
23. Herbert LJ, Dahlquist LM, Bollinger ME. Maternal intolerance of uncertainty, anxiety, and adherence with food challenge referrals. J Health Psychol. 2013;18:1209-19.
24. Baricic TV, Catipovic M, Cetinic EL, Krmek V, Horvat I. Parental Perception, Prevalence and Primary Care Physicians’ Knowledge on Childhood Food Allergy in Croatia. Children (Basel). 2015;2:305-16.
25. Knibb RC, Semper H. Impact of suspected food allergy on emotional distress and family life of parents prior to allergy diagnosis. Pediatr Allergy Immunol. 2013;24:798-803.
26. Cummings AJ, Knibb RC, Erlewyn-Lajeunesse M, King RM, Roberts G, Lucas JS. Management of nut allergy influences quality of life and anxiety in children and their mothers. Pediatr Allergy Immunol. 2010;21:586-94.
27. Saleh-Langenberg J, Flokstra-de Blok BM, Goossens NJ, Kemna JC, van der Velde JL, Dubois AE. The compliance and burden of treatment with the epinephrine auto-injector in food-allergic adolescents. Pediatr Allergy Immunol. 2016;27:28-34.
28. Fedele DA, McQuaid EL, Faino A, Strand M, Cohen S, Robinson J, et al. Patterns of adaptation to children’s food allergies. Allergy. 2016;71:505-13.
29. Cortes A, Castillo A, Sciaraffia A. Food allergy: Children’s symptom levels are associated with mothers’ psycho-socio-economic variables. J Psychosom Res. 2018;104:48-54.
30. Arasi S, Otani IM, Klingbeil E, Bégin P, Kearney C, Dominguez TL, et al. Two year effects of food allergen immunotherapy on quality of life in caregivers of children with food allergies. Allergy Asthma Clin Immunol. 2014;10:57.
31. Knibb RC, Ibrahim NF, Stiefel G, Petley R, Cummings AJ, King RM, et al. The psychological impact of diagnostic food challenges to confirm the resolution of peanut or tree nut allergy. Clin Exp Allergy. 2012;42:451-9.