Do allergic clinical manifestations increase the risk of behavioral problems in children? A cross‐sectional study

Abstract

Background: Children with allergic clinical manifestations tend to have behavioral or emotional problems such as hyperactivity or worse mental health. However, previous studies on this association did not adequately adjust for confounders like parenting stress, demographic characteristics, or allergy presentation. This study aimed to investigate the relationship between childhood allergic clinical manifestations and behavioral problems, adjusting for confounders such as demographic characteristics, parenting stress, and allergy-related variables. Methods:We conducted an online cross-sectional survey among caregivers of children aged 2-6 years (n = 633). The Strengths and Difficulties Questionnaire (SDQ) was used to determine children's behavioral characteristics as the primary outcome.Allergic clinical manifestations, wheeze, rash, and nose symptoms were the exposure variables. Associations were estimated using logistic regression analyses with propensity scores to adjust for confounders. Results:We analyzed 633 caregivers of children aged 2-6 years (valid rate, 61.5%).Univariate analyses showed that wheezing was associated with conduct problems

Prevalence of behavioral problems among 6-to-14-year children with asthma and without asthma

“…Using the PASS15 program for the calculation of the minimal sample size required for our survey. The prevalence of behavioral problems in the control group estimated from previous literature was 20% [14], and the case group with an expected OR = 1.5 [5,15], the ratio of case to control was 1:2, assuming α = 0.05 and β = 0.10, the results showed that we need 306 cases. If the information of about 10% participants in the case group were unavailable in this survey, the total of sample size in the case group reached 337.…”

“…Several previous studies have shown that the association between childhood asthma and behavioral problems was unclear. Part of the LIFE Child study that included 2701 participants, a prospective longitudinal cohort study showed that bronchial asthma was associated with internalizing problems, but not with externalizing behavioral problems like attention-de cit, hyperactivity disorder and ADHD [4,5]. Furthermore, some reports highlighted that asthma was a liated with more behavioral problems [6].…”

Editorial comments on: “Food‐allergy‐specific anxiety and distress in parents of children with food allergy: A systematic review”

“…The interested reader will find recent articles published in Pediatric Allergy and Immunology on similar issues related to food allergy. [4][5][6]…”

“…This thorough and comprehensive compilation will be a very useful resource for clinicians and future studies and represents an important step in developing standardized methods for assessing and monitoring food allergy–related anxiety in both clinical populations and research settings. The interested reader will find recent articles published in Pediatric Allergy and Immunology on similar issues related to food allergy 4–6 …”

Allergic rhinitis in children: a comprehensive approach to treatment

“…Известно, что риск поведенческих нарушений у детей прямо связан с длительностью периодов обострений АР [9,11]. Для прогноза течения заболевания в целом, а также риска осложнений имеет значение не только тяжесть, но и длительность периодов обострений, и быстрота начала экстренной терапии [1,4,5,12].…”