The compliance and burden of treatment with the epinephrine auto‐injector in food‐allergic adolescents

Saleh-Langenberg, J.; Blok, B. M. J. Flokstra‐de; Goossens, Nicole; Kemna, Jozephina C; Velde, J. L. van der; Dubois, Anthony

doi:10.1111/pai.12458

Cited by 36 publications

(42 citation statements)

References 29 publications

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“…39 A study on the burden of EAI among adolescents with FA and their parents showed that the burden was not associated with QoL, perceived disease severity, illness perception or trait anxiety, but it was associated with self-reported compliance with carrying the EAI. 40 Although there have been suggestions that anxiety may be beneficial to improve compliance, some data reported that anxiety did not improve adherence to FA-management plans. As anxiety increases, probably any protective effect disappears.…”

Section: Anxiety and Fa Managementmentioning

confidence: 99%

Anxiety and food allergy: A review of the last two decades

Polloni

Muraro

2020

Clin Experimental Allergy

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Food allergy (FA) is recognized as a growing public health burden affecting 5%‐10% of children worldwide. Several unique features specific to FA elicit high levels of emotional distress and anxiety in patients and caregivers, the first among all the possibility of a life‐threatening reaction. Anxiety disorders are highly prevalent in patients with chronic disease, but remain undertreated despite significant negative consequences on patient health. This review aimed to offer a comprehensive overview of literature data on FA and anxiety of the last two decades. A review of the medical and psychological literature from the year 2000 (MEDLINE, PubMed and PsycINFO) was done using the keywords “anxiety” and “food allergy.” Clinical implications for disease management, various manifestations in different target groups, proper interventions and possible explanations on the nature of the association between FA and anxiety have been discussed, as well as limitations and further research directions. The relationship between FA and anxiety is attributed to FA‐specific fears and anxiety, rather than a general propensity towards anxiety. Some anxiety—short‐lived and related to key events–is to be expected and may even be helpful if it sustains allergen avoidance and preparedness to emergency. However, some data reported that increased anxiety did not improve adherence. Rather, high levels of anxiety have been demonstrated counterproductive and related to maladaptive coping. Further research is needed to elucidate the association between FA and anxiety, especially to understand biopsychosocial directions of the underlying mechanisms and to build proper, effective, standardized protocols of intervention. Clinicians must be aware of the association between FA and anxiety, understand their role in recognizing maladaptive anxiety and encouraging to seek psychological support when needed.

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Section: Anxiety and Fa Managementmentioning

confidence: 99%

Anxiety and food allergy: A review of the last two decades

Polloni

Muraro

2020

Clin Experimental Allergy

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“…, , Marrs & Lack , Saleh‐Langenberg et al . ). For safety reasons, it is important to identify situations with high risk of anaphylaxis and to learn how to react appropriately.…”

Section: Introductionmentioning

confidence: 97%

“…In emergencies, the treatment of peanut allergy consists of using an epinephrine auto-injector (EAI). This should be carried at all times, but is not always the case (Sampson et al 2006, Gallagher et al 2011, 2012, Marrs & Lack 2013, Saleh-Langenberg et al 2016. For safety reasons, it is important to identify situations with high risk of anaphylaxis and to learn how to react appropriately.…”

Section: Introductionmentioning

confidence: 99%

Peanut allergy as a family project: social relations and transitions in adolescence

Stensgaard

Bindslev‐Jensen

Nielsen

2017

Journal of Clinical Nursing

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“…For example, carrying the Epinephrine auto-injector is a vital tool in keeping the child safe and it is the parent who takes this responsibility for younger children. Later on, it is the responsibility of the teenager and the young adult to ensure that the auto-injector is always available [15][16][17][18].…”

Section: Introductionmentioning

confidence: 99%

Quality of life in childhood, adolescence and adult food allergy: Patient and parent perspectives

Stensgaard

Bindslev‐Jensen

Nielsen

et al. 2016

Clin Experimental Allergy

128

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SummaryBackground Studies of children with food allergy typically only include the mother and have not investigated the relationship between the amount of allergen needed to elicit a clinical reaction (threshold) and health-related quality of life (HRQL). Our aims were (i) to compare self-reported and parent-reported HRQL in different age groups, (ii) to evaluate the impact of severity of allergic reaction and threshold on HRQL, and (iii) to investigate factors associated with patient-reported and parent-reported HRQL. Methods Age-appropriate Food Allergy Quality of Life Questionnaires (FAQLQ) were completed by 73 children, 49 adolescents and 29 adults with peanut, hazelnut or egg allergy. Parents (197 mothers, 120 fathers) assessed their child's HRQL using the FAQLQ-Parent form. Clinical data and threshold values were obtained from a hospital database. Significant factors for HRQL were investigated using univariate and multivariate regression. Results Female patients reported greater impact of food allergy on HRQL than males did. Egg and hazelnut thresholds did not affect HRQL, but lower peanut threshold was associated with worse HRQL. Both parents scored their child's HRQL better than the child's own assessment, but whereas mother-reported HRQL was significantly affected by limitations in the child's social life, father-reported HRQL was affected by limitations in the family's social life. Severity of allergic reaction did not contribute significantly to HRQL. Conclusion The risk of accidental allergen ingestion and limitations in social life are associated with worse HRQL. Fathers provide a unique perspective and should have a greater opportunity to contribute to food allergy research.

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The compliance and burden of treatment with the epinephrine auto‐injector in food‐allergic adolescents

Cited by 36 publications

References 29 publications

Anxiety and food allergy: A review of the last two decades

Anxiety and food allergy: A review of the last two decades

Peanut allergy as a family project: social relations and transitions in adolescence

Quality of life in childhood, adolescence and adult food allergy: Patient and parent perspectives

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