Goodwin Renee D, Rodgin Sandra, Goldman Rachel, Rodriguez Juliana, deVos Gabriele, Serebrisky Denise, Feldman Jonathan M
Department of Psychology, Queens College and The Graduate Center, The City University of New York, Queens, NY; Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY.
Ferkauf Graduate School of Psychology, Yeshiva University, Bronx, NY.
J Pediatr. 2017 Aug;187:258-264.e1. doi: 10.1016/j.jpeds.2017.04.055. Epub 2017 Jun 5.
To investigate the relationship between food allergy and symptoms of anxiety and depression among ethnic minority, low socioeconomic status (SES) children and their caregivers.
Pediatric patients ages 4-12 years with and without food allergy and their caregivers were recruited from urban pediatric outpatient clinics. Statistical analyses were used to examine the prevalence of symptoms of anxiety and depression among patients and their caregivers with and without food allergy, adjusting for asthma.
Eighty patients ranging from ages 4 to 12 years, with a mean age of 8.1 years, and their caregivers participated in the study. Food allergy was associated with significantly higher t scores on the Multidimensional Anxiety Scale for Children (MASC) Total (P = .007), MASC Humiliation Rejection, (P = .02) and MASC Social Anxiety (P = .02) among pediatric patients, adjusting for asthma. Food allergy was not associated with child depression symptoms, nor was there a significant difference in anxiety or depression symptoms among caregivers of patients with and without food allergy.
Food allergy appears to be associated with increased symptoms of social anxiety and higher levels of anxiety overall, but not depression, in ethnic minority children of lower socioeconomic status. This finding was not due to confounding by asthma. Food allergy was not associated with higher levels of depression or anxiety symptoms among caregivers of pediatric patients with food allergy. Future studies should investigate potential pathways between food allergy and anxiety that may be unique to children in underserved populations, and develop interventions to reduce anxiety in children with food allergy.
探讨少数民族、社会经济地位（SES）较低的儿童及其照顾者中食物过敏与焦虑和抑郁症状之间的关系。
从城市儿科门诊招募4至12岁有或无食物过敏的儿科患者及其照顾者。采用统计分析方法，在调整哮喘因素后，检查有或无食物过敏的患者及其照顾者中焦虑和抑郁症状的患病率。
80名年龄在4至12岁之间、平均年龄为8.1岁的患者及其照顾者参与了研究。在调整哮喘因素后，食物过敏与儿科患者在儿童多维焦虑量表（MASC）总分（P = 0.007）、MASC羞辱拒绝（P = 0.02）和MASC社交焦虑（P = 0.02）上的t得分显著更高相关。食物过敏与儿童抑郁症状无关，有或无食物过敏患者的照顾者在焦虑或抑郁症状方面也没有显著差异。
在社会经济地位较低的少数民族儿童中，食物过敏似乎与社交焦虑症状增加和总体焦虑水平升高有关，但与抑郁无关。这一发现并非由于哮喘的混杂作用。食物过敏与食物过敏儿科患者的照顾者中更高水平的抑郁或焦虑症状无关。未来的研究应调查食物过敏与焦虑之间可能在服务不足人群儿童中独有的潜在途径，并制定干预措施以减轻食物过敏儿童的焦虑。
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