Barber Maegan, Griffin Danielle, Neshkes Rebecca, Kichline Tiffany, Sigel Sabrina, Herbert Linda Jones
Divison of Psychology & Behavioral Health, Children's National Hospital, Washington, DC, United States.
Department of Psychology, Howard University, Washington, DC, United States.
J Pediatr Psychol. 2025 Mar 1;50(3):289-296. doi: 10.1093/jpepsy/jsaf002.
Caregiver perceived food allergy severity is associated with food allergy burden, while caregiver food allergy self-efficacy has been linked to improved quality of life for caregivers. This study examined the mediating effect of caregiver food allergy self-efficacy on the relationship between perceived food allergy severity and caregiver food allergy burden.
Caregivers of children diagnosed with IgE-mediated food allergy were recruited from pediatric allergy clinics to complete demographic and medical questionnaires, the Food Allergy Independent Measure-Parent Form, the Food Allergy Self-Efficacy Scale for Parents, and the Food Allergy Quality of Life-Parental Burden. Hayes' PROCESS was utilized to test mediation analysis. The TREND checklist is available in the Supplementary Materials section.
Analyses consisted of 94 caregivers of children (Mage = 11.72 years, 52.7% male, 34.0% Black). Caregiver food allergy self-efficacy mediated the relationship between perceived food allergy severity and caregiver food allergy burden, B = 0.16, SE = 0.07, CI (0.04-0.33).
Caregiver food allergy self-efficacy may play an important role in food allergy psychosocial functioning. Interventions targeting self-efficacy could reduce caregiver food allergy burden. Future research should explore additional psychosocial and medical factors to better tailor food allergy interventions to the family's unique needs.
照顾者感知到的食物过敏严重程度与食物过敏负担相关，而照顾者的食物过敏自我效能感与照顾者生活质量的改善有关。本研究考察了照顾者食物过敏自我效能感在感知食物过敏严重程度与照顾者食物过敏负担之间关系中的中介作用。
从儿科过敏诊所招募被诊断为IgE介导的食物过敏儿童的照顾者，以完成人口统计学和医学问卷、食物过敏独立测量-家长版、家长食物过敏自我效能量表以及食物过敏生活质量-家长负担量表。采用Hayes的PROCESS进行中介分析。TREND清单见补充材料部分。
分析纳入了94名儿童的照顾者（平均年龄=11.72岁，52.7%为男性，34.0%为黑人）。照顾者食物过敏自我效能感在感知食物过敏严重程度与照顾者食物过敏负担之间起中介作用，B = 0.16，标准误 = 0.07，置信区间（0.04 - 0.33）。
照顾者食物过敏自我效能感可能在食物过敏的心理社会功能中发挥重要作用。针对自我效能感的干预措施可能会减轻照顾者的食物过敏负担。未来的研究应探索其他心理社会和医学因素，以便更好地根据家庭的独特需求调整食物过敏干预措施。
