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Psychiatric disorders and symptoms severity in pre-school children with cow's milk allergy

E Topal1, F Catal1, N Soylu2

  • 1Department of Pediatric Allergy and Immunology, Inonu University Turgut Ozal Medical Center, Malatya, Turkey.

Allergologia Et Immunopathologia
|June 1, 2016
PubMed

Insights

Children with cow's milk allergy show a higher frequency and severity of psychiatric disorders, including attention deficit hyperactivity disorder and oppositional defiant disorder. These findings highlight the significant impact of cow's milk allergy on early childhood mental health.

Area of Science:

  • Pediatric Allergy
  • Child Psychiatry
  • Clinical Psychology

Background:

  • Atopic diseases are frequently associated with psychiatric disorders.
  • Cow's milk allergy (CMA) is a common condition in early childhood.
  • The co-occurrence of CMA and psychiatric conditions warrants further investigation.

Purpose of the Study:

  • To determine the frequency of psychiatric disorders in preschool children with CMA.
  • To assess the severity of psychiatric symptoms in preschool children with CMA.
  • To compare psychiatric diagnoses and symptom severity between children with CMA and a healthy control group.

Main Methods:

  • In-person interviews with parents of preschool children diagnosed with CMA.
  • Administration of the Early Childhood Inventory-4 (ECI-4) form to assess psychiatric symptoms.
  • Comparison of psychiatric diagnoses and ECI-4 scores between the CMA group and a control group.

Main Results:

  • 65% of children with CMA received at least one psychiatric diagnosis, versus 36.6% in the control group (p=0.02).
  • Significantly higher rates of attention deficit hyperactivity disorder (ADHD), oppositional defiant disorder (ODD), and attachment disorder were observed in the CMA group.
  • Children with CMA exhibited greater severity scores for ADHD and ODD symptoms compared to controls.

Conclusions:

  • Psychiatric disorders are significantly more frequent in preschool children with cow's milk allergy.
  • The severity of certain psychiatric symptoms, such as ADHD and ODD, is also elevated in this population.
  • These findings underscore the importance of screening for and addressing psychiatric comorbidities in children with CMA.
Abstract

Keywords:
Attachment disorderAttention deficit hyperactivity disorderCow's milk allergyECI-4Oppositional defiant disorder

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