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The relationship between allergic diseases and internalising and externalising behaviours in Spanish children: A
Mª Pilar Berzosa-Grande1,2, Eduardo González-Fraile1, Rocío Sánchez-López3
1Department of Health Sciences, International University of La Rioja, UNIR, Logroño, Spain.
Insights
Children with allergies exhibit more behavioral problems, including internalizing and externalizing issues, compared to non-allergic peers. Early intervention is crucial to prevent future psychological disorders.
Area of Science:
- Pediatric Health
- Child Psychology
- Allergy Research
Background:
- The link between allergic diseases and behavioral disorders in children remains under-researched.
- Understanding these connections is vital for comprehensive child healthcare.
Purpose of the Study:
- To compare behavioral patterns (internalizing and externalizing) in children aged 6-11 with and without allergic diseases.
- To investigate the relationship between allergic conditions and behavioral difficulties.
Main Methods:
- A cross-sectional, observational case-control study involving 366 families.
- Utilized the Child Behavior Checklist (CBCL) and socio-demographic questionnaires.
- Data collected from 194 children with allergies and 172 controls.
Main Results:
- Children with allergies scored higher on overall, internalizing, and externalizing behavior measures (CBCL).
- Diagnosed allergies significantly increased the risk of behavioral difficulties (OR = 2.76).
- Age and asthma severity were identified as potential modulatory factors.
Conclusions:
- Children with allergies aged 6-11 experience more behavioral problems, particularly internalizing behaviors.
- Early identification and treatment of behavioral issues in allergic children are recommended to mitigate risks of psychological disorders.
Introduction And Objectives:
The relationship between allergic diseases and behavioural disorders is still unclear. The objective of this study was to describe and compare children's behaviour (internalising and externalising) across a sample of children aged 6-11 years with and without allergic diseases.
Materials And Methods:
This was a cross-sectional observational case-control study. A survey to 366 families (194 allergic cases and 172 controls), including a child behaviour checklist (CBCL) and a socio-demographic questionnaire with questions related to family, school education, health conditions and allergy symptoms, was administered.
Results:
Children with a diagnosis of allergy showed higher scores in the overall CBCL score (standardised mean differences [SMD] = 0.47; confidence intervals [CI]: 0.26-0.68) and in the internalising and externalising factors (SMD = 0.52 and SMD = 0.36, respectively) than non-allergic children. Odds ratio (OR) analyses showed a higher risk (OR = 2.76; 95% CI [1.61 to 4.72]) of developing a behavioural difficulty in children diagnosed with allergies. Age and level of asthma appear as modulatory variables.
Conclusions:
Children aged 6-11 years diagnosed with allergies showed larger behavioural problems than non-allergic children, especially in the case of internalising behaviours. These findings suggest the importance of attending to them and treating them in the early stages of diagnosis to avoid future psychological disorders.
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