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Behavior and Parenting Stress Characteristics in Young Children With Severe Food Allergies According to the Severity

Changhoon Lee1, Kyunguk Jeong2, Jinhee Lee3,4

  • 1Department of Pediatrics, Yonsei University Wonju College of Medicine, Wonju, Korea.

Allergy, Asthma & Immunology Research
|August 19, 2024
PubMed

Insights

The Food Allergy Severity Score (FASS) helps identify psychosocial risks in children with severe food allergies (FAs). Early intervention for children and caregivers with high FASS scores can improve outcomes by addressing stress and skill deficits.

Area of Science:

  • Pediatric Allergy and Immunology
  • Child Psychology
  • Psychosocial Health

Background:

  • Limited understanding of psychosocial impacts of food allergies (FAs) on young Asian children and their caregivers.
  • Need for objective tools to assess FA severity and its emotional consequences.

Purpose of the Study:

  • To evaluate the Food Allergy Severity Score (FASS) system's utility in assessing psychosocial risks in young children with severe FAs.
  • To examine the relationship between FASS scores and emotional/behavioral outcomes in affected children and their caregivers.

Main Methods:

  • Study included 75 children (2-10 years) diagnosed with FA and on elimination diets.
  • Utilized the FASS, Korean Parenting Stress Index, and Korean Behavior Assessment System for Children-2.
  • Analyzed FASS classifications (mild, moderate, severe) and their correlation with psychosocial variables.

Main Results:

  • 64% of participants had a history of anaphylaxis; 56% had multiple FAs.
  • Severe FASS (sFASS) correlated with increased risk in functional communication and parental reinforcement.
  • Caregivers of sFASS children showed reduced demandingness and role restriction.
  • FASS scores predicted potential impacts on functional communication, withdrawal, and social disorders.

Conclusions:

  • The FASS serves as an objective measure for pediatric FA severity.
  • Early psychosocial interventions for severe FASS cases can improve prognosis.
  • Identifying adaptive skill deficiencies and parental stress is crucial for intervention.
Abstract

Keywords:
Food allergybehaviorchildrenelimination dietemotionsfood allergy severity score

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