食物誘発性アナフィラキシーと子どもと両親の精神的健康: 物語的なレビュー
Laura Polloni1,2, Antonella Muraro1
1Food Allergy Referral Centre, Veneto Region, Department of Women and Child Health, Padua University Hospital, Padua, Italy.
まとめ
食物誘発性アナフィラキシー (FIA) は子供に重大な影響を及ぼします.
科学分野:
- 小児アレルギーと免疫学
- 児童・青少年精神科
- 臨床心理学
背景:
- 食物誘発性アナフィラキシー (FIA) は,即時の医療管理を超えた重要な課題を提示しています.
- FIAに伴う 心理的負担が 子供と 介護者の両方に 増加していることを示唆しています
- 精神的健康への影響を理解することは 患者の総合的なケアに不可欠です
研究 の 目的:
- FIAと診断された子供の精神衛生に関する既存の文献を体系的にレビューし,統合する.
- FIAが親に与える心理的影響を調査し,関連する危険因子を特定する.
- FIAを取り巻く メンタルヘルスの状況の 総合的な概要を提供するためです
主な方法:
- 2005年から2025年の間に出版された科学文献の記述的レビューを実施しました.
- MEDLINE,PubMed,PsycINFOなどのデータベースで検索しました.
- DSM-Vの基準に従って結果を分類した.
主要な成果:
- FIAを患っている子供は,しばしば不安,うつ,ストレス障害,行動症状,睡眠/食生活障害を経験する (44%~54%).
- FIAの子供の親は,重大な不安,うつ,苦痛 (14. 6% - 56. 9%) を報告しています.
- 主な危険因子には,症状の重度,事前のアナフィラキシー,救急診療所への訪問,母親の状態が含まれます.
結論:
- FIAは 影響を受けた子供とその家族の精神的健康に 相当な脅威をもたらします
- 精神疾患の症状を早期に認識し,介入することは,FIAの効果的な管理に不可欠です.
- 流行と貢献する変数を明らかにするために,さらなる縦断的な研究が必要である.
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