Skip to main content
construction release_alert
Scholars@Duke will be undergoing maintenance April 11-15. Some features may be unavailable during this time.
cancel
Journal cover image

Are children and adolescents with food allergies at increased risk for psychopathology?

Publication ,  Journal Article
Shanahan, L; Zucker, N; Copeland, WE; Costello, EJ; Angold, A
Published in: J Psychosom Res
December 2014

OBJECTIVE: Living with food allergy is a unique and potentially life-threatening stressor that requires constant vigilance to food-related stimuli, but little is known about whether adolescents with food allergies are at increased risk for psychopathology-concurrently and over time. METHODS: Data came from the prospective-longitudinal Great Smoky Mountains Study. Adolescents (N=1420) were recruited from the community, and interviewed up to six times between ages 10 and 16 for the purpose of the present analyses. At each assessment, adolescents and one parent were interviewed using the Child and Adolescent Psychiatric Assessment, resulting in N=5165 pairs of interviews. RESULTS: Cross-sectionally, food allergies were associated with more symptoms of separation and generalized anxiety, disorder, attention deficit and hyperactivity disorder, and anorexia nervosa. Longitudinally, adolescents with food allergy experienced increases in symptoms of generalized anxiety disorder and depression from one assessment to the next. Food allergies were not, however, associated with a higher likelihood of meeting diagnostic criteria for a psychiatric disorder. CONCLUSION: The unique constellation of adolescents' increased symptoms of psychopathology in the context of food allergy likely reflects an adaptive increase in vigilance rather than cohesive syndromes of psychopathology. Support and guidance from health care providers is needed to help adolescents with food allergies and their caregivers achieve an optimal balance between necessary vigilance and hypervigilance and unnecessary restriction.

Duke Scholars

Altmetric Attention Stats
Dimensions Citation Stats

Published In

J Psychosom Res

DOI

EISSN

1879-1360

Publication Date

December 2014

Volume

77

Issue

6

Start / End Page

468 / 473

Location

England

Related Subject Headings

  • Sampling Studies
  • Risk Factors
  • Risk Assessment
  • Psychopathology
  • Psychiatry
  • Prospective Studies
  • Mental Disorders
  • Male
  • Longitudinal Studies
  • Humans
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Shanahan, L., Zucker, N., Copeland, W. E., Costello, E. J., & Angold, A. (2014). Are children and adolescents with food allergies at increased risk for psychopathology? J Psychosom Res, 77(6), 468–473. https://doi.org/10.1016/j.jpsychores.2014.10.005
Shanahan, Lilly, Nancy Zucker, William E. Copeland, E Jane Costello, and Adrian Angold. “Are children and adolescents with food allergies at increased risk for psychopathology?J Psychosom Res 77, no. 6 (December 2014): 468–73. https://doi.org/10.1016/j.jpsychores.2014.10.005.
Shanahan L, Zucker N, Copeland WE, Costello EJ, Angold A. Are children and adolescents with food allergies at increased risk for psychopathology? J Psychosom Res. 2014 Dec;77(6):468–73.
Shanahan, Lilly, et al. “Are children and adolescents with food allergies at increased risk for psychopathology?J Psychosom Res, vol. 77, no. 6, Dec. 2014, pp. 468–73. Pubmed, doi:10.1016/j.jpsychores.2014.10.005.
Shanahan L, Zucker N, Copeland WE, Costello EJ, Angold A. Are children and adolescents with food allergies at increased risk for psychopathology? J Psychosom Res. 2014 Dec;77(6):468–473.
Journal cover image

Published In

J Psychosom Res

DOI

EISSN

1879-1360

Publication Date

December 2014

Volume

77

Issue

6

Start / End Page

468 / 473

Location

England

Related Subject Headings

  • Sampling Studies
  • Risk Factors
  • Risk Assessment
  • Psychopathology
  • Psychiatry
  • Prospective Studies
  • Mental Disorders
  • Male
  • Longitudinal Studies
  • Humans