目标:关于受食物过敏(FAs)影响的年轻亚洲儿童及其照顾者的心理社会特征的知识有限。这项研究旨在评估食物过敏严重程度评分(FASS)系统在评估对处理严重FA的幼儿和护理人员的情绪影响风险方面的有用性。
方法:将2至10岁被诊断为FA并遵循消除饮食的儿童纳入研究。TheFASS,韩国育儿压力指数,和韩国儿童行为评估系统-2用于评估上述风险。
结果:在75名参与者中,64.0%有过敏反应史,56.0%报告了多个FAs。在21种食物中记录了总共160例FASS,并归类为轻度(n=5,1.07),中等(n=100,2.01-4.01),或严重(n=55,4.24-6.84)。计算和利益相关者解释的FASS的一致性是中等的(kappa0.587)。重度FASS(sFASS)儿童功能沟通风险增加(相对风险[RR],1.57;95%置信区间[CI],0.99-2.48)和增加的亲本强化(RR,1.40;95%CI,0.91-2.14)。他们的护理人员表现出降低的需求水平(RR,0.59;95%CI,0.37-0.94)和角色限制(RR,0.62;95%CI,0.39-0.98)。接收机工作特性曲线表明功能通信(数字FASS截止,3.47;曲线下面积[AUC],0.695),撤回(截止,3.40;AUC,0.657),发育性社交障碍(截止,3.96;AUC,0.648),并加强父母(截止,3.15;AUC,0.646)可能受到影响。
结论:FASS提供了评估小儿FA严重程度的客观工具。对患有严重FASS的幼儿及其照顾者进行早期社会心理干预可以通过确定可能的适应性技能缺陷和过度的育儿压力来改善预后。
OBJECTIVE: Limited knowledge exists regarding the psychosocial characteristics of young Asian children affected by food allergies (FAs) and their caregivers. This study aims to assess the usefulness of the Food Allergy Severity Score (FASS) system in evaluating the risk of emotional impacts on young children and caregivers who are dealing with severe FA.
METHODS: Children between 2 and 10 years of age who were diagnosed with FA and following an elimination diet were enrolled in the study. The FASS, Korean Parenting Stress Index, and Korean Behavior Assessment System for Children-2 were used for evaluating the above mentioned risk.
RESULTS: Among the 75 participants, 64.0% had a history of anaphylaxis, and 56.0% reported multiple FAs. A total of 160 cases of FASS was documented across 21 types of food and classified as mild (n = 5, 1.07), moderate (n = 100, 2.01-4.01), or severe (n = 55, 4.24-6.84). The concordance of calculated- and stakeholder interpreted-FASS was moderate (kappa 0.587). Children with severe FASS (sFASS) showed increased risk for functional communication (relative risk [RR], 1.57; 95% confidence interval [CI], 0.99-2.48) and increased parental reinforcement (RR, 1.40; 95% CI, 0.91-2.14). Their caregivers exhibited reduced levels of demandingness (RR, 0.59; 95% CI, 0.37-0.94) and role restriction (RR, 0.62; 95% CI, 0.39-0.98). Receiver operating characteristic curves suggested that functional communication (numeric FASS cutoff, 3.47; area under the curve [AUC], 0.695), withdrawal (cutoff, 3.40; AUC, 0.657), developmental social disorders (cutoff, 3.96; AUC, 0.648), and reinforces parent (cutoff, 3.15; AUC, 0.646) were possibly be affected.
CONCLUSIONS: The FASS provides an objective tool to assess pediatric FA severity. Early psychosocial intervention for young children with severe FASS and their caregivers may improve prognosis by identifying possible adaptive skill deficiencies and excessive parenting stresses.