Edited by: Stephan Weidinger
Emotional and behavioral problems in adolescents and young adults with food allergy
Version of Record online: 19 JAN 2016
© 2015 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd
Volume 71, Issue 4, pages 532–540, April 2016
How to Cite
Emotional and behavioral problems in adolescents and young adults with food allergy. Allergy 2016; 71: 532–540., , , .
- Issue online: 21 MAR 2016
- Version of Record online: 19 JAN 2016
- Accepted manuscript online: 30 DEC 2015 06:29AM EST
- Manuscript Accepted: 17 DEC 2015
- National Health and Medical Research Council of Australia
- food allergy;
- mental health;
- young adulthood
Adolescents with food allergy have poorer psychosocial outcomes compared with their nonallergic counterparts; however, few studies have prospectively examined the mental health of adolescents and young adults in this vulnerable population. Our objectives were to estimate the prevalence of emotional and behavioral problems in an epidemiological sample of adolescents and young adults with food allergy; determine whether food allergy is associated with adolescent and maternal reports of such problems; and examine the patterns of change in emotional and behavioral problems from adolescence to young adulthood among individuals with and without food allergy.
Data came from 1303 participants at 14 and 21 years of age in the Mater University Study of Pregnancy. Emotional and behavioral problems were measured using self- and maternal-reported symptoms of depression, anxiety, attention/deficit hyperactivity disorder (ADHD), oppositional defiant disorder, and conduct disorder.
Maternal, but not self-reports suggested that emotional and behavioral problems were higher among adolescents with food allergy. Food allergy was associated with increased odds of elevated levels of maternal-reported symptoms of depression [OR = 4.50 (1.83, 11.07)], anxiety [OR = 2.68 (1.12, 6.44)], and ADHD [OR = 3.14 (1.07, 9.19)] in adolescence. Food allergy was also associated with depressive symptoms that persisted from adolescence to young adulthood [OR = 2.05 (1.04, 4.03)].
Emotional and behavioral problems, particularly symptoms of depression, anxiety, and ADHD, are common among adolescents with food allergy in the general population and, in the case of elevated levels of depressive symptoms, persist into young adulthood. Healthcare professionals should seek adolescent and parental perspectives when assessing emotional and behavioral problems and monitor mental health during the transition to adulthood.