The GINI-plus Study Group (see Appendix S1).
Association of atopic and non-atopic asthma with emotional symptoms in school children
Article first published online: 16 APR 2013
© 2013 John Wiley & Sons A/S. Published by Blackwell Publishing Ltd
Pediatric Allergy and Immunology
Volume 24, Issue 3, pages 230–236, May 2013
How to Cite
To cite this article:Association of atopic and non-atopic asthma with emotional symptoms in school children. Pediatr Allergy Immunol 2013: 24: 230–236., , , , , , , , , .
- Issue published online: 16 APR 2013
- Article first published online: 16 APR 2013
- Manuscript Accepted: 29 JAN 2013
- LISA Study. Grant Number: 01 EE 9401-4
- GINI Study
- Federal Ministry for Education, Science, Research, and Technology. Grant Number: FKZ 20462296
- Federal Ministry of Environment, and Ludwig-Maximilians-Universitaet's
- behavior problems;
- affective disorders
To date, there is conflicting evidence whether the association between asthma and depression depends on the atopic or non-atopic asthma phenotype. This study investigates associations between emotional symptoms and atopic and non-atopic asthma in school-aged children.
Cross-sectional data on asthma and allergic diseases at the 10-year follow-up of two birth cohorts were collected by parent-reported physician diagnoses. Specific IgE levels including most common inhalant allergens (SX1) and food allergens (FX5) were measured by RAST-CAP FEIA. Atopic asthma was defined as asthma ever and positive specific IgE test, non-atopic asthma as asthma ever and no IgE sensitization. Emotional symptoms were assessed by parent-reported strength and difficulty questionnaire. Logistic regression modeling were applied to determine likelihood of emotional symptoms in children with atopic and non-atopic asthma controlling for socio-demographic factors, body mass index, atopic eczema, allergic rhinitis, and pubertal development.
Non-atopic asthma was associated with about 3-fold higher likelihood of emotional symptoms compared to children with no asthma (ORadj = 2.90, CI95% = 1.46–5.73). Atopic asthma was not associated with emotional symptoms (ORadj = 1.35, CI95% = 0.81–2.26).
Atopic and non-atopic asthma in children might have different etiologies, whereas for non-atopic asthma, emotional symptoms are relevant, this is not the case in atopic asthma. The relationship between the non-atopic asthma phenotype and emotional symptoms might be dependent on gender.