Developmental pathways in food allergy: a new theoretical framework.

Hdl Handle:
http://hdl.handle.net/10147/201213
Title:
Developmental pathways in food allergy: a new theoretical framework.
Authors:
DunnGalvin, A; Gaffney, A; Hourihane, J O'B
Affiliation:
University College Cork, Ireland.
Citation:
Developmental pathways in food allergy: a new theoretical framework. 2009, 64 (4):560-8 Allergy
Journal:
Allergy
Issue Date:
Apr-2009
URI:
http://hdl.handle.net/10147/201213
DOI:
10.1111/j.1398-9995.2008.01862.x
PubMed ID:
19154549
Abstract:
To date, there is no model of psychosocial development based on empirical food allergy (FA) research. This limits the ability of clinicians, researchers and policy-makers to predict and evaluate the real impact of FA on the child, with implications for prevention, treatment, intervention and health policy.; To provide an integrated conceptual framework to explain the onset, development and maintenance of FA-related cognitions, emotions and behaviour, with particular attention to transition points.; Fifteen focus groups meetings were held with 62 children (6-15 years). Developmentally appropriate techniques were designed to stimulate discussion, maintain interest and minimize threat to children's self-esteem. Data were analysed using grounded theory.; FA impacts directly on children's normal trajectory of psychological development in both an age- and disease-specific manner. Six key themes emerged from the analysis: 'meanings of food'; 'autonomy, control and self-efficacy'; 'peer relationships'; 'risk and safety'; 'self/identity'; and 'coping strategies'.; Coping with FA is more than simply a strategy, it is a cumulative history of interactive processes (age, gender and disease specific) that are embedded in a child's developmental organization.; The early recognition and incorporation of an FA-specific developmental framework into a treatment plan is essential and sets the stage for an effective medical care and the eventual transition from paediatric to adult care. CAPSULE SUMMARY: This study represents a first attempt to provide an integrated developmental framework to explain the onset, development and maintenance of FA-related cognitions, emotions and behaviour.
Item Type:
Article
Language:
en
Description:
BACKGROUND: To date, there is no model of psychosocial development based on empirical food allergy (FA) research. This limits the ability of clinicians, researchers and policy-makers to predict and evaluate the real impact of FA on the child, with implications for prevention, treatment, intervention and health policy. OBJECTIVES: To provide an integrated conceptual framework to explain the onset, development and maintenance of FA-related cognitions, emotions and behaviour, with particular attention to transition points. METHOD: Fifteen focus groups meetings were held with 62 children (6-15 years). Developmentally appropriate techniques were designed to stimulate discussion, maintain interest and minimize threat to children's self-esteem. Data were analysed using grounded theory. RESULTS: FA impacts directly on children's normal trajectory of psychological development in both an age- and disease-specific manner. Six key themes emerged from the analysis: 'meanings of food'; 'autonomy, control and self-efficacy'; 'peer relationships'; 'risk and safety'; 'self/identity'; and 'coping strategies'. CONCLUSIONS: Coping with FA is more than simply a strategy, it is a cumulative history of interactive processes (age, gender and disease specific) that are embedded in a child's developmental organization. CLINICAL IMPLICATIONS: The early recognition and incorporation of an FA-specific developmental framework into a treatment plan is essential and sets the stage for an effective medical care and the eventual transition from paediatric to adult care. CAPSULE SUMMARY: This study represents a first attempt to provide an integrated developmental framework to explain the onset, development and maintenance of FA-related cognitions, emotions and behaviour.
MeSH:
Adaptation, Psychological; Adolescent; Child; Female; Focus Groups; Food Hypersensitivity; Humans; Male; Quality of Life
ISSN:
1398-9995

Full metadata record

DC FieldValue Language
dc.contributor.authorDunnGalvin, Aen
dc.contributor.authorGaffney, Aen
dc.contributor.authorHourihane, J O'Ben
dc.date.accessioned2012-01-10T11:51:08Z-
dc.date.available2012-01-10T11:51:08Z-
dc.date.issued2009-04-
dc.identifier.citationDevelopmental pathways in food allergy: a new theoretical framework. 2009, 64 (4):560-8 Allergyen
dc.identifier.issn1398-9995-
dc.identifier.pmid19154549-
dc.identifier.doi10.1111/j.1398-9995.2008.01862.x-
dc.identifier.urihttp://hdl.handle.net/10147/201213-
dc.descriptionBACKGROUND: To date, there is no model of psychosocial development based on empirical food allergy (FA) research. This limits the ability of clinicians, researchers and policy-makers to predict and evaluate the real impact of FA on the child, with implications for prevention, treatment, intervention and health policy. OBJECTIVES: To provide an integrated conceptual framework to explain the onset, development and maintenance of FA-related cognitions, emotions and behaviour, with particular attention to transition points. METHOD: Fifteen focus groups meetings were held with 62 children (6-15 years). Developmentally appropriate techniques were designed to stimulate discussion, maintain interest and minimize threat to children's self-esteem. Data were analysed using grounded theory. RESULTS: FA impacts directly on children's normal trajectory of psychological development in both an age- and disease-specific manner. Six key themes emerged from the analysis: 'meanings of food'; 'autonomy, control and self-efficacy'; 'peer relationships'; 'risk and safety'; 'self/identity'; and 'coping strategies'. CONCLUSIONS: Coping with FA is more than simply a strategy, it is a cumulative history of interactive processes (age, gender and disease specific) that are embedded in a child's developmental organization. CLINICAL IMPLICATIONS: The early recognition and incorporation of an FA-specific developmental framework into a treatment plan is essential and sets the stage for an effective medical care and the eventual transition from paediatric to adult care. CAPSULE SUMMARY: This study represents a first attempt to provide an integrated developmental framework to explain the onset, development and maintenance of FA-related cognitions, emotions and behaviour.en
dc.description.abstractTo date, there is no model of psychosocial development based on empirical food allergy (FA) research. This limits the ability of clinicians, researchers and policy-makers to predict and evaluate the real impact of FA on the child, with implications for prevention, treatment, intervention and health policy.-
dc.description.abstractTo provide an integrated conceptual framework to explain the onset, development and maintenance of FA-related cognitions, emotions and behaviour, with particular attention to transition points.-
dc.description.abstractFifteen focus groups meetings were held with 62 children (6-15 years). Developmentally appropriate techniques were designed to stimulate discussion, maintain interest and minimize threat to children's self-esteem. Data were analysed using grounded theory.-
dc.description.abstractFA impacts directly on children's normal trajectory of psychological development in both an age- and disease-specific manner. Six key themes emerged from the analysis: 'meanings of food'; 'autonomy, control and self-efficacy'; 'peer relationships'; 'risk and safety'; 'self/identity'; and 'coping strategies'.-
dc.description.abstractCoping with FA is more than simply a strategy, it is a cumulative history of interactive processes (age, gender and disease specific) that are embedded in a child's developmental organization.-
dc.description.abstractThe early recognition and incorporation of an FA-specific developmental framework into a treatment plan is essential and sets the stage for an effective medical care and the eventual transition from paediatric to adult care. CAPSULE SUMMARY: This study represents a first attempt to provide an integrated developmental framework to explain the onset, development and maintenance of FA-related cognitions, emotions and behaviour.-
dc.language.isoenen
dc.subject.meshAdaptation, Psychological-
dc.subject.meshAdolescent-
dc.subject.meshChild-
dc.subject.meshFemale-
dc.subject.meshFocus Groups-
dc.subject.meshFood Hypersensitivity-
dc.subject.meshHumans-
dc.subject.meshMale-
dc.subject.meshQuality of Life-
dc.titleDevelopmental pathways in food allergy: a new theoretical framework.en
dc.typeArticleen
dc.contributor.departmentUniversity College Cork, Ireland.en
dc.identifier.journalAllergyen
dc.description.provinceMunster-

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