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    Developmental pathways in food allergy: a new theoretical framework.

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    Authors
    DunnGalvin, A
    Gaffney, A
    Hourihane, J O'B
    Affiliation
    University College Cork, Ireland.
    Issue Date
    2009-04
    MeSH
    Adaptation, Psychological
    Adolescent
    Child
    Female
    Focus Groups
    Food Hypersensitivity
    Humans
    Male
    Quality of Life
    
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    Citation
    Developmental pathways in food allergy: a new theoretical framework. 2009, 64 (4):560-8 Allergy
    Journal
    Allergy
    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
    ISSN
    1398-9995
    ae974a485f413a2113503eed53cd6c53
    10.1111/j.1398-9995.2008.01862.x
    Scopus Count
    Collections
    Cork University Hospital

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