Alyssa A Oland1, Genery D Booster2, Bruce G Bender2. 1. Department of Pediatrics, National Jewish Health, Denver, Colorado. Electronic address: olanda@njhealth.org. 2. Department of Pediatrics, National Jewish Health, Denver, Colorado.
Abstract
OBJECTIVE: This article reviews current findings regarding the management of stress in allergic disease. DATA SOURCES: The authors use articles and books published between 1995 and 2017. Approximately 85% of sources used were published in the last 10 years, and 60% were published in the last 5 years. Most of the sources are peer-reviewed articles. STUDY SELECTIONS: Articles that focused on allergic diseases such as allergic rhinitis, food allergies, urticaria, and allergic asthma were included. Articles in which whether the underlying disorder was allergic in nature (for example, nonspecified asthma) were not included. Preference was given to articles published within the past five years. RESULTS: Patients with allergic diseases, particularly those with chronic or co-occurring allergic diseases, often experience stress and, in turn, this experience of stress can exacerbate disease presentation. High rates of treatment nonadherence in patients with allergic disease also can increase disease burden and stress. Research supports the benefit of behavioral health interventions for patients with allergic disease. Interventions with multidisciplinary teams, which include behavioral health, as well as interventions at the school, workplace, and community level, are recommended. CONCLUSION: Medical providers working with patients with allergic disease need to address patients' experience of stress and nonadherence to treatment recommendations. This could be done through routine screening and referrals to behavioral health or, ideally, through incorporation of a behavioral health provider within a multidisciplinary patient team.
OBJECTIVE: This article reviews current findings regarding the management of stress in allergic disease. DATA SOURCES: The authors use articles and books published between 1995 and 2017. Approximately 85% of sources used were published in the last 10 years, and 60% were published in the last 5 years. Most of the sources are peer-reviewed articles. STUDY SELECTIONS: Articles that focused on allergic diseases such as allergic rhinitis, food allergies, urticaria, and allergic asthma were included. Articles in which whether the underlying disorder was allergic in nature (for example, nonspecified asthma) were not included. Preference was given to articles published within the past five years. RESULTS:Patients with allergic diseases, particularly those with chronic or co-occurring allergic diseases, often experience stress and, in turn, this experience of stress can exacerbate disease presentation. High rates of treatment nonadherence in patients with allergic disease also can increase disease burden and stress. Research supports the benefit of behavioral health interventions for patients with allergic disease. Interventions with multidisciplinary teams, which include behavioral health, as well as interventions at the school, workplace, and community level, are recommended. CONCLUSION: Medical providers working with patients with allergic disease need to address patients' experience of stress and nonadherence to treatment recommendations. This could be done through routine screening and referrals to behavioral health or, ideally, through incorporation of a behavioral health provider within a multidisciplinary patient team.
Authors: Jean Bousquet; Nhân Pham-Thi; Anna Bedbrook; Ioana Agache; Isabella Annesi-Maesano; Ignacio Ansotegui; Josep M Anto; Claus Bachert; Samuel Benveniste; Mike Bewick; Nils Billo; Sinthia Bosnic-Anticevich; Isabelle Bosse; Guy Brusselle; Moïses A Calderon; G Walter Canonica; Luis Caraballo; Victoria Cardona; Ana Maria Carriazo; Eugene Cash; Lorenzo Cecchi; Derek K Chu; Elaine Colgan; Elisio Costa; Alvaro A Cruz; Wienczyslawa Czarlewski; Stephen Durham; Motohiro Ebisawa; Marina Erhola; Jean-Luc Fauquert; Wytske J Fokkens; Joao A Fonseca; Nick Guldemond; Tomohisa Iinuma; Maddalena Illario; Ludger Klimek; Piotr Kuna; Violeta Kvedariene; Désirée Larenas-Linneman; Daniel Laune; Lan T T Le; Olga Lourenço; Joao O Malva; Gert Marien; Enrica Menditto; Joaquim Mullol; Lars Münter; Yoshitaka Okamoto; Gabrielle L Onorato; Nikos G Papadopoulos; Maritta Perala; Oliver Pfaar; Abigail Phillips; Jim Phillips; Hilary Pinnock; Fabienne Portejoie; Pablo Quinones-Delgado; Christine Rolland; Ulysse Rodts; Boleslaw Samolinski; Mario Sanchez-Borges; Holger J Schünemann; Mohamed Shamji; David Somekh; Alkis Togias; Sanna Toppila-Salmi; Ioanna Tsiligianni; Omar Usmani; Samantha Walker; Dana Wallace; Arunas Valiulis; Rianne Van der Kleij; Maria Teresa Ventura; Sian Williams; Arzu Yorgancioglu; Torsten Zuberbier Journal: J Thorac Dis Date: 2019-09 Impact factor: 2.895