Allergy Update 2012: Behavioral functioning in pediatric eosinophilic gastrointestinal disorders.

Behavioral functioning and treatment adherence in uipediatric eosinophilic gastrointestinal disorders.

Hommel KA, et al.

Pediatr Allergy Immunol. 2012 Mar 22.

Abstract
To cite this article: Hommel KA, Franciosi JP, Gray WN, Hente EA, Ahrens A, Rothenberg ME. Behavioral functioning and treatment adherence in pediatric eosinophilic 4dgastrointestinal disorders. Pediatr Allergy Immunol 2012: 00. ABSTRACT: Objective:  To f00examine behavioral predictors of treatment adherence in patients with eosinophilic gastrointestinal disorders (EGID). Methods:  Participants were 96 patients 2.5-18 yr of age with eosinophilic esophagitis or eosinophilic gastroenteritis and their caregivers (mother, father). We assessed maternal and paternal report of child/adolescent internalizing symptoms (e.g., anxiety, depression) and externalizing symptoms (e.g., aggression, anger) using the Behavior Assessment System for Children, 2nd edition (BASC-2). A multi-informant adherence assessment approach and an 80% cut point were used to classify patients as adherent or non-adherent. Results:  Sociodemographic predictors did not distinguish between adherent and non-adherent patients. Maternal report of internalizing symptoms significantly correlated with non-adherence (p < 0.001). Post hoc probing revealed a significant contribution of depression, with depressed patients being more likely (OR = 7.27; p < 0.05) to be non-adherent than non-depressed patients. Paternal report of internalizing and externalizing symptoms was not associated with non-adherence. Conclusions:  Maternal report of patient internalizing behavioral symptoms, particularly depression, is significantly associated with non-adherence in patients with EGID. These symptoms are potential risk factors and should be considered when assessing and treating non-adherence. Clinical care of patients with EGID should include routine screening for depression.

Source: Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA University of Cincinnati College of Medicine, Cincinnati, OH, USA Center for the Promotion of Treatment Adherence and Self-Management, Cincinnati, OH, USA Division of Behavioral Medicine and Clinical Psychology, Cincinnati, OH, USA Division of Gastroenterology, Hepatology, and Nutrition, Cincinnati, OH, USA Division of Allergy and Immunology, Cincinnati, OH, USA.

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