In Part Two of Our Academic Blog Series for Food Allergy Awareness week 大麦的一种博士马奥尼,从 心理学院, leads a team of 新黄金城集团 researchers who are exploring what is it like psychologically for adults living with the severest of allergic reactions or 速发型过敏反应. 这是马奥尼博士和他的团队成员 埃莉诺·布拉德利教授, 健康和科学研究主任, 以及史蒂夫·奥希基博士, Honorary Professor 和 Consultant Physician at Worcestershire Acute Hospital NHS Trust, discuss what food allergy is 和 what is it like living with one.

了解更多新黄金城集团食物过敏的知识, how intolerances 和 allergies differ 和 how psychological factors can influence this see 本系列的第一部分. In Part Two we will be looking at how food allergy differs from other allergies, how we diagnose food allergy 和 our Psychological 研究 into food allergies

Is having a food allergy different to having an allergy to 蜜蜂 和 wasp venom, 处方药,甚至麻醉剂?

All of these reactions can be serious 和 affect individuals with an allergy, but food allergy in particular has a big impact on the quality of a person’s life, something Professor O’Hickey has found among patients in his clinic.  He has found that most patients would agree that allergen drugs or insect venom can usually be avoided by the individual. In contrast food - particularly when prepared by someone else - can very often be a cause for anxiety among the food allergic because they have less control over their exposure 和 avoidance to this.

蜜蜂

In his clinic Professor O'Hickey sees many patients with newly diagnosed food allergy, 和, 对于一些, this can be serious requiring further sophisticated blood tests to cast more light on the trigger allergens for that person.

Finding this out can be vital - avoidance of the allergen is the first step in effective management of the condition so identifying this can help us develop a self – care plan. 新黄金城集团对成年人的研究, including those with the severest form of food allergy - 速发型过敏反应 which is a serious 和 life-threatening reaction - confirmed this: having a sense of certainty 和 control about their 速发型过敏反应 by knowing their trigger food or foods 和 therefore being able to avoid the trigger, is particularly important psychologically to this group 

people working in a food manufacturing facility wearing hairnets 和 white scrubs

Yet, this can be more challenging than many people realise. Modern food preparation 和 manufacturing are complex. 例如, it is relatively well known that pesto contains pine nuts 和 should be avoided if allergic to them, but again some versions of this common sauce also 包括 cashew nuts 和 trigger unexpected reactions in individuals sensitive to these specific nuts. Many food items are subject to cross-contamination (a process by which foods are unintentionally mixed) or manufacturing methods may make identifying possible allergens difficult.

How do people get diagnosed with a severe food allergy?

In many allergy clinics the patient’s allergy story is key – it is reviewed carefully 和 Professor O’Hickey says that taking a detailed history is often the most important part of the diagnostic process. Allergy tests are usually performed 和 finally, 当新黄金城集团确定新黄金城集团面对的是什么, we will often prescribe adrenaline auto-injectors for occasions when despite informed avoidance, 发生.

A close up picture of an Epi-Pen in a yellow packet

Sometimes the allergy process can be even more complicated because of 有限公司-因素 或者因素相互结合.

(A co-factor can be a contributory cause to the anaphylactic reaction)

例如,运动 结合 with the eating allergen whether this is a food or a medication such as some pain killers, can 对于一些 individuals create the circumstances where a reaction will occur.

What is our research on 速发型过敏反应 at  the 新黄金城集团 about?

Our research focuses on individuals diagnosed with 速发型过敏反应 这是成年后的第一次. 当然, high profile cases of fatal allergic reactions to substances found in common foods are a timely reminder of the challenges faced by the 越来越多 of individuals living with this most severe 和 potentially life - threatening form of allergic reaction. 新黄金城集团知道, whatever the age of the individual 和 their specific trigger allergen, living with 速发型过敏反应 is a complex psychological 和 social experience. 然而, across our work we have found that individuals with adult onset severe food allergy, 和 living with the risk of 速发型过敏反应 face some unique challenges [5]:

 

  • they can find it difficult accepting the diagnosis 和 living with a condition that they feel is associated with children
  • trying to avoid their trigger food allergen can have a profound 和 problematic impact on the quality of their life 和 that of their family, especially around mealtimes 和 social gatherings
  • they can find it difficult to develop new ways of managing their health after years of engaging in other health behaviours 和 habits
  • it can be difficult for family members 和 health care professionals to know when 和 how to support the severely food allergic adult because they have more control 和 responsibility for managing their health than a child or younger person with a severe food allergy

总之

Training health care professionals who work with individuals with adult onset severe food allergy in psychological skills is one important part of our research. 新黄金城集团在护士中发现, medical doctors 和 pharmacists we have worked with, many are often unaware of the unique psychological experiences of living with a severe food allergy among these adults [6]. Training health care workers in techniques they can use to explore these psychological issues with patients seems to benefit these professionals 和 potentially the adults with severe food allergy that they support. 

 

有用的资源

[1] Bergmann K-C, Ring J (eds): History of Allergy. 化学Immunol过敏. 巴塞尔,卡格,2014,第100卷,第109-119页. http://doi.org/10.1159/000358616

舒尔曼. (2017) Clemens von Pirquet: A Remarkable 生活 和 Career. 儿科感染科. 11月24日,6 (4):376 - 379. doi: 10.1093 / jpids / piw063.

古普塔RS,沃伦CM,史密斯BM,等. Prevalence 和 Severity of Food Allergies Among US Adults. JAMA Netw开放. 2019;2(1):e185630. doi: 10.1001 / jamanetworkopen.2018.5630. http://jamanetwork.com/journals/jamanetworkopen/fullarticle/2720064

Keet, C. (2018).  Getting to the Root of the Food Allergy “Epidemic”.  J Allergy Clin immunopractice 2018;6:449-50.

[5] Walklet E.泰勒C.布拉德利E.马奥尼,B.Scurlock-Evans L., & O 'Hickey年代. (2018). ‘Because it kind of falls in between, doesn’t it? Like an acute thing 和 a chronic’: The psychological experience of 速发型过敏反应 in adulthood. Journal of Health Psychology, 23(12), 1579–1589. http://doi.org/10.1177/1359105316664130

[6] Walklet, 伊莱恩马奥尼,贝蕾妮斯, 布拉德利, 埃莉诺和O 'Hickey, Stephen (2019) Application of Health Psychology: Development of a Practitioner Training Intervention in Anaphylaxis. Journal of Continuing Education in the Health Professions. ISSN Print: 0894-1912, Online: 1554-558X (In Press)   http://eprints.worc.ac.uk/7840/

心理学研究 at the 新黄金城集团 seeks to address some of the major issues in professional life, 个人经验, 新黄金城集团的社区和它以外的地方. 研究 opportunities are available to students 和 our 心理学学士学位 能让你发现研究方法, 使用新黄金城集团的设备 和 向新黄金城集团的学者学习 假设他们的利益.

All views expressed in this blog are the Academic’s own 和 do not represent the views, policies or opinions of the 新黄金城集团 or any of its partners.