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Open Access Green möglich sobald Postprint bei der ZB eingereicht worden ist.
Association of atopic and non-atopic asthma with emotional symptoms in school children.
Pediatr. Allergy Immunol. 24, 230-236 (2013)
OBJECTIVE: To date, there is conflicting evidence whether the association between asthma and depression depends on the atopic or non-atopic asthma phenotype. This study investigates associations between emotional symptoms and atopic and non-atopic asthma in school-aged children. METHODS: Cross-sectional data on asthma and allergic diseases at the 10-year follow-up of two birth cohorts were collected by parent-reported physician diagnoses. Specific IgE levels including most common inhalant allergens (SX1) and food allergens (FX5) were measured by RAST-CAP FEIA. Atopic asthma was defined as asthma ever and positive specific IgE test, non-atopic asthma as asthma ever and no IgE sensitization. Emotional symptoms were assessed by parent-reported strength and difficulty questionnaire. Logistic regression modeling were applied to determine likelihood of emotional symptoms in children with atopic and non-atopic asthma controlling for socio-demographic factors, body mass index, atopic eczema, allergic rhinitis, and pubertal development. RESULTS: Non-atopic asthma was associated with about 3-fold higher likelihood of emotional symptoms compared to children with no asthma (ORadj = 2.90, CI95% = 1.46-5.73). Atopic asthma was not associated with emotional symptoms (ORadj = 1.35, CI95% = 0.81-2.26). CONCLUSIONS: Atopic and non-atopic asthma in children might have different etiologies, whereas for non-atopic asthma, emotional symptoms are relevant, this is not the case in atopic asthma. The relationship between the non-atopic asthma phenotype and emotional symptoms might be dependent on gender.
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Publikationstyp
Artikel: Journalartikel
Dokumenttyp
Wissenschaftlicher Artikel
Schlagwörter
Asthma ; Atopy ; Allergy ; Behavior Problems ; Epidemiology ; Depression ; Comorbidity ; Affective Disorders; Birth Cohort ; Difficulties Questionnaire ; Depression ; Disorders ; Anxiety ; Childhood ; Adolescence ; Strengths ; Gender ; Health
ISSN (print) / ISBN
0905-6157
e-ISSN
1399-3038
Zeitschrift
Pediatric Allergy and Immunology
Quellenangaben
Band: 24,
Heft: 3,
Seiten: 230-236
Verlag
Wiley
Begutachtungsstatus
Peer reviewed
Institut(e)
Institute of Epidemiology (EPI)