Background: Recent studies on adults report psychological stress among the trigger factors of Hereditary Angioedema(HAE) attacks (Fouche at al.,2013;Zotter et al.,2014). Objective:to explore the role of emotions and stress in the onset of symptoms in a group of paediatric patients with HAE and in two control groups. Methods: to date, 25 children with HAE, and 25 children from 2 control groups (diabetes and rheumatoid arthritis(RA)) together with their parents, have been administered: a structured interview on the illness experience and a self-reported scale on illness severity; 3 scales on stress, alexithymia and emotional awareness to children (CLES, Coddington,1999;AQC, Rieffe,2006;LEAS-C, Ciarocchi,2001). Results:From the interviews: 80% of parents of HAE children report the belief that psychological stress and intense emotions trigger the symptoms, 65% of parents of children with diabetes think that anger and anxiety are associated to hyper or hypo-glycaemia, only 30 % of parents of children with RA believe stress can exacerbate the illness. From the scale stress: children with HAE report higher levels of stress comparing with the other groups (75% HAE,60% diabetes, 50% RA). From the scale on alexithymia: all the groups report a high impairment in the ability to recognize and name one’s own emotions (78% HAE, 90% diabetes and 85% RA). From the scale on emotional awareness too, all the groups report a broad impairment, a bit higher for HAE children (80% of children with HAE, 75% of children with diabetes, 65% of children with RA). Conclusion: Paediatric patients with HAE show higher stress levels than the control groups. All the groups show a broad deficit in emotion regulation competencies. Stress is widely recognized to be a trigger both in HAE and in diabetes. The link between psychological stress and symptoms seems not to follow a causal relation. The links between HAE pathogenesis and neurochemical pathways of emotions need to be elucidated by further research.
Late Breaking Poster Discussion LB “Emotion Regulation and Stress in Children with Hereditary Angioedema” / Savarese, Livia; Bova, Maria; DE FALCO, Raffaella; Petraroli, Angelica; Guarino, Maria Domenica; Perricone, Roberto; Zanichelli, Andrea; Cicardi, Marco; Zito, Eugenio; Alessio, Maria; Triggiani, Massimo; Marone, Gianni; Cancian, Mauro; Valerio, Paolo; Freda, MARIA FRANCESCA. - In: ALLERGY. - ISSN 0105-4538. - 71:supplement 102(2016), pp. 297-297. [10.1111/all.12973]
Late Breaking Poster Discussion LB “Emotion Regulation and Stress in Children with Hereditary Angioedema”
SAVARESE, LIVIA;BOVA, MARIA;DE FALCO, Raffaella;PETRAROLI, ANGELICA;ZITO, EUGENIO;ALESSIO, MARIA;TRIGGIANI, MASSIMO;MARONE, GIANNI;VALERIO, PAOLO;FREDA, MARIA FRANCESCA
2016
Abstract
Background: Recent studies on adults report psychological stress among the trigger factors of Hereditary Angioedema(HAE) attacks (Fouche at al.,2013;Zotter et al.,2014). Objective:to explore the role of emotions and stress in the onset of symptoms in a group of paediatric patients with HAE and in two control groups. Methods: to date, 25 children with HAE, and 25 children from 2 control groups (diabetes and rheumatoid arthritis(RA)) together with their parents, have been administered: a structured interview on the illness experience and a self-reported scale on illness severity; 3 scales on stress, alexithymia and emotional awareness to children (CLES, Coddington,1999;AQC, Rieffe,2006;LEAS-C, Ciarocchi,2001). Results:From the interviews: 80% of parents of HAE children report the belief that psychological stress and intense emotions trigger the symptoms, 65% of parents of children with diabetes think that anger and anxiety are associated to hyper or hypo-glycaemia, only 30 % of parents of children with RA believe stress can exacerbate the illness. From the scale stress: children with HAE report higher levels of stress comparing with the other groups (75% HAE,60% diabetes, 50% RA). From the scale on alexithymia: all the groups report a high impairment in the ability to recognize and name one’s own emotions (78% HAE, 90% diabetes and 85% RA). From the scale on emotional awareness too, all the groups report a broad impairment, a bit higher for HAE children (80% of children with HAE, 75% of children with diabetes, 65% of children with RA). Conclusion: Paediatric patients with HAE show higher stress levels than the control groups. All the groups show a broad deficit in emotion regulation competencies. Stress is widely recognized to be a trigger both in HAE and in diabetes. The link between psychological stress and symptoms seems not to follow a causal relation. The links between HAE pathogenesis and neurochemical pathways of emotions need to be elucidated by further research.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
