Association between Allergy and Anxiety Disorders in Youth

Author:

Kovalenko Pavel A1,Hoven Christina W2,Wu Ping2,Wicks Judith2,Mandell Donald J2,Tiet Quyen2

Affiliation:

1. Virginia Institute for Psychiatric and Behavioural Genetics, Virginia Commonwealth University, 800 East Leigh Street, PO Box 980126, Richmond, VA, 23298–0126, USA

2. Department of Child Psychiatry, Columbia University and New York State Psychiatric Institute, New YorkUSA

Abstract

Objective: Studies have documented associations between anxiety disorders and allergy in adults, but these associations have not been studied extensively in children. The objective of this study is to examine the associations between allergy and six anxiety disorders (AD) in youth. Method: This is a data analysis of two epidemiologic-services studies: (i) alternative service use patterns of youth with serious emotional disturbance (n = 936), and (ii) methods for the epidemiology of child and adolescent mental disorders (n = 1285). Child psychiatric diagnoses were measured by the diagnostic interview schedule for children. Allergy was assessed by the service utilization and risk factors interview. Results: Among ADs, the strongest association found was between allergy and panic disorder (adjusted odds ratio 5.0; p ≤?0.001). Associations of allergy and the other ADs do not seem to be clinically significant. Conclusions: Findings suggest that in some patients panic disorder may be associated with hypersensitivity of immune system. Panic disorder should be considered in anxious children reporting allergy when no organic cause of allergy is found, and likewise allergy should considered in children with panic disorder.

Publisher

SAGE Publications

Subject

Psychiatry and Mental health,General Medicine

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