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Vol. 44. Issue 5.
Pages 445-449 (September - October 2016)
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Vol. 44. Issue 5.
Pages 445-449 (September - October 2016)
Original Article
DOI: 10.1016/j.aller.2016.03.001
Psychiatric disorders and symptoms severity in pre-school children with cow's milk allergy
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E. Topala,
Corresponding author
erdemtopal44@gmail.com

Corresponding author.
, F. Catala, N. Soylub, O.O. Ozcanb, M.H. Celiksoyc, A. Babayiğitd, D. Ergee, H.T.E. Karakoça, R. Sancakc
a Department of Pediatric Allergy and Immunology, Inonu University Turgut Ozal Medical Center, Malatya, Turkey
b Department of Child and Adolescent Psychiatry, Inonu University Turgut Ozal Medical Center, Malatya, Turkey
c Department of Pediatric Allergy and Immunology, Ondokuz Mayıs University Faculty of Medicine, Samsun, Turkey
d Department of Pediatric Allergy and Immunology, Kanuni Sultan Süleyman Training and Research Hospital, Istanbul, Turkey
e Department of Pediatric Allergy and Immunology, Adnan Menderes University Faculty of Medicine, Aydın, Turkey
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Tables (3)
Table 1. Sociodemographic features of patients.
Table 2. Diagnoses of psychiatric disorders determined by ECI-4.
Table 3. Psychiatric symptom severity determined by ECI-4.
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Abstract
Background

Psychiatric disorders are seen frequently in atopic diseases. The present study aims to evaluate the frequency of psychiatric disorders and the severity of psychiatric symptoms in pre-school children with cow's milk allergy.

Methods

The parents of the pre-school children with cow's milk allergy were interviewed in person and asked to fill out the Early Childhood Inventory-4 form.

Results

The cow's milk allergy group included 40 children (27 male, 13 female) with mean age, 44.5±14.7 months, and the control group included 41 children (25 male, 16 female) with mean age, 47.6±15.2 months. It was established that 65% of the group with cow's milk allergy received at least one psychiatric diagnosis, while 36.6% of the control group received at least one psychiatric diagnosis, with a statistically significant difference (p=0.02). Within the psychiatric disorders, attention deficit hyperactivity disorders (odds ratio: 4.9, 95% CI: 1.472–16.856, p=0.006), oppositional defiant disorder (odds ratio: 5.6, 95% CI: 1.139–28.128, p=0.026), and attachment disorder (odds ratio: 4.8, 95% CI: 1.747–13.506, p=0.004) were found significantly higher compared with the healthy control group. When the groups were compared in terms of psychiatric symptom severity scores, calculated by using the Early Childhood Inventory-4 form, attention deficit hyperactivity disorders severity (p=0.006) and oppositional defiant disorder severity (p=0.037) were found to be higher in the cow's milk allergy group.

Conclusion

Psychiatric disorders are frequent and severe in pre-school children with cow's milk allergy.

Keywords:
Attention deficit hyperactivity disorder
Attachment disorder
Cow's milk allergy
ECI-4
Oppositional defiant disorder

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