Integrated behavioral health care for management of stress in allergic diseases

Autor: Genery D. Booster, Bruce G. Bender, Alyssa A. Oland
Rok vydání: 2018
Předmět:
Zdroj: Annals of allergy, asthmaimmunology : official publication of the American College of Allergy, Asthma,Immunology. 121(1)
ISSN: 1534-4436
Popis: Objective The present article will review current findings regarding the management of stress in allergic disease. Data Sources The present review article uses articles and books published between 1995 and 2017. Approximately 85% of sources used were published in the last 10 years and 60% were published in the last 5 years. The majority of sources are peer-reviewed articles. Study Selections Articles that focused on allergic diseases such as allergic rhinitis, food allergies, urticaria, and allergic asthma were included in the present review. Articles in which it was not clear that the underlying disorder was allergic in nature (for example, non-specified asthma) were not included in the present review. Preference was given to articles published within the past five years. Results Patients with allergic diseases, particularly those with chronic and/or co-occurring allergic diseases, often experience stress and, in turn, this experience of stress can exacerbate disease presentation. High rates of treatment non-adherence in patients with allergic disease can also increase disease burden and stress. Research to date supports the benefit of behavioral health interventions for patients with allergic disease. Interventions with multidisciplinary teams, that include behavioral health, as well as interventions at the school, workplace, and community level are recommended. Conclusion Medical providers working with patients with allergic disease need to address patient's experience of stress and non-adherence to treatment recommendations. This could be done through routine screening and referrals to behavioral health or, ideally, through incorporation of a behavioral health provider within a multidisciplinary patient team.
Databáze: OpenAIRE