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Gepubliceerd in: Child Psychiatry & Human Development 4/2017

26-08-2016 | Original Article

Anxiety and Atopic Disease: Comorbidity in a Youth Mental Health Setting

Auteurs: Emily M. Becker-Haimes, Kathleen I. Diaz, Bryan A. Haimes, Jill Ehrenreich-May

Gepubliceerd in: Child Psychiatry & Human Development | Uitgave 4/2017

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Abstract

Anxiety frequently co-occurs with atopic diseases (e.g., allergies) in community samples, although data are limited to community and pediatric medical samples. Little work has examined atopy rates among mental health treatment seeking youth or whether youth with comorbid anxiety and atopy present similarly to non-comorbid youth. Using initial intake data from a University-based specialty youth clinic for anxiety and depressive disorders (n = 189), rates of atopic comorbidity were benchmarked against lifetime prevalence estimates in epidemiological samples. Anxiety severity and parental stress were compared between youth with and without atopy. Results indicated high rates of atopy in the clinical sample (51.3 %) relative to population atopy estimates (34.5 %). Anxious youth with atopy exhibited more overall and generalized anxiety symptoms relative to non-atopic youth (ps < .05); parental stress was comparable between atopic and non-atopic anxious youth. This suggests potentially heightened clinical severity for youth with co-occurring anxiety and atopy.
Voetnoten
1
Briefly, in response to an antigen (any molecule that activates an immune response), the immune system produces antibodies called immunoglobulins, intended to neutralize pathogens. Helper T cells work to regulate the immune response. Popular immunological theory points toward two differing immunologic responses that are in constant balance to control the other: T-helper 1 (Th1) cells, which mediate a cellular immunity, are often activated to fight intracellular pathogens such as viruses, while T-helper 2 (Th2) cells upregulate antibody production to fight extracellular organisms. In atopic disease, the immune system activates to fight what are typically innocuous antigens (“allergens”) and releases immunoglobulin E (IgE). Exposure to an allergen causes a shift toward a predominance of Th2-mediated immune responses, leading to a release of inflammatory cytokines and histamines that produce IgE, and ultimately, the allergic response. Lasting exposure to an antigen can lead to increased Th2 shift leading to chronic allergic inflammation [22] (see [23] for a review of the immunological response in atopic disease).
 
Literatuur
1.
go back to reference Jackson KD, Howie L, Akinbami LJ (2013) Trends in allergic conditions among children: United States, 1997–2011. NCHS Data Brief 121:1–8 Jackson KD, Howie L, Akinbami LJ (2013) Trends in allergic conditions among children: United States, 1997–2011. NCHS Data Brief 121:1–8
3.
go back to reference Goodwin RD, Galea S, Perzanowski M, Jacobi F (2012) Impact of allergy treatment on the association between allergies and mood and anxiety in a population sample. Clin Exp Allergy 42:1765–1771CrossRefPubMedPubMedCentral Goodwin RD, Galea S, Perzanowski M, Jacobi F (2012) Impact of allergy treatment on the association between allergies and mood and anxiety in a population sample. Clin Exp Allergy 42:1765–1771CrossRefPubMedPubMedCentral
4.
go back to reference Kovalenko PA et al (2001) Association between allergy and anxiety disorders in youth. Aust NZ J Psychiatry 35:815–821CrossRef Kovalenko PA et al (2001) Association between allergy and anxiety disorders in youth. Aust NZ J Psychiatry 35:815–821CrossRef
5.
6.
go back to reference Shanahan L, Zucker N, Copeland WE, Costello EJ, Angold A (2014) Are children and adolescents with food allergies at increased risk for psychopathology? J Psychosom Res 77:468–473CrossRefPubMedPubMedCentral Shanahan L, Zucker N, Copeland WE, Costello EJ, Angold A (2014) Are children and adolescents with food allergies at increased risk for psychopathology? J Psychosom Res 77:468–473CrossRefPubMedPubMedCentral
7.
go back to reference Audino P et al (2014) Rhinitis as a risk factor for depressive mood in pre-adolescents: a new approach to this relationship. Pediatr Allergy Immunol 25:360–365CrossRefPubMed Audino P et al (2014) Rhinitis as a risk factor for depressive mood in pre-adolescents: a new approach to this relationship. Pediatr Allergy Immunol 25:360–365CrossRefPubMed
8.
go back to reference Molzon ES, Suorsa KI, Hullmann SE, Ryan JL, Mullins LL (2012) The relationship of allergy severity to depressive and anxious symptomatology: the role of attitude toward illness. ISRN Allergy 2011:1–4. doi:10.5402/2011/765309 CrossRef Molzon ES, Suorsa KI, Hullmann SE, Ryan JL, Mullins LL (2012) The relationship of allergy severity to depressive and anxious symptomatology: the role of attitude toward illness. ISRN Allergy 2011:1–4. doi:10.​5402/​2011/​765309 CrossRef
9.
go back to reference Patten SB, Williams JV (2007) Self-reported allergies and their relationship to several Axis I disorders in a community sample. Int J Psychiatry Med 37:11–22CrossRefPubMed Patten SB, Williams JV (2007) Self-reported allergies and their relationship to several Axis I disorders in a community sample. Int J Psychiatry Med 37:11–22CrossRefPubMed
10.
go back to reference Slattery MJ, Essex MJ (2011) Specificity in the association of anxiety, depression, and atopic disorders in a community sample of adolescents. J Psychiatr Res 45:788–795CrossRefPubMed Slattery MJ, Essex MJ (2011) Specificity in the association of anxiety, depression, and atopic disorders in a community sample of adolescents. J Psychiatr Res 45:788–795CrossRefPubMed
11.
go back to reference Friedman AH, Morris TL (2006) Allergies and anxiety in children and adolescents: a review of the literature. J Clin Psychol Med Settings 13:318–331CrossRef Friedman AH, Morris TL (2006) Allergies and anxiety in children and adolescents: a review of the literature. J Clin Psychol Med Settings 13:318–331CrossRef
12.
go back to reference Kiecolt-Glaser JK et al (2009) How stress and anxiety can alter immediate and late phase skin test responses in allergic rhinitis. Psychoneuroendocrinology 34:670–680CrossRefPubMedPubMedCentral Kiecolt-Glaser JK et al (2009) How stress and anxiety can alter immediate and late phase skin test responses in allergic rhinitis. Psychoneuroendocrinology 34:670–680CrossRefPubMedPubMedCentral
13.
go back to reference Wamboldt MZ et al (2000) Familial association between allergic disorders and depression in adult Finnish twins. Am J Med Genet 96:146–153CrossRefPubMed Wamboldt MZ et al (2000) Familial association between allergic disorders and depression in adult Finnish twins. Am J Med Genet 96:146–153CrossRefPubMed
14.
go back to reference Chida Y, Hamer M, Steptoe A (2008) A bidirectional relationship between psychosocial factors and atopic disorders: a systematic review and meta-analysis. Psychosom Med 70:102–116CrossRefPubMed Chida Y, Hamer M, Steptoe A (2008) A bidirectional relationship between psychosocial factors and atopic disorders: a systematic review and meta-analysis. Psychosom Med 70:102–116CrossRefPubMed
15.
go back to reference Ferro MA et al (2016) Condition-specific associations of symptoms of depression and anxiety in adolescents and young adults with asthma and food allergy. J Asthma 53:282–288CrossRefPubMed Ferro MA et al (2016) Condition-specific associations of symptoms of depression and anxiety in adolescents and young adults with asthma and food allergy. J Asthma 53:282–288CrossRefPubMed
16.
go back to reference Goodwin RD et al (2014) Asthma and mental health among youth in high-risk service settings. J Asthma 51:639–644CrossRefPubMed Goodwin RD et al (2014) Asthma and mental health among youth in high-risk service settings. J Asthma 51:639–644CrossRefPubMed
17.
go back to reference Manassis K (2011) Managing anxiety related to anaphylaxis in childhood: a systematic review. J Allergy 2012 Manassis K (2011) Managing anxiety related to anaphylaxis in childhood: a systematic review. J Allergy 2012
18.
go back to reference Roy K, Wu Y, Roberts M (2009) Allergic reactions in children: implications for pediatric psychology. In: Roberts MC, Steele RG (eds) Handbook of pediatric psychology, The Guilford Press, New York, NY, pp 755–762 Roy K, Wu Y, Roberts M (2009) Allergic reactions in children: implications for pediatric psychology. In: Roberts MC, Steele RG (eds) Handbook of pediatric psychology, The Guilford Press, New York, NY, pp 755–762
19.
go back to reference Merikangas KR et al (2010) Lifetime prevalence of mental disorders in US adolescents: results from the National Comorbidity Survey Replication-Adolescent Supplement (NCS-A). J Am Acad Child Adolesc Psychiatry 49:980–989CrossRefPubMedPubMedCentral Merikangas KR et al (2010) Lifetime prevalence of mental disorders in US adolescents: results from the National Comorbidity Survey Replication-Adolescent Supplement (NCS-A). J Am Acad Child Adolesc Psychiatry 49:980–989CrossRefPubMedPubMedCentral
21.
go back to reference Higa-McMillan CK, Francis SE, Rith-Najarian L, Chorpita BF (2016) Evidence base update: 50 years of research on treatment for child and adolescent anxiety. J Clin Child Adolesc Psychol 45:91–113CrossRefPubMed Higa-McMillan CK, Francis SE, Rith-Najarian L, Chorpita BF (2016) Evidence base update: 50 years of research on treatment for child and adolescent anxiety. J Clin Child Adolesc Psychol 45:91–113CrossRefPubMed
22.
23.
go back to reference Gould HJ et al (2003) The biology of IGE and the basis of allergic disease. Annu Rev Immunol 21:579–628CrossRefPubMed Gould HJ et al (2003) The biology of IGE and the basis of allergic disease. Annu Rev Immunol 21:579–628CrossRefPubMed
25.
go back to reference Agache I, Akdis C, Jutel M, Virchow J (2012) Untangling asthma phenotypes and endotypes. Allergy 67:835–846CrossRefPubMed Agache I, Akdis C, Jutel M, Virchow J (2012) Untangling asthma phenotypes and endotypes. Allergy 67:835–846CrossRefPubMed
26.
go back to reference Pinart M et al (2014) Comorbidity of eczema, rhinitis, and asthma in IgE-sensitised and non-IgE-sensitised children in MeDALL: a population-based cohort study. Lancet Respir Med 2:131–140CrossRefPubMed Pinart M et al (2014) Comorbidity of eczema, rhinitis, and asthma in IgE-sensitised and non-IgE-sensitised children in MeDALL: a population-based cohort study. Lancet Respir Med 2:131–140CrossRefPubMed
28.
go back to reference Hou R, Baldwin DS (2012) A neuroimmunological perspective on anxiety disorders. Hum Psychopharmacol Clin Exp 27:6–14CrossRef Hou R, Baldwin DS (2012) A neuroimmunological perspective on anxiety disorders. Hum Psychopharmacol Clin Exp 27:6–14CrossRef
29.
go back to reference Hovatta I, Juhila J, Donner J (2010) Oxidative stress in anxiety and comorbid disorders. Neurosci Res 68:261–275CrossRefPubMed Hovatta I, Juhila J, Donner J (2010) Oxidative stress in anxiety and comorbid disorders. Neurosci Res 68:261–275CrossRefPubMed
30.
go back to reference Marshall GD (2004) Neuroendocrine mechanisms of immune dysregulation: applications to allergy and asthma. Ann Allergy Asthma Immunol 93:S11–S17CrossRefPubMed Marshall GD (2004) Neuroendocrine mechanisms of immune dysregulation: applications to allergy and asthma. Ann Allergy Asthma Immunol 93:S11–S17CrossRefPubMed
31.
go back to reference Heffner KL, Kiecolt-Glaser JK, Glaser R, Malarkey WB, Marshall GD (2014) Stress and anxiety effects on positive skin test responses in young adults with allergic rhinitis. Ann Allergy Asthma Immunol 113:13–18CrossRefPubMedPubMedCentral Heffner KL, Kiecolt-Glaser JK, Glaser R, Malarkey WB, Marshall GD (2014) Stress and anxiety effects on positive skin test responses in young adults with allergic rhinitis. Ann Allergy Asthma Immunol 113:13–18CrossRefPubMedPubMedCentral
32.
go back to reference Buske-Kirschbaum A, Geiben A, Höllig H, Morschhäuser E, Hellhammer D (2002) Altered responsiveness of the hypothalamus–pituitary–adrenal axis and the sympathetic adrenomedullary system to stress in patients with atopic dermatitis. J Clin Endocrinol Metab 87:4245–4251CrossRefPubMed Buske-Kirschbaum A, Geiben A, Höllig H, Morschhäuser E, Hellhammer D (2002) Altered responsiveness of the hypothalamus–pituitary–adrenal axis and the sympathetic adrenomedullary system to stress in patients with atopic dermatitis. J Clin Endocrinol Metab 87:4245–4251CrossRefPubMed
33.
go back to reference Chida Y, Sudo N, Sonoda J, Hiramoto T, Kubo C (2007) Early-life psychological stress exacerbates adult mouse asthma via the hypothalamus–pituitary–adrenal axis. Am J Respir Crit Care Med 175:316–322CrossRefPubMed Chida Y, Sudo N, Sonoda J, Hiramoto T, Kubo C (2007) Early-life psychological stress exacerbates adult mouse asthma via the hypothalamus–pituitary–adrenal axis. Am J Respir Crit Care Med 175:316–322CrossRefPubMed
34.
go back to reference Priftis KN, Papadimitriou A, Nicolaidou P, Chrousos GP (2008) The hypothalamic–pituitary–adrenal axis in asthmatic children. Trends Endocrinol Metab 19:32–38CrossRefPubMed Priftis KN, Papadimitriou A, Nicolaidou P, Chrousos GP (2008) The hypothalamic–pituitary–adrenal axis in asthmatic children. Trends Endocrinol Metab 19:32–38CrossRefPubMed
35.
go back to reference Buske-Kirschbaum A, Gierens A, Höllig H, Hellhammer D (2002) Stress-induced immunomodulation is altered in patients with atopic dermatitis. J Neuroimmunol 129:161–167CrossRefPubMed Buske-Kirschbaum A, Gierens A, Höllig H, Hellhammer D (2002) Stress-induced immunomodulation is altered in patients with atopic dermatitis. J Neuroimmunol 129:161–167CrossRefPubMed
36.
go back to reference Kim K (2012) Neuroimmunological mechanism of pruritus in atopic dermatitis focused on the role of serotonin. Biomol Ther 20:506CrossRef Kim K (2012) Neuroimmunological mechanism of pruritus in atopic dermatitis focused on the role of serotonin. Biomol Ther 20:506CrossRef
37.
go back to reference Connolly SD, Bernstein GA (2007) Practice parameter for the assessment and treatment of children and adolescents with anxiety disorders. J Am Acad Child Adolesc Psychiatry 46:267–283CrossRefPubMed Connolly SD, Bernstein GA (2007) Practice parameter for the assessment and treatment of children and adolescents with anxiety disorders. J Am Acad Child Adolesc Psychiatry 46:267–283CrossRefPubMed
38.
go back to reference Southammakosane C, Schmitz K (2015) Pediatric psychopharmacology for treatment of ADHD, depression, and anxiety. Pediatrics 136:351–359CrossRefPubMed Southammakosane C, Schmitz K (2015) Pediatric psychopharmacology for treatment of ADHD, depression, and anxiety. Pediatrics 136:351–359CrossRefPubMed
39.
go back to reference Thomsen SF, Kyvik KO, Backer V (2008) Etiological relationships in atopy: a review of twin studies. Twin Res Hum Genet 11:112–120CrossRefPubMed Thomsen SF, Kyvik KO, Backer V (2008) Etiological relationships in atopy: a review of twin studies. Twin Res Hum Genet 11:112–120CrossRefPubMed
40.
go back to reference Barnes KC (2015) Genes and atopic phenotypes. In: Wahn HU (ed) Allergy, immunity, and tolerance in early childhood: the first steps of the atopic march, vol 1. Academic Press, London Barnes KC (2015) Genes and atopic phenotypes. In: Wahn HU (ed) Allergy, immunity, and tolerance in early childhood: the first steps of the atopic march, vol 1. Academic Press, London
41.
go back to reference Tedner SG, Lundholm C, Olsson H, Almqvist C (2016) Depression or anxiety in adult twins is associated with asthma diagnosis but not with offspring asthma. Clin Exp Allergy 46:803–812CrossRefPubMed Tedner SG, Lundholm C, Olsson H, Almqvist C (2016) Depression or anxiety in adult twins is associated with asthma diagnosis but not with offspring asthma. Clin Exp Allergy 46:803–812CrossRefPubMed
42.
go back to reference Mineka S, Zinbarg R (2006) A contemporary learning theory perspective on the etiology of anxiety disorders: it’s not what you thought it was. Am Psychol 61:10CrossRefPubMed Mineka S, Zinbarg R (2006) A contemporary learning theory perspective on the etiology of anxiety disorders: it’s not what you thought it was. Am Psychol 61:10CrossRefPubMed
44.
go back to reference Kim JS, Sicherer SH (2011) Living with food allergy: allergen avoidance. Pediatr Clin North Am 58:459–470CrossRefPubMed Kim JS, Sicherer SH (2011) Living with food allergy: allergen avoidance. Pediatr Clin North Am 58:459–470CrossRefPubMed
45.
go back to reference Reiss S, Peterson RA, Gursky DM, McNally RJ (1986) Anxiety sensitivity, anxiety frequency and the prediction of fearfulness. Behav Res Ther 24:1–8CrossRefPubMed Reiss S, Peterson RA, Gursky DM, McNally RJ (1986) Anxiety sensitivity, anxiety frequency and the prediction of fearfulness. Behav Res Ther 24:1–8CrossRefPubMed
46.
go back to reference Lebowitz ER, Shic F, Campbell D, Basile K, Silverman WK (2015) Anxiety sensitivity moderates behavioral avoidance in anxious youth. Behav Res Ther 74:11–17CrossRefPubMedPubMedCentral Lebowitz ER, Shic F, Campbell D, Basile K, Silverman WK (2015) Anxiety sensitivity moderates behavioral avoidance in anxious youth. Behav Res Ther 74:11–17CrossRefPubMedPubMedCentral
47.
go back to reference Dahlquist LM et al (2015) Parenting and independent problem-solving in preschool children with food allergy. J Pediat Psychol 40:96–108CrossRef Dahlquist LM et al (2015) Parenting and independent problem-solving in preschool children with food allergy. J Pediat Psychol 40:96–108CrossRef
48.
go back to reference Cummings A, Knibb RC, King R, Lucas J (2010) The psychosocial impact of food allergy and food hypersensitivity in children, adolescents and their families: a review. Allergy 65:933–945CrossRefPubMed Cummings A, Knibb RC, King R, Lucas J (2010) The psychosocial impact of food allergy and food hypersensitivity in children, adolescents and their families: a review. Allergy 65:933–945CrossRefPubMed
49.
go back to reference Ginsburg GS, Siqueland L, Masia-Warner C, Hedtke KA (2005) Anxiety disorders in children: family matters. Cogn Behav Pract 11:28–43CrossRef Ginsburg GS, Siqueland L, Masia-Warner C, Hedtke KA (2005) Anxiety disorders in children: family matters. Cogn Behav Pract 11:28–43CrossRef
50.
go back to reference Albano A, Silverman W (1996) The anxiety disorders interview schedule for children for DSM-IV: clinician manual (child and parent versions). Psychol Corp, San Antonio Albano A, Silverman W (1996) The anxiety disorders interview schedule for children for DSM-IV: clinician manual (child and parent versions). Psychol Corp, San Antonio
51.
go back to reference Silverberg JI, Simpson EL, Durkin HG, Joks R (2013) Prevalence of allergic disease in foreign-born American children. JAMA Pediatr 167:554–560CrossRefPubMed Silverberg JI, Simpson EL, Durkin HG, Joks R (2013) Prevalence of allergic disease in foreign-born American children. JAMA Pediatr 167:554–560CrossRefPubMed
52.
go back to reference Birmaher B et al (1997) The screen for child anxiety related emotional disorders (SCARED): scale construction and psychometric characteristics. J Am Acad Child Adolesc Psychiatry 36:545–553CrossRefPubMed Birmaher B et al (1997) The screen for child anxiety related emotional disorders (SCARED): scale construction and psychometric characteristics. J Am Acad Child Adolesc Psychiatry 36:545–553CrossRefPubMed
53.
go back to reference Birmaher B et al (1999) Psychometric properties of the screen for child anxiety related emotional disorders (SCARED): a replication study. J Am Acad Child Adolesc Psychiatr 38:1230–1236CrossRef Birmaher B et al (1999) Psychometric properties of the screen for child anxiety related emotional disorders (SCARED): a replication study. J Am Acad Child Adolesc Psychiatr 38:1230–1236CrossRef
54.
go back to reference Lovibond PF, Lovibond SH (1995) The structure of negative emotional states: comparison of the Depression Anxiety Stress Scales (DASS) with the beck depression and anxiety inventories. Behav Res Ther 33:335–343CrossRefPubMed Lovibond PF, Lovibond SH (1995) The structure of negative emotional states: comparison of the Depression Anxiety Stress Scales (DASS) with the beck depression and anxiety inventories. Behav Res Ther 33:335–343CrossRefPubMed
55.
go back to reference Brown TA, Chorpita BF, Korotitsch W, Barlow DH (1997) Psychometric properties of the Depression Anxiety Stress Scales (DASS) in clinical samples. Behav Res Ther 35:79–89CrossRefPubMed Brown TA, Chorpita BF, Korotitsch W, Barlow DH (1997) Psychometric properties of the Depression Anxiety Stress Scales (DASS) in clinical samples. Behav Res Ther 35:79–89CrossRefPubMed
56.
go back to reference Kaplan AP (2009) Urticaria and angioedema. In: Adkinson NF, Bochner BS, Busse WW et al (eds) Middleton’s allergy: principles and practice, vol 2, 7th edn. Mosby, St Louis, MO, p 1063 Kaplan AP (2009) Urticaria and angioedema. In: Adkinson NF, Bochner BS, Busse WW et al (eds) Middleton’s allergy: principles and practice, vol 2, 7th edn. Mosby, St Louis, MO, p 1063
57.
go back to reference Bilo MB, Bonifazi F (2009) The natural history and epidemiology of insect venom allergy: clinical implications. Clin Exp Allergy 39:1467–1476CrossRefPubMed Bilo MB, Bonifazi F (2009) The natural history and epidemiology of insect venom allergy: clinical implications. Clin Exp Allergy 39:1467–1476CrossRefPubMed
58.
go back to reference Friedberg RD, Wilt LH (2010) Metaphors and stories in cognitive behavioral therapy with children. J Ration Emot Cogn Behav Ther 28:100–113CrossRef Friedberg RD, Wilt LH (2010) Metaphors and stories in cognitive behavioral therapy with children. J Ration Emot Cogn Behav Ther 28:100–113CrossRef
59.
go back to reference Meldrum SJ et al (2012) Allergic disease in the first year of life is associated with differences in subsequent neurodevelopment and behaviour. Early Hum Dev 88:567–573CrossRefPubMed Meldrum SJ et al (2012) Allergic disease in the first year of life is associated with differences in subsequent neurodevelopment and behaviour. Early Hum Dev 88:567–573CrossRefPubMed
60.
go back to reference Gregory AM et al (2009) Links between anxiety and allergies: Psychobiological reality or possible methodological bias? J Personal 77:347–362CrossRef Gregory AM et al (2009) Links between anxiety and allergies: Psychobiological reality or possible methodological bias? J Personal 77:347–362CrossRef
61.
go back to reference Elberink JNO, de Monchy JG, van der Heide S, Guyatt GH, Dubois AE (2002) Venom immunotherapy improves health-related quality of life in patients allergic to yellow jacket venom. J Allergy Clin Immunol 110:174–182CrossRef Elberink JNO, de Monchy JG, van der Heide S, Guyatt GH, Dubois AE (2002) Venom immunotherapy improves health-related quality of life in patients allergic to yellow jacket venom. J Allergy Clin Immunol 110:174–182CrossRef
62.
go back to reference Comer JS, Barlow DH (2014) The occasional case against broad dissemination and implementation: retaining a role for specialty care in the delivery of psychological treatments. Am Psychol 69:1CrossRefPubMed Comer JS, Barlow DH (2014) The occasional case against broad dissemination and implementation: retaining a role for specialty care in the delivery of psychological treatments. Am Psychol 69:1CrossRefPubMed
63.
go back to reference Kendall PC, et al (2016) What steps to take? How to approach concerning anxiety in youth. Clin Psychol Kendall PC, et al (2016) What steps to take? How to approach concerning anxiety in youth. Clin Psychol
64.
go back to reference Moser NL, Plante WA, LeLeiko NS, Lobato DJ (2014) Integrating behavioral health services into pediatric gastroenterology: a model of an integrated health care program. Clin Pract Pediat Psychol 2:1CrossRef Moser NL, Plante WA, LeLeiko NS, Lobato DJ (2014) Integrating behavioral health services into pediatric gastroenterology: a model of an integrated health care program. Clin Pract Pediat Psychol 2:1CrossRef
Metagegevens
Titel
Anxiety and Atopic Disease: Comorbidity in a Youth Mental Health Setting
Auteurs
Emily M. Becker-Haimes
Kathleen I. Diaz
Bryan A. Haimes
Jill Ehrenreich-May
Publicatiedatum
26-08-2016
Uitgeverij
Springer US
Gepubliceerd in
Child Psychiatry & Human Development / Uitgave 4/2017
Print ISSN: 0009-398X
Elektronisch ISSN: 1573-3327
DOI
https://doi.org/10.1007/s10578-016-0678-8

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