The relationship between allergic diseases and internalising and externalising behaviours in Spanish children: A cross-sectional study

• Published in: Allergologia et immunopathologia Vol. 49; no. 3; pp. 65 - 72
• Main Authors: Berzosa-Grande, Mª Pilar, González-Fraile, Eduardo, Sánchez-López, Rocío, Soria-Oliver, María, Rueda-Esteban, Santiago
• Format: Journal Article
• Language: English
• Published: Singapore Codon Publications 01.01.2021
• Subjects: Age Factors; Anxiety - etiology; Asthma; Attention Deficit and Disruptive Behavior Disorders - etiology; Behavior; Case-Control Studies; Checklist; Child; Child Behavior; Children & youth; Comorbidity; Confidence Intervals; Cross-Sectional Studies; Depression - etiology; Dermatitis; Disease; Families & family life; Family Characteristics; Female; Food allergies; Hay fever; Humans; Hypersensitivity - psychology; Hypotheses; Likert scale; Male; Mental disorders; Mental Disorders - etiology; Odds Ratio; Parents & parenting; Problem Behavior - psychology; Questionnaires; Rhinitis; Sociodemographics; Surveys and Questionnaires; Spain; parent; allergy; internalising and externalising; behaviour; child
• ISSN: 0301-0546; 1578-1267; 0301-0546
• DOI: 10.15586/aei.v49i3.78

The relationship between allergic diseases and behavioural disorders is still unclear. The objective of this study was to describe and compare children's behaviour (internalising and externalising) across a sample of children aged 6-11 years with and without allergic diseases. This was a cross-sectional observational case-control study. A survey to 366 families (194 allergic cases and 172 controls), including a child behaviour checklist (CBCL) and a socio-demographic questionnaire with questions related to family, school education, health conditions and allergy symptoms, was administered. Children with a diagnosis of allergy showed higher scores in the overall CBCL score (standardised mean differences [SMD] = 0.47; confidence intervals [CI]: 0.26-0.68) and in the internalising and externalising factors (SMD = 0.52 and SMD = 0.36, respectively) than non-allergic children. Odds ratio (OR) analyses showed a higher risk (OR = 2.76; 95% CI [1.61 to 4.72]) of developing a behavioural difficulty in children diagnosed with allergies. Age and level of asthma appear as modulatory variables. Children aged 6-11 years diagnosed with allergies showed larger behavioural problems than non-allergic children, especially in the case of internalising behaviours. These findings suggest the importance of attending to them and treating them in the early stages of diagnosis to avoid future psychological disorders.