The Role of the Mind-Body Connection in Children with Food Reactions and Identified Adversity: Implications for Integrating Stress Management and Resilience Strategies in Clinical Practice

Child adversity is often associated with poor quality of life in pediatric gastrointestinal disorders, including non-allergic food reactions (food intolerances), which may be improved using mind-body interventions. We conducted an observational study to (1) describe child adversity (stressors) and r...

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Main Authors: Olivia Lee, Maria Mascarenhas, Robin Miccio, Terri Brown-Whitehorn, Amy Dean, Jessi Erlichman, Robin Ortiz
Format: Article
Language:English
Published: MDPI AG 2023-03-01
Series:Children
Subjects:
Online Access:https://www.mdpi.com/2227-9067/10/3/563
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author Olivia Lee
Maria Mascarenhas
Robin Miccio
Terri Brown-Whitehorn
Amy Dean
Jessi Erlichman
Robin Ortiz
author_facet Olivia Lee
Maria Mascarenhas
Robin Miccio
Terri Brown-Whitehorn
Amy Dean
Jessi Erlichman
Robin Ortiz
author_sort Olivia Lee
collection DOAJ
description Child adversity is often associated with poor quality of life in pediatric gastrointestinal disorders, including non-allergic food reactions (food intolerances), which may be improved using mind-body interventions. We conducted an observational study to (1) describe child adversity (stressors) and resilience factors in children with food intolerances, and (2) explore the association between stressors and self-reported use of integrative modalities. A retrospective chart review of children ≥4-years-old presenting to a pediatric food intolerances clinic from 2017 to 2020 was performed (n = 130). Use of integrative medicine at intake, demographic, illness, and social history data were collected. Qualitative analysis identified exposure to stressors and resilience strategies. Correlation was assessed using a chi-square test. Management of the medical condition was the most common stressor, indicating impact on quality of life. Resilience strategies included themes of self-coping and social support. Individuals with one or more stressors were more likely to be using an integrative modality (most commonly, mind-body interventions) prior to their visit (<i>X</i><sup>2</sup> = 8.1, <i>p</i> = 0.004). Our hypothesis-generating study suggests that screening for child adversity and integrative medicine use may be used to better address quality of life and personalized approaches to treat pediatric food intolerances.
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spelling doaj.art-a08586f530004c189b2f0ddeaab029b62023-11-17T10:22:02ZengMDPI AGChildren2227-90672023-03-0110356310.3390/children10030563The Role of the Mind-Body Connection in Children with Food Reactions and Identified Adversity: Implications for Integrating Stress Management and Resilience Strategies in Clinical PracticeOlivia Lee0Maria Mascarenhas1Robin Miccio2Terri Brown-Whitehorn3Amy Dean4Jessi Erlichman5Robin Ortiz6Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104, USAPerelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104, USAIntegrative Health Program, Children’s Hospital of Philadelphia, Philadelphia, PA 19104, USAPerelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104, USADivision of Gastroenterology, Hepatology, and Nutrition, Children’s Hospital of Philadelphia, Philadelphia, PA 19104, USADivision of Gastroenterology, Hepatology, and Nutrition, Children’s Hospital of Philadelphia, Philadelphia, PA 19104, USADepartments of Pediatrics and Population Health, New York University Grossman School of Medicine, New York, NY 10016, USAChild adversity is often associated with poor quality of life in pediatric gastrointestinal disorders, including non-allergic food reactions (food intolerances), which may be improved using mind-body interventions. We conducted an observational study to (1) describe child adversity (stressors) and resilience factors in children with food intolerances, and (2) explore the association between stressors and self-reported use of integrative modalities. A retrospective chart review of children ≥4-years-old presenting to a pediatric food intolerances clinic from 2017 to 2020 was performed (n = 130). Use of integrative medicine at intake, demographic, illness, and social history data were collected. Qualitative analysis identified exposure to stressors and resilience strategies. Correlation was assessed using a chi-square test. Management of the medical condition was the most common stressor, indicating impact on quality of life. Resilience strategies included themes of self-coping and social support. Individuals with one or more stressors were more likely to be using an integrative modality (most commonly, mind-body interventions) prior to their visit (<i>X</i><sup>2</sup> = 8.1, <i>p</i> = 0.004). Our hypothesis-generating study suggests that screening for child adversity and integrative medicine use may be used to better address quality of life and personalized approaches to treat pediatric food intolerances.https://www.mdpi.com/2227-9067/10/3/563stressadversityresilienceintegrative medicinepediatric food intolerancesnon-allergic food reactions
spellingShingle Olivia Lee
Maria Mascarenhas
Robin Miccio
Terri Brown-Whitehorn
Amy Dean
Jessi Erlichman
Robin Ortiz
The Role of the Mind-Body Connection in Children with Food Reactions and Identified Adversity: Implications for Integrating Stress Management and Resilience Strategies in Clinical Practice
Children
stress
adversity
resilience
integrative medicine
pediatric food intolerances
non-allergic food reactions
title The Role of the Mind-Body Connection in Children with Food Reactions and Identified Adversity: Implications for Integrating Stress Management and Resilience Strategies in Clinical Practice
title_full The Role of the Mind-Body Connection in Children with Food Reactions and Identified Adversity: Implications for Integrating Stress Management and Resilience Strategies in Clinical Practice
title_fullStr The Role of the Mind-Body Connection in Children with Food Reactions and Identified Adversity: Implications for Integrating Stress Management and Resilience Strategies in Clinical Practice
title_full_unstemmed The Role of the Mind-Body Connection in Children with Food Reactions and Identified Adversity: Implications for Integrating Stress Management and Resilience Strategies in Clinical Practice
title_short The Role of the Mind-Body Connection in Children with Food Reactions and Identified Adversity: Implications for Integrating Stress Management and Resilience Strategies in Clinical Practice
title_sort role of the mind body connection in children with food reactions and identified adversity implications for integrating stress management and resilience strategies in clinical practice
topic stress
adversity
resilience
integrative medicine
pediatric food intolerances
non-allergic food reactions
url https://www.mdpi.com/2227-9067/10/3/563
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