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...
Main Authors: | , , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
MDPI AG
2023-03-01
|
Series: | Children |
Subjects: | |
Online Access: | https://www.mdpi.com/2227-9067/10/3/563 |
_version_ | 1827750503122993152 |
---|---|
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. |
first_indexed | 2024-03-11T06:43:57Z |
format | Article |
id | doaj.art-a08586f530004c189b2f0ddeaab029b6 |
institution | Directory Open Access Journal |
issn | 2227-9067 |
language | English |
last_indexed | 2024-03-11T06:43:57Z |
publishDate | 2023-03-01 |
publisher | MDPI AG |
record_format | Article |
series | Children |
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 |
work_keys_str_mv | AT olivialee theroleofthemindbodyconnectioninchildrenwithfoodreactionsandidentifiedadversityimplicationsforintegratingstressmanagementandresiliencestrategiesinclinicalpractice AT mariamascarenhas theroleofthemindbodyconnectioninchildrenwithfoodreactionsandidentifiedadversityimplicationsforintegratingstressmanagementandresiliencestrategiesinclinicalpractice AT robinmiccio theroleofthemindbodyconnectioninchildrenwithfoodreactionsandidentifiedadversityimplicationsforintegratingstressmanagementandresiliencestrategiesinclinicalpractice AT terribrownwhitehorn theroleofthemindbodyconnectioninchildrenwithfoodreactionsandidentifiedadversityimplicationsforintegratingstressmanagementandresiliencestrategiesinclinicalpractice AT amydean theroleofthemindbodyconnectioninchildrenwithfoodreactionsandidentifiedadversityimplicationsforintegratingstressmanagementandresiliencestrategiesinclinicalpractice AT jessierlichman theroleofthemindbodyconnectioninchildrenwithfoodreactionsandidentifiedadversityimplicationsforintegratingstressmanagementandresiliencestrategiesinclinicalpractice AT robinortiz theroleofthemindbodyconnectioninchildrenwithfoodreactionsandidentifiedadversityimplicationsforintegratingstressmanagementandresiliencestrategiesinclinicalpractice AT olivialee roleofthemindbodyconnectioninchildrenwithfoodreactionsandidentifiedadversityimplicationsforintegratingstressmanagementandresiliencestrategiesinclinicalpractice AT mariamascarenhas roleofthemindbodyconnectioninchildrenwithfoodreactionsandidentifiedadversityimplicationsforintegratingstressmanagementandresiliencestrategiesinclinicalpractice AT robinmiccio roleofthemindbodyconnectioninchildrenwithfoodreactionsandidentifiedadversityimplicationsforintegratingstressmanagementandresiliencestrategiesinclinicalpractice AT terribrownwhitehorn roleofthemindbodyconnectioninchildrenwithfoodreactionsandidentifiedadversityimplicationsforintegratingstressmanagementandresiliencestrategiesinclinicalpractice AT amydean roleofthemindbodyconnectioninchildrenwithfoodreactionsandidentifiedadversityimplicationsforintegratingstressmanagementandresiliencestrategiesinclinicalpractice AT jessierlichman roleofthemindbodyconnectioninchildrenwithfoodreactionsandidentifiedadversityimplicationsforintegratingstressmanagementandresiliencestrategiesinclinicalpractice AT robinortiz roleofthemindbodyconnectioninchildrenwithfoodreactionsandidentifiedadversityimplicationsforintegratingstressmanagementandresiliencestrategiesinclinicalpractice |