SUSTAINABLE RESILIENCE Allergies and Anxiety Preventative Strategies
Paula Barrett Pathways Health and Research Centre
www.pathwayshrc.com.au University of Queensland
Acknowledgments • My family: Ana, Tom, Brad and our pets • Pathways Team • All the families we have worked with
â€œOur mind can overcome almost any adversity â€œ Norman Doidge
Risk and Protective Factors for Human Development Risk Factors: • Temperament Physiological sensitivity – low thresholds for stress • Neurological/brain development • Life Events traumas • Physical Health
Protective Factors: • • • • • • • •
Attachment/Affection Cognitive style Family Sleep Daily Exercise Diet School /Work Evidence Based Prevention
What we know: â€˘ One in five adults & children suffer anxiety or depression (more prevalent than drug use, ADHD, or any other health problem) â€˘ One in five adults or children suffer from allergies and associated anxiety â€˘ Less than 5 % of cases receive effective preventative interventions
What we know:
90% of major emotional and psychological difficulties and allergies start before 18 years of age !
What we know Parents and Health Professionals do not know how to access and implement preventative Psychological Evidence Based Interventions
Evidence based interventions Attachment Stable, unconditionally loving relationships,
Self - soothing,
Problem solving skills
Coping Behavioural Skills
Positive role models
Physiological Awareness of body clues Relaxation techniques Self-regulation Managing physical conditions
Cognitive Positive thinking skills about self, others and the environment
Australian Evidence Based Resilience Program: Friends for Life
• • • • • • •
F = Feelings (awareness and empathy) R = Relaxation (self reg & self soothing) I = Unhelpful vs helpful thinking E = Problem Solving and step plans N = Nurturing confidence D = Don’t forget the ongoing practise S = Stay calm, You know what is happening, You know what to do
“We cannot always build the future for our youth, but we can build our youth for the future”
• Preventative Interventions - Early prior to onset of a disorder • Preventative Interventions - Early developmentally in a child’s life
What WE CAN do: • • • • • •
Education rather than stigma Prevention rather than waiting Empowerment rather than blaming Focus on interactions and learning skills Focus on strengths rather than deficits Focus on solutions rather than problems
â€œ Externalising the anxiety and allergy challenges empowers the child and the familyâ€?
Friedman and Morris, REVIEW Journal of Clinical Psychology in Medical Settings
â€˘ There is an increasing prevalence of anxiety disorders and allergic conditions in children and adolescents - these illnesses are often comorbid. â€˘ Anxiety management skills are needed for parents and children â€˘ Allergy management skills are needed for parents and children
Friedman and Morris What can be done: • We must identify at-risk children • We must study the family history • We must conduct validated assessments for comorbid anxiety and allergies • We need to target anxious parents and to implement exposure and other CBT skills • We need to develop and evaluate treatments that reduce fear associated with the physiological symptoms of allergic reactions
Teufel et al, 07 What can be done: It is important to acknowledge the complex interplay between body and mind: adults and children suffering from food allergy show impaired quality of life and a higher level of stress and anxiety. We need to develop strategies for an optimized management of the various types of adverse reactions to food.
DunnGalvin et al, 09 What can be done: 1 - A developmental framework must link health related quality of life and the maturation of the immune system. 2 - It must also link psychological stress, temperament and emotion to neuro-immunoregulation and increased risk of negative impact. 3 â€“ It must explain both physiological and psychological phenomena and their interaction.
Preventative skills Be happy Nurture important relationships Have fun with children Let children be children Monitor, cohesion, consistency Spend time, interpersonal rewards Sleep, Diet, Exercise, Play
DunnGalvin et al, 09 Children whose parents encouraged independence and self-management were more likely to describe positive coping strategies “If there's food around, I will be careful, but otherwise I don't think about it” “I always tell people I'm food allergic…its safer that way and then you don't have to keep explaining
Cummings Ped All Imm 2010 Anxiety can be managed by both parents and children with positive outcomes for all independent of allergy severity and type experienced by the children.
Graves et al, 2010 Journal of Pediatric Psychology • Summarises 70 studies doen with children with chronic illness mainly allergies • Only 50% of families with children adhere to treatment and prevention protocols • Adherence maximises long term health benefits
WWW.PATHWAYSHRC.COM.AU “The brain that changes itself” Doidge, 07 “Allergies and Anxiety in Children and Adolescents: A Review of the Literature” Friedman and Morris, 06 “Psychological burden of food allergy” Teufel et al, 07 “Developmental Pathways in food allergy: a new theoretical framework” DunnGalvin et al, 09
Paula Barrett is the author of the world renowned FRIENDS programs, a research based group training program that helps children and adults c...