Integrated behavioral health care for management of stress in allergic diseases

Publication date: Available online 8 May 2018
Source:Annals of Allergy, Asthma & Immunology
Author(s): Alyssa Oland, Genery D. Booster, Bruce G. Bender
ObjectiveThe present article will review current findings regarding the management of stress in allergic disease.Data SourcesThe present review article uses articles and books published between 1995 and 2017. Approximately 85% of sources used were published in the last 10 years and 60% were published in the last 5 years. The majority of sources are peer-reviewed articles.Study SelectionsArticles that focused on allergic diseases such as allergic rhinitis, food allergies, urticaria, and allergic asthma were included in the present review. Articles in which it was not clear that the underlying disorder was allergic in nature (for example, non-specified asthma) were not included in the present review. Preference was given to articles published within the past five years.ResultsPatients with allergic diseases, particularly those with chronic and/or co-occurring allergic diseases, often experience stress and, in turn, this experience of stress can exacerbate disease presentation. High rates of treatment non-adherence in patients with allergic disease can also increase disease burden and stress. Research to date supports the benefit of behavioral health interventions for patients with allergic disease. Interventions with multidisciplinary teams, that include behavioral health, as well as interventions at the school, workplace, and community level are recommended.ConclusionMedical providers working with patients with allergic disease need to address patient's experience of stress and non-adherence to treatment recommendations. This could be done through routine screening and referrals to behavioral health or, ideally, through incorporation of a behavioral health provider within a multidisciplinary patient team.



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