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Negative effect of dietary elimination on breastfeeding mothers having infants with and without food allergy
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  • OZLEM YILMAZ,
  • Anil Safak Kacar,
  • Emre Gogebakan,
  • Ceren Can,
  • Isil Necef,
  • Tuba Mutluer,
  • Nuray Uslu Kızılkan,
  • Ali Sarper Taskiran,
  • Cansin Sackesen
OZLEM YILMAZ
Koc University School of Medicine
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Anil Safak Kacar
Koc University School of Medicine
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Emre Gogebakan
Koc University School of Medicine
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Ceren Can
Istanbul Bakirkoy Dr Sadi Konuk Training and Research Hospital
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Isil Necef
Koc University School of Medicine
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Tuba Mutluer
Koc University School of Medicine
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Nuray Uslu Kızılkan
Koc University School of Medicine
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Ali Sarper Taskiran
Koc University School of Medicine
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Cansin Sackesen
Koc University School of Medicine
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Abstract

Abstract Background: There has been no trial evaluating the psychopathology in breastfeeding mothers of infants with food allergy (FA). Objective: To investigate the effect of dietary elimination on maternal psychopathology, specifically stress/anxiety and mother-to-infant bonding and explore the importance of sociodemographic features on these variables. Methods: Breastfeeding mothers following an elimination diet due to FA in their children aged 1-to-12 months were compared with the healthy controls. Physician-diagnosed FA group were divided into IgE-, non-IgE-mediated and infants with some minor symptoms which were not enough to make the diagnosis of FA were classified as Indecisive symptoms for FA group. Mothers completed standardized questionnaires including Symptom Checklist 90R, Beck Depression/Anxiety Inventories (BDI/BAI), Postpartum Bonding Questionnaire (Bonding). Results: Of 179 mother-infants, 64 were healthy, 89 were FA, 16 were indecisive symptoms for FA. The mean age of the mothers and infants were 31.1±4.7 years and 6.3±3.6 months. The physician diagnosed FA groups had higher scores for anxiety (p=0.008), anger (p=0.042), depression (p<0.001), obsession (p=0.002), phobia (p=0.008), somatization (p=0.002) and general symptom index (GSI) (p=0.001), BDI (p<0.001), BAI (p=0.008) and Bonding [attachment (p=0.001), anger (p=0.019) and total (p=0.036)] than the healthy. The indecisive symptoms for FA group had a similar score pattern to physician-diagnosed FA except interpersonal sensitivity, BDI and attachment. Conclusion: Breastfeeding mothers of infants with FA were anxious, depressive and had many psychopathologies which affected bonding. Interventions targeting negativity in caregivers’ social relationships are urgently needed.

Peer review status:IN REVISION

19 Apr 2021Submitted to Pediatric Allergy and Immunology
03 May 2021Reviewer(s) Assigned
28 May 2021Review(s) Completed, Editorial Evaluation Pending
31 May 2021Editorial Decision: Revise Major