在ODAPP官网食物过敏意识周学术博客系列的第二部分 Béré马奥尼博士，来自 心理学院, leads a team of OD官网APP下载 researchers who are exploring what is it like psychologically for adults living with the severest of allergic reactions or 速发型过敏反应. 这是马奥尼博士和他的团队成员 Eleanor 布拉德利教授, 健康和科学研究主任, 还有史蒂夫·奥希基医生, Honorary Professor 而且 Consultant Physician at Worcestershire Acute Hospital NHS Trust, 讨论什么是食物过敏，和食物过敏的人一起生活是什么感觉.
了解更多关于什么是食物过敏, how intolerances 而且 allergies differ 而且 how psychological factors can influence this see 本系列的第一部分. In Part Two we will be looking at how food allergy differs from other allergies, how we diagnose food allergy 而且 our Psychological 研究 into food allergies
所有这些反应都可能是严重的，并影响过敏患者, but food allergy in particular has a big impact on the quality of a person’s life, 这是奥希基教授在他诊所的病人中发现的. He has found that most patients would agree that allergen drugs or insect venom can usually be avoided by the individual. In contrast food - particularly when prepared by someone else - can very often be a cause for anxiety among the food allergic because they have less control over their exposure 而且 avoidance to this.
In his clinic Professor O'Hickey sees many patients with newly diagnosed food allergy, 而且, 对于一些, this can be serious requiring further sophisticated blood tests to cast more light on the trigger allergens for that person.
Finding this out can be vital - avoidance of the allergen is the first step in effective management of the condition so identifying this can help us develop a self – care plan. ODAPP官网对成年人的研究, including those with the severest form of food allergy - 速发型过敏反应 which is a serious 而且 life-threatening reaction - confirmed this: having a sense of certainty 而且 control about their 速发型过敏反应 by knowing their trigger food or foods 而且 therefore being able to avoid the trigger, 在心理上对这个群体特别重要吗
然而，这可能比许多人意识到的更具挑战性. 现代食品的制备和制造是复杂的. 例如, it is relatively well known that pesto contains pine nuts 而且 should be avoided if allergic to them, 但是也有一些常见酱汁的版本 包括 cashew nuts 而且 trigger unexpected reactions in individuals sensitive to these specific nuts. Many food items are subject to cross-contamination (a process by which foods are unintentionally mixed) or manufacturing methods may make identifying possible allergens difficult.
In many allergy clinics the patient’s allergy story is key – it is reviewed carefully 而且 Professor O’Hickey says that taking a detailed history is often the most important part of the diagnostic process. 过敏测试通常进行，最后, 当ODAPP官网确定ODAPP官网在处理什么, we will often prescribe adrenaline auto-injectors for occasions when despite informed avoidance, 发生.
有时候过敏的过程会更加复杂，因为 辅助因素 或者相互结合的因素.
例如，锻炼 结合 with the eating allergen whether this is a food or a medication such as some pain killers, 对某些人来说，是否能创造出让他们产生反应的环境.
ODAPP官网的研究集中在被诊断患有 速发型过敏反应 成年后第一次. 当然, high profile cases of fatal allergic reactions to substances found in common foods are a timely reminder of the challenges faced by the 越来越多 of individuals living with this most severe 而且 potentially life - threatening form of allergic reaction. ODAPP官网知道, 无论个人的年龄和他们特定的触发过敏原, 过敏反应是一种复杂的心理和社会经历. 然而, across our work we have found that individuals with adult onset severe food allergy, 有过敏反应风险的人面临着一些独特的挑战
- they can find it difficult accepting the diagnosis 而且 living with a condition that they feel is associated with children
- trying to avoid their trigger food allergen can have a profound 而且 problematic impact on the quality of their life 而且 that of their family, 尤其是在用餐时间和社交聚会的时候
- they can find it difficult to develop new ways of managing their health after years of engaging in other health behaviours 而且 habits
- it can be difficult for family members 而且 health care professionals to know when 而且 how to support the severely food allergic adult because they have more control 而且 responsibility for managing their health than a child or younger person with a severe food allergy
Training health care professionals who work with individuals with adult onset severe food allergy in psychological skills is one important part of our research. ODAPP官网在护士中发现了这一点, ODAPP官网合作过的医生和药剂师, many are often unaware of the unique psychological experiences of living with a severe food allergy among these adults . Training health care workers in techniques they can use to explore these psychological issues with patients seems to benefit these professionals 而且 potentially the adults with severe food allergy that they support.
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 Walklet, E.，泰勒，C.布莱德利，E.，马奥尼，B.，斯库洛克-埃文斯，L., & O 'Hickey年代. (2018). 因为它介于两者之间，不是吗? Like an acute thing 而且 a chronic’: The psychological experience of 速发型过敏反应 in adulthood. 健康心理学杂志，23(12)，1579-1589. http://doi.org/10.1177/1359105316664130
 Walklet, 伊莱恩，马奥尼，贝蕾妮斯, 布拉德利, 埃莉诺和奥希基, Stephen (2019) Application of Health Psychology: Development of a Practitioner Training Intervention in Anaphylaxis. 卫生专业继续教育杂志. ISSN印刷:0894-1912，在线:1554-558X(印刷中)http://eprints.worc.ac.uk/7840/
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