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The current SARS-CoV-2 disease (COVID-19) pandemic is a sudden major stressor superimposed on pre-existing high distress in parents of infants admitted to the neonatal intensive care unit (NICU). This study aimed to investigate the psychological wellbeing of NICU parents during the COVID-19 pandemic. Forty-four parents of 25 inpatients of the Padua University Hospital NICU were included from June 2020 to February 2021. At 7–14 days postpartum parents completed the Edinburgh Postnatal Depression Scale (EPDS), State-Trait Anxiety Inventory (STAI), Parental Stressor Scale: NICU (PSS:NICU) and an ad-hoc questionnaire measuring parental COVID-19 related stress. About one third of parents reported extreme/high stress and a relevant negative impact on parenthood experience. Less time (82%) and less physical contact (73%) with infants due to COVID-19 preventive measures were the most frequent negative factors. Higher COVID-19 related parental stress was positively associated with anxiety, depression, NICU parental stress, stress related to NICU environment, and parental role alterations. Depression symptoms, stress related to infant condition and parental role alterations were higher in mothers. The pandemic affected parental emotional and relational wellbeing directly through additional stress due to COVID-19 concerns and indirectly through the impact of restrictions on the experience of becoming parents.
Laura Polloni; Francesco Cavallin; Elisabetta Lolli; Rossana Schiavo; Martina Bua; Biancarosa Volpe; Marta Meneghelli; Eugenio Baraldi; Daniele Trevisanuto. Psychological Wellbeing of Parents with Infants Admitted to the Neonatal Intensive Care Unit during SARS-CoV-2 Pandemic. Children 2021, 8, 755 .
AMA StyleLaura Polloni, Francesco Cavallin, Elisabetta Lolli, Rossana Schiavo, Martina Bua, Biancarosa Volpe, Marta Meneghelli, Eugenio Baraldi, Daniele Trevisanuto. Psychological Wellbeing of Parents with Infants Admitted to the Neonatal Intensive Care Unit during SARS-CoV-2 Pandemic. Children. 2021; 8 (9):755.
Chicago/Turabian StyleLaura Polloni; Francesco Cavallin; Elisabetta Lolli; Rossana Schiavo; Martina Bua; Biancarosa Volpe; Marta Meneghelli; Eugenio Baraldi; Daniele Trevisanuto. 2021. "Psychological Wellbeing of Parents with Infants Admitted to the Neonatal Intensive Care Unit during SARS-CoV-2 Pandemic." Children 8, no. 9: 755.
Background Despite a relatively high risk for allergic reactions, included anaphylaxis, schools are not sufficiently trained and confident in handling children suffering from food allergy. This study aimed to measure the improvement of school personnel's self‐efficacy in managing food allergy and anaphylaxis at school after a specific multidisciplinary training course. Methods A total of 592 teachers and schoolcaretakers completed the School Personnel Self‐Efficacy‐Food Allergy and Anaphylaxis Questionnaire (S.PER.SE‐FAAQ) before and after the course. The median difference, I and III quartile in scores between baseline and post intervention assessment was calculated. A Conditional regression tree was fitted for each outcome measured after the educational intervention. Results At baseline, school personnel reported low self‐efficacy in anaphylaxis management (AM), especially in recognizing anaphylaxis symptoms and administering proper drugs. After the specific multidisciplinary training course all scores improved. AM scores particularly showed a significant increase. School personnel's post‐training self‐efficacy was found to be related to initial levels. Some indicative threshold values emerged. Remarkably, participants with a low self‐efficacy at baseline seemed to particularly benefit from the training. Conclusions Results highlighted the effectiveness of specific multidisciplinary training courses in improving teachers and school caretakers' self‐efficacy in managing food allergy and anaphylaxis. The S.PER.SE‐FAAQ is confirmed to be an easy and helpful tool to assess the level of food allergy and anaphylaxis management in the school staff as well as training effectiveness.
Laura Polloni; Ileana Baldi; Francesca Lazzarotto; Roberta Bonaguro; Alice Toniolo; Dario Gregori; Antonella Muraro. Multidisciplinary education improves school personnel’s self‐efficacy in managing food allergy and anaphylaxis. Pediatric Allergy and Immunology 2020, 31, 380 -387.
AMA StyleLaura Polloni, Ileana Baldi, Francesca Lazzarotto, Roberta Bonaguro, Alice Toniolo, Dario Gregori, Antonella Muraro. Multidisciplinary education improves school personnel’s self‐efficacy in managing food allergy and anaphylaxis. Pediatric Allergy and Immunology. 2020; 31 (4):380-387.
Chicago/Turabian StyleLaura Polloni; Ileana Baldi; Francesca Lazzarotto; Roberta Bonaguro; Alice Toniolo; Dario Gregori; Antonella Muraro. 2020. "Multidisciplinary education improves school personnel’s self‐efficacy in managing food allergy and anaphylaxis." Pediatric Allergy and Immunology 31, no. 4: 380-387.
Laura Polloni; Antonella Muraro. Anxiety and food allergy: A review of the last two decades. Clinical & Experimental Allergy 2019, 50, 420 -441.
AMA StyleLaura Polloni, Antonella Muraro. Anxiety and food allergy: A review of the last two decades. Clinical & Experimental Allergy. 2019; 50 (4):420-441.
Chicago/Turabian StyleLaura Polloni; Antonella Muraro. 2019. "Anxiety and food allergy: A review of the last two decades." Clinical & Experimental Allergy 50, no. 4: 420-441.
Background Adolescents with FA showed higher levels of alexithymia ‐ the inability to identify and describe emotions ‐ and attachment avoidance including higher discomfort with closeness and relationships as secondary, compared with healthy peers. This study aimed to investigate possible association between attachment ‐ as attitude to close interpersonal relationships ‐ and alexithymia among adolescents with FA and to examine whether different anxious and avoidant attachment would be associated with different alexithymic characteristics. Methods 69 adolescents (female=40.5%; Mean age=15.59) with IgE FA completed the Toronto Alexithymia Scale (TAS‐20) and the Attachment Style Questionnaire (ASQ). Spearman's rank correlation coefficient was calculated between TAS‐20 variables and attachment characteristics. A proportional odds regression model was applied to TAS‐20 scores and included gender, age, and ASQ score as independent variables. Results Findings suggested significant associations between Attachment Anxiety (AAn) and Avoidance (AAv), and alexithymia. We found a positive effect of AAn on “difficulty identifying feelings” and “difficulty describing feelings”, and a significant decrease in the average “externally oriented thinking” in females. Conclusions Anxious and avoidant attachment dimensions are differentially related to separate facets of alexithymia. Results concerning AAn may reflect adolescents’ conflict for autonomy and the impact on the emotion regulation system. Clinicians should support adolescents with FA and caregivers in finding a balance among safety, autonomy, and psychosocial wellbeing. This article is protected by copyright. All rights reserved.
Laura Polloni; Ileana Baldi; Emilia Ferruzza; Francesca Lazzarotto; Roberta Bonaguro; Alice Toniolo; Nicolò Celegato; Dario Gregori; Antonella Muraro; Muraro Antonella. Attachment and alexithymia in adolescents with food allergy: A developmental hypothesis. Pediatric Allergy and Immunology 2018, 29, 557 -561.
AMA StyleLaura Polloni, Ileana Baldi, Emilia Ferruzza, Francesca Lazzarotto, Roberta Bonaguro, Alice Toniolo, Nicolò Celegato, Dario Gregori, Antonella Muraro, Muraro Antonella. Attachment and alexithymia in adolescents with food allergy: A developmental hypothesis. Pediatric Allergy and Immunology. 2018; 29 (5):557-561.
Chicago/Turabian StyleLaura Polloni; Ileana Baldi; Emilia Ferruzza; Francesca Lazzarotto; Roberta Bonaguro; Alice Toniolo; Nicolò Celegato; Dario Gregori; Antonella Muraro; Muraro Antonella. 2018. "Attachment and alexithymia in adolescents with food allergy: A developmental hypothesis." Pediatric Allergy and Immunology 29, no. 5: 557-561.
BackgroundFood allergy is a common immunologic disease that includes potentially fatal reactions. It impacts considerably on patients’ social life including close interpersonal relationships. Attachment theory provides a theoretic framework to evaluate the quality of close interpersonal relationships in chronic disorders. Attachment insecurity, mainly characterized by attachment avoidance, has been found in a variety of health conditions, but still needs to be investigated in food allergy. The study aimed to investigate attachment, as attitude to close interpersonal relationships, among food-allergic young patients, compared to healthy controls.MethodsThis is a cross-sectional study involving patients suffering from IgE-mediated food allergy sequentially recruited and matched to healthy controls for age and gender. The Attachment Style Questionnaire (ASQ) was used to assess five factors and two attachment dimensions (Anxiety-Avoidance). Associations with anaphylaxis and adrenaline prescription were explored among patients.Results174 participants were assessed (female=45%; mean age=17.51; SD=4.26). Food-allergic patients reported significantly higher levels of Discomfort with Closeness (P<.05), Relationships as Secondary (P<.05) and Attachment Avoidance (P<.0001) compared to controls.ConclusionsClinicians should be aware of implications of insecure attachment for health and illness. They should support patients in limiting social impairment finding a balance between safety and psychologic well-being.
Laura Polloni; Sami Schiff; Emilia Ferruzza; Francesca Lazzarotto; Roberta Bonaguro; Alice Toniolo; Nicolò Celegato; Antonella Muraro. Food allergy and attitudes to close interpersonal relationships: An exploratory study on attachment. Pediatric Allergy and Immunology 2017, 28, 458 -463.
AMA StyleLaura Polloni, Sami Schiff, Emilia Ferruzza, Francesca Lazzarotto, Roberta Bonaguro, Alice Toniolo, Nicolò Celegato, Antonella Muraro. Food allergy and attitudes to close interpersonal relationships: An exploratory study on attachment. Pediatric Allergy and Immunology. 2017; 28 (5):458-463.
Chicago/Turabian StyleLaura Polloni; Sami Schiff; Emilia Ferruzza; Francesca Lazzarotto; Roberta Bonaguro; Alice Toniolo; Nicolò Celegato; Antonella Muraro. 2017. "Food allergy and attitudes to close interpersonal relationships: An exploratory study on attachment." Pediatric Allergy and Immunology 28, no. 5: 458-463.