The Role of Allergic Diseases in Common Pediatric Mental Health Disorders – A brief literature review

Abstract

Abstrak: Peningkatan risiko masalah kejiwaan akibat kondisi alergi berdampak besar terhadap implikasi klinis. Peran dan parahnya kondisi alergi perlu dipertimbangkan pada anak dengan ansietas atau depresi. Dikatakan bahwa pengobatan alergi dapat mencegah bahkan memperbaiki masalah kejiwaan yang terjadi namun penatalaksanaan alergi secara terpadu dapat membantu mengatasi depresi dan ansietas. Antihistamin generasi pertama telah dikenal berpengaruh terhadap kesehatan mental. Adanya hubungan erat antara alergi dan kesehatan mental menyebabkan steroid topikal dan bila diperlukan anhistamin generasi kedua layak menjadi pilihan. Rentannya pasien dengan alergi terhadap risiko masalah kejiwaan mendorong para klinisi agar lebih memahami bahwa pengobatan psikiatri juga dibutuhkan pada penatalaksanaan alergi dan rekomendasi terapi yang sesuai.

Kata kunci: alergi, kesehatan jiwa

Abstract: Increased risk of mental health problems brought by allergic conditions has substantial clinical implications. The role and the severity of allergic conditions need to be assessed when children present with anxiety or depression. Although many have proposed that treatment of allergies may prevent and help mental health diseases and definitely deserve further consideration and studies in real practice, concurrent allergy management has been found to help relieving depression and anxiety. First generation antihistamines are well known for their mental health effect. In light of the strong link between allergies and mental health, topical steroids and if needed, the second generation antihistamines would be the preferred choice. Awareness of this link that patients with allergic disorders have higher risk of psychiatric diseases would hopefully make clinicians be more aware that psychiatric treatments will need to include assessment of allergy and recommendation of appropriate therapy.

Keywords: allergy, mental health