Stressors of School-age Children With Allergic Diseases: A Qualitative Study

Purpose: Most studies of stress in children with chronic diseases have been geared toward parents and caregivers have not considered allergic diseases together. This study aimed to identify the stressors associated with allergic diseases in Japanese school-age children. Design and Methods: Stressors associated with allergic diseases of 11 school-age children (seven boys and four girls; age range: 9-12 years) were investigated using semi-structured interviews. Results: In the qualitative thematic analysis of stressors about allergic diseases, two themes: allergic diseasespecific stressors and common stressors in chronic diseases, and 12 categories were identified. A thematic map was applied to four domains of stressor: physiological factors, psychological factors, social factors, and environmental factors. Conclusions: The results showed that school-age childrenwith allergic diseases have a variety of stressors. Future studies should aimto develop an allergic disease-specific stress management programwith school-age children. Practice Implications: In children with allergic diseases, not only is stress management in daily life important, but also stress management for disease-specific matters to control the symptoms and maintain mental health. Stress management should be supported for school-age children with allergic diseases. (C) 2018 Elsevier Inc. All rights reserved.