title: Utilizing physician screening questions for detecting anxiety among food-allergic pediatric patients.
abstract: OBJECTIVE
  To explore the utility of clinician screening for anxiety in pediatric food-allergic patients.
  
  
  METHODS
  In Phase I, 39 patients completed an anxiety questionnaire while their allergists completed a companion questionnaire estimating their patient's responses. Allergists then attended an educational workshop to improve their anxiety detection. In Phase II, following the workshop, questionnaires were completed by an additional 39 patients and their allergists.
  
  
  RESULTS
  The percentage of clinician questionnaires with a "do not know" response decreased from 70% to 5% after the workshop. Correlation between allergists' and children's responses remained nonsignificant (r = .314, P = .321) before the workshop and after (r = .303, P = .068) and only 25% of patients who reported elevated anxiety were identified. Additionally, clinicians expressed poor acceptability of the screening.
  
  
  CONCLUSIONS
  After the workshop, clinicians did not more accurately detect anxiety and found the process intrusive. Alternative methods for uncovering anxiety among high-risk patients are needed.
authors.affiliation: Fordham University, Bronx NY, USA Kravis Children's Hospital, Icahn School of Medicine at Mount Sinai, New York, NY, USA mrubes@fordham.edu.
authors.forename: Melissa
authors.initials: M
authors.lastname: Rubes
authors.affiliation: Kravis Children's Hospital, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
authors.forename: Anna H
authors.initials: AH
authors.lastname: Podolsky
authors.affiliation: Fordham University, Bronx NY, USA.
authors.forename: Nicole
authors.initials: N
authors.lastname: Caso
authors.affiliation: Kravis Children's Hospital, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
authors.forename: Michael A
authors.initials: MA
authors.lastname: Ambrose
authors.affiliation: Kravis Children's Hospital, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
authors.forename: Scott H
authors.initials: SH
authors.lastname: Sicherer
authors.affiliation: Kravis Children's Hospital, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
authors.forename: Eyal
authors.initials: E
authors.lastname: Shemesh
authors.affiliation: Fordham University, Bronx NY, USA Kravis Children's Hospital, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
authors.forename: Rachel A
authors.initials: RA
authors.lastname: Annunziato
mesh_terms: D000293:Adolescent; D000328:Adult; D000486:Allergy and Immunology / Q000458:organization & administration*; D001007:Anxiety / Q000175:diagnosis* / Q000523:psychology; D002648:Child; D002983:Clinical Competence; D004493:Education; D005260:Female; D005512:Food Hypersensitivity / Q000175:diagnosis* / Q000523:psychology; D006801:Humans; D008297:Male; D020380:Needs Assessment; D010372:Pediatrics / Q000379:methods; D010818:Practice Patterns, Physicians'; D011795:Surveys and Questionnaires / Q000706:statistics & numerical data*; D014481:United States
keywords: anxiety screening; clinicians; food allergy; pediatrics