This systematic review aimed to review the evidence for psychological support for children with food allergies and their families, identify effective psychological interventions, and highlight the support needs for this group. A systematic search was undertaken across six databases (up to October 2023). Articles were checked by three reviewers for inclusion. Study data were extracted, and quality was assessed using the Mixed Methods Appraisal Tool. A narrative synthesis was undertaken. A total of 11 papers were included (n = 838 participants). Intervention types were based on cognitive behavioral therapy (CBT; n = 7); psycho‐education (n = 1); peer mentoring (n = 1); self‐regulation theory (n = 1); and coping (n = 1). Two interventions were for children only, three were for children and parents and six for parents only. Cognitive behavioral therapy‐based interventions with highly anxious parents or children or those facilitated by a psychologist showed significant improvements with moderate‐to‐large effect sizes. The one self‐help CBT‐based online program showed no effects. Other intervention types reported mainly trends in improvement due to small sample sizes. Most interventions were aimed at supporting children or parents in day‐to‐day management of food allergy, measuring outcomes such as quality of life, self‐efficacy, anxiety, worry, and depression. One intervention was designed to assist with oral immunotherapy outcomes. The majority of the studies had small sample sizes and were feasibility or proof‐of‐concept studies. Available research evidence points to effectiveness of facilitated CBT‐based interventions for those that have high food allergy‐related anxiety, but as many studies have small sample sizes and few report effect sizes, no firm conclusions can yet be drawn. A stepped care approach is likely to be useful for this population. Research using large interventional designs, particularly for children and adolescents, are needed.

中文翻译：

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食物过敏儿童及其家人的心理支持需求：系统评价

本系统综述旨在回顾对食物过敏儿童及其家人进行心理支持的证据，确定有效的心理干预措施，并强调该群体的支持需求。对六个数据库进行了系统检索（截至 2023 年 10 月）。文章由三位审稿人检查是否纳入。提取研究数据，并使用混合方法评估工具评估质量。进行了叙述综合。共收录论文11篇（n= 838 名参与者）。干预类型基于认知行为疗法（CBT；n= 7);心理教育（n= 1);同伴辅导（n= 1);自我调节理论（n= 1);和应对（n= 1).两项干预措施仅针对儿童，三项干预措施针对儿童和父母，六项干预措施仅针对父母。对高度焦虑的父母或儿童进行的基于认知行为治疗的干预措施或由心理学家协助的干预措施显示出显着的改善，效果大小为中等到大。一项基于 CBT 的自助在线计划没有显示任何效果。其他干预类型主要报告了由于样本量较小而出现改善的趋势。大多数干预措施旨在支持儿童或家长进行食物过敏的日常管理，衡量生活质量、自我效能、焦虑、担忧和抑郁等结果。一项干预措施旨在帮助改善口服免疫治疗的结果。大多数研究样本量较小，并且是可行性或概念验证研究。现有的研究证据表明，基于 CBT 的便利干预措施对于那些患有高度食物过敏相关焦虑的人是有效的，但由于许多研究样本量较小且报告的效果大小很少，因此尚无法得出确切的结论。阶梯式护理方法可能对这一人群有用。需要使用大型干预设计进行研究，特别是针对儿童和青少年。